CPT code 25426: Forearm bone repair, radius and ulna with graft2026 Medicare rate & RVUs in Arizona

In Arizona, Medicare pays $998.98 for 25426 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25426 nationwide

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

What 25426 covers

An orthopedic or hand surgeon uses this service to reconstruct both forearm bones when a fracture has failed to unite or has healed in a position requiring correction. The operation addresses the radius and ulna together and includes grafting as part of the repair. These procedures are typically performed in an operating room for complex forearm fracture sequelae; the operative report should identify the condition and the work performed on each bone.

Select this code when the documented repair includes both the radius and ulna and meets the graft-related description for this code. Record the nonunion or malunion, the bones treated, the graft work, and any fixation or corrective reconstruction performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is paid at 150% for bilateral reporting. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery billing 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 Arizona compares for 25426

Across 109 of 109 payment localities, the facility rate for 25426 runs from $918.62 in Arkansas to $1,268.35 in Alaska. Arizona pays $998.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25426 rates by state

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

See 25426 in every payment locality

How the 25426 rate is calculated

Each of 25426’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.

Payment rules and modifiers for 25426

25426 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 25426

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 25426 has changed in Arizona

Price 25426 for an earlier date of service

Where the Arizona rate applies

Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.

• Aguila
• Ajo
• Ak Chin
• Ak-Chin Village
• Alamo Lake
• Ali Chuk
• Ali Chukson
• Ali Molina

Browse all communities in Arizona

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

Open CMS sourceHow we calculate rates