CPT code 25415: Forearm bone repair, both radius and ulna2026 Medicare rate & RVUs in Montana

Reports operative correction of a radius-and-ulna nonunion or malunion when both forearm bones require repair during the same surgical episode.

CMS RVU26DEffective Oct 1, 2026One payment locality39 Medicare services in 2024

In Montana, Medicare pays $895.29 for 25415 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$895.29Hospital or facility

Check a contract rate as a % of Medicare · 25415 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 25415 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 25415 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 25415 covers

An orthopedic surgeon uses this code for operative correction of an established nonunion or malunion involving both the radius and ulna in one forearm. The procedure may address failed healing or a healed deformity after fracture, with repair directed at restoring alignment and stability. These cases are typically performed in an operating room rather than an office setting.

Choose this code when the operative report supports repair of both bones, not just one; a graft-specific sibling may be appropriate when grafting is performed. Document the affected bones, the nonunion or malunion, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Montana compares for 25415

Across 109 of 109 payment localities, the facility rate for 25415 runs from $799.63 in Arkansas to $1,099.98 in Alaska. Montana pays $895.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

25415 in Montana vs other payment areas
  1. Montana · this page$895.29
  2. Los Angeles, CA · California$945.76+$50.47
  3. Washington, DC area · District of Columbia$992.89+$97.60
  4. Miami, FL · Florida$1,056.40+$161.11
  5. Chicago, IL · Illinois$1,024.51+$129.22
  6. Manhattan, NY · New York$1,037.13+$141.84
  7. Alaska · Alaska$1,099.98+$204.69

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

25415 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$810.12
ArkansasArkansas—$799.63
ArizonaArizona—$870.82
Bakersfield, CACalifornia—$900.14
Chico, CACalifornia—$892.25
El Centro, CACalifornia—$892.72
Fresno, CACalifornia—$892.25
Hanford, CACalifornia—$892.25

25415 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25415 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 25415 in every payment locality

How the 25415 rate is calculated

Each of 25415’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 25415

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.46

13.46 RVUs× 1.000 GPCI

Practice expense10.48

10.48 RVUs× 1.000 GPCI

Malpractice2.87

2.87 RVUs× 1.000 GPCI

Adjusted RVUs

26.8100

Conversion factor

$33.4009

Medicare rate

$895.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,451

Code
25415
Physician work
13.46
Practice expense
10.48
Malpractice
2.87

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 25415 in Montana
ComponentRVULocality factorAdjusted
Physician work13.46× 1.00013.4600
Practice expense10.48× 1.00010.4800
Malpractice2.87× 0.9982.8643
Total RVUs26.8043
Conversion factor× 33.4009

Facility rate, Montana$895.29

Facility: (13.46 × 1 + 10.48 × 1 + 2.87 × 0.998) × $33.4009 = $895.29

Open 25415 in the RVU calculator

Payment rules and modifiers for 25415

25415 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25415

Forearm bone repair, both radius and ulna

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25415

Forearm bone repair, both radius and ulna

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25415 without 50 · national facility

$895.48

Forearm bone repair, both radius and ulna

25415-50 · Bilateral: 150%

$1,343.22

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 25415 has changed in Montana

25415 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$895.29RVU26D
2026-07-01Not available in this setting$895.29RVU26C
2026-04-01Not available in this setting$895.29RVU26B
2026-01-01Not available in this setting$895.29RVU26A
2025-10-01Not available in this setting$953.52RVU25D
2025-07-01Not available in this setting$953.52RVU25C
2025-04-01Not available in this setting$953.52RVU25B
2025-01-01Not available in this setting$953.52RVU25A
2024-10-01Not available in this setting$973.58RVU24D
2024-07-01Not available in this setting$973.58RVU24C
2024-04-01Not available in this setting$973.58RVU24B
2024-03-09Not available in this setting$973.58RVU24AR
2024-01-01Not available in this setting$957.69RVU24A
2023-10-01Not available in this setting$984.05RVU23D
2023-07-01Not available in this setting$984.05RVU23C
2023-04-01Not available in this setting$984.05RVU23B
2023-01-01Not available in this setting$984.05RVU23A
2022-10-01Not available in this setting$994.74RVU22D
2022-07-01Not available in this setting$994.74RVU22C
2022-04-01Not available in this setting$994.74RVU22B
2022-01-01Not available in this setting$994.74RVU22A
2021-10-01Not available in this setting$996.43RVU21D
2021-07-01Not available in this setting$996.43RVU21C
2021-04-01Not available in this setting$996.43RVU21B
2021-01-01Not available in this setting$996.43RVU21A
2020-10-01Not available in this setting$1,039.49RVU20D
2020-07-01Not available in this setting$1,039.49RVU20C
2020-04-01Not available in this setting$1,039.49RVU20B
2020-01-01Not available in this setting$1,039.49RVU20A
2019-10-01Not available in this setting$1,072.10RVU19D
2019-07-01Not available in this setting$1,072.10RVU19C
2019-04-01Not available in this setting$1,063.87RVU19B
2019-01-01Not available in this setting$1,063.87RVU19A
2018-10-01Not available in this setting$1,066.91RVU18D
2018-07-01Not available in this setting$1,066.91RVU18C
2018-04-01Not available in this setting$1,066.91RVU18B
2018-01-01Not available in this setting$1,066.91RVU18AR1
2017-10-01Not available in this setting$1,041.38RVU17D
2017-07-01Not available in this setting$1,041.38RVU17C
2017-04-01Not available in this setting$1,041.38RVU17B
2017-01-01Not available in this setting$1,041.38RVU17A
2016-10-01Not available in this setting$1,013.20RVU16D
2016-07-01Not available in this setting$1,013.20RVU16C
2016-04-01Not available in this setting$1,013.20RVU16B
2016-01-01Not available in this setting$1,013.20RVU16A
2015-10-01Not available in this setting$1,026.10RVU15D
2015-07-01Not available in this setting$1,026.10RVU15C
2015-04-01Not available in this setting$1,020.99RVU15B
2015-01-01Not available in this setting$1,020.99RVU15A
2014-10-01Not available in this setting$1,002.29RVU14D
2014-07-01Not available in this setting$1,002.29RVU14C
2014-04-01Not available in this setting$1,002.29RVU14B
2014-01-01Not available in this setting$1,002.29RVU14A
2013-10-01Not available in this setting$983.27RVU13D
2013-07-01Not available in this setting$983.27RVU13C
2013-04-01Not available in this setting$983.27RVU13B
2013-01-01Not available in this setting$983.27RVU13AR

Price 25415 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

25415 billing questions

When is 25415 appropriate instead of 25400?

Use 25415 when the repair addresses nonunion or malunion of both the radius and ulna. Code 25400 is for repair involving only one of those bones.

Does 25415 include bone grafting?

This code represents repair without the grafting distinction captured by graft-specific codes in the family. If the surgeon performs graft augmentation, review the applicable graft-specific code, such as 25420 for both bones.

Can the radius and ulna repairs be reported as separate units?

No. The code represents repair of both bones in the same forearm; do not report separate units for the radius and ulna.

How does the 90-day global period affect follow-up visits?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Report a separate service only when it is independently reportable under the applicable coding rules.

How does Medicare handle an assistant or co-surgeon?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 25415PPRRVU2026_Oct_nonQPP.csv, line 2,451 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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