CPT code 25425: Forearm bone repair, radius or ulna with graft2026 Medicare rate & RVUs in Florida
Reports operative repair of a radius or ulna nonunion or malunion using bone graft, when the reconstruction matches this code’s specific procedure.
CMS doesn’t publish an office rate for 25425 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 25425 covers
This code describes graft-assisted reconstruction of a nonunion or malunion in one forearm bone: the radius or the ulna. An orthopedic surgeon may use it when a prior fracture has failed to unite or has healed in a position requiring operative correction and grafting. The work takes place in the operating room and addresses the affected bone rather than a wrist joint or carpal bone. The operative report should identify the bone, the nonunion or malunion, the grafting performed, and the repair technique.
Select this code only when the documented operation matches its specific CPT descriptor; distinguish repair of one bone from procedures addressing both radius and ulna, and distinguish the applicable graft technique from other repair options. This is major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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.
Where 25425 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $972.59 |
| Miami, FL | Unavailable | $1,051.00 |
| Rest of Florida | Unavailable | $923.66 |
How the 25425 rate is calculated
Each of 25425’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 · 25425
RVUs × geographic indexes × conversion factor
Work13.38
13.38 RVUs× 1.000 GPCI
Practice expense10.45
10.45 RVUs× 1.000 GPCI
Malpractice2.85
2.85 RVUs× 1.000 GPCI
Adjusted RVUs
26.6800
Conversion factor
$33.4009
Medicare rate
$891.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25425
25425 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25425
Forearm bone repair, radius or ulna with graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25425
Forearm bone repair, radius or ulna with graft
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25425 without 50 · national facility
$891.14
Forearm bone repair, radius or ulna with graft
25425-50 · Bilateral: 150%
$1,336.71
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).
25425 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 25400Forearm bone repairOne bone, without graft
- This code is a graft-associated repair option for a radius or ulna. Use 25400 when the documented procedure matches that code’s repair approach instead.
- 25405Forearm bone repairOne bone, autograft
- Both concern repair of a radius or ulna nonunion or malunion; determine the correct code from the graft and operative details specified in the full CPT descriptors.
- 25420Forearm repairBoth bones, with autograft
- 25420 concerns repair and grafting of both radius and ulna. This code addresses a radius or ulna rather than the pair.
- 25426Forearm bone repairRadius and ulna with graft
- The key distinction is the number of bones treated: this code is associated with radius or ulna, while 25426 is associated with both.
25425 billing questions
How does this differ from 25426?
25425 is for repair involving the radius or ulna; 25426 is the nearby option associated with both radius and ulna. Confirm that the operative report supports the number of bones treated.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
How is bilateral surgery reported?
For a bilateral procedure, modifier 50 is paid at 150%. The operative documentation should support treatment on both sides.
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
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