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CPT code 25600: Fracture treatment, distal radius, no manipulation2026 Medicare rate & RVUs in Washington, DC area

Reports closed treatment of a distal radius fracture without manipulation, including treatment of an associated distal ulna fracture when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality30.5K Medicare services in 2024

In Washington, DC area, Medicare pays $441.64 for 25600 in the office and $390.49 when it’s performed in a hospital or facility.

$441.64Office (non-facility)
$390.49Hospital or facility
+14.6%vs the national office rate ($385.45)

Check a contract rate as a % of Medicare · 25600 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 25600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 25600 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 25600 covers

This service covers nonoperative care of a distal radius fracture or separation at the growth plate when the provider treats it without manipulating the fracture. Treatment may include immobilization and follow-up by an orthopedic surgeon or another qualified clinician in an office, emergency department, or hospital setting. The code also includes treatment of an associated distal ulna fracture when performed; it is not limited to fractures involving both bones.

Choose this code when the documented treatment does not involve manipulating the fracture. Document the fracture site, the closed treatment plan, and whether manipulation occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the first 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are 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 Washington, DC area compares for 25600

Across 109 of 109 payment localities, the office rate for 25600 runs from $337.54 in Arkansas to $509.12 in San Benito County, CA. Washington, DC area pays $441.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

25600 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$441.64
  2. Los Angeles, CA · California$433.60−$8.04
  3. Miami, FL · Florida$424.87−$16.77
  4. Chicago, IL · Illinois$411.25−$30.39
  5. Manhattan, NY · New York$446.81+$5.17
  6. Alaska · Alaska$440.43−$1.21
  7. Alabama · Alabama$342.90−$98.74

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

25600 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$337.54$300.24
ArizonaArizona$374.23$332.15
Bakersfield, CACalifornia$406.53$358.94
Chico, CACalifornia$405.01$357.42
El Centro, CACalifornia$405.10$357.51
Fresno, CACalifornia$405.01$357.42
Hanford, CACalifornia$405.01$357.42
Madera, CACalifornia$405.01$357.42

25600 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

$337.54

$457.07

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
25600 office rate range by state
State / territoryOffice rate rangeLocalities
AK$440.431
AL$342.901
AR$337.541
AZ$374.231
CA$405.01–$509.1229
CO$400.211
CT$412.411
DC$441.641
DE$380.721
FL$382.52–$424.873
GA$359.11–$393.842
GU$415.601
HI$415.601
IA$350.861
ID$353.641
IL$371.73–$411.254
IN$355.821
KS$349.781
KY$353.191
LA$352.87–$371.632
MA$397.82–$440.792
MD$388.16–$441.643
ME$356.38–$376.182
MI$363.76–$388.372
MN$380.531
MO$346.80–$372.213
MS$342.211
MT$385.411
NC$360.291
ND$374.531
NE$352.721
NH$394.491
NJ$416.29–$436.652
NM$366.181
NV$382.661
NY$366.16–$459.255
OH$361.531
OK$351.761
OR$378.88–$412.892
PA$361.76–$401.962
PR$388.211
RI$394.311
SC$361.671
SD$373.251
TN$351.771
TX$359.25–$399.578
UT$366.981
VA$375.34–$441.642
VI$388.211
VT$373.611
WA$396.89–$449.392
WI$361.121
WV$357.131
WY$380.671

See 25600 in every payment locality

How the 25600 rate is calculated

Each of 25600’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 · 25600

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.71

2.71 RVUs× 1.000 GPCI

Practice expense8.28

8.28 RVUs× 1.000 GPCI

Malpractice0.55

0.55 RVUs× 1.000 GPCI

Adjusted RVUs

11.5400

Conversion factor

$33.4009

Medicare rate

$385.45

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,485

Code
25600
Physician work
2.71
Practice expense
8.28
Malpractice
0.55

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 25600 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.71× 1.0542.8563
Practice expense8.28× 1.1789.7538
Malpractice0.55× 1.1130.6122
Total RVUs13.2223
Conversion factor× 33.4009

Office rate, Washington, DC area$441.64

Office: (2.71 × 1.054 + 8.28 × 1.178 + 0.55 × 1.113) × $33.4009 = $441.64

Facility: (2.71 × 1.054 + 6.98 × 1.178 + 0.55 × 1.113) × $33.4009 = $390.49

Open 25600 in the RVU calculator

Payment rules and modifiers for 25600

25600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25600

Fracture treatment, distal radius, no manipulation

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 25600

Fracture treatment, distal radius, no manipulation

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

25600 without 50 · national office

$385.45

Fracture treatment, distal radius, no manipulation

25600-50 · Bilateral: 150%

$578.18

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

Codes related to 25600

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

Codes related to 25600
CodeHow it relatesOffice range, Washington, DC area
Same family
25605Wrist fracture treatment, with manipulationClosed treatment of a distal radius fracture when manipulation is performed.$719.38
Used instead
25606Distal radius fixation, percutaneous skeletal fixationPercutaneous skeletal fixation is used instead of closed treatment without manipulation.No office rate
25607Distal radius repair, extra-articular, open treatmentOpen treatment for an extra-articular distal radius fracture.No office rate
25608Distal radius repair, intra-articular, two fragmentsOpen treatment for an intra-articular distal radius fracture with two fragments.No office rate
25609Distal radius fixation, intra-articular, three or more fragmentsOpen treatment for an intra-articular distal radius fracture with three or more fragments.No office rate

How 25600 has changed in Washington, DC area

25600 · Office / nonfacility

$441.64

Effective 2026-10-01

The base rate is $38.94 higher than on 2025-10-01, moving from $402.70 to $441.64 (9.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $402.70changed to$441.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.78 changed to 2.71
    • Practice expense RVU 7.45 changed to 8.28
    • Malpractice RVU 0.54 changed to 0.55
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $409.26changed to$402.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.32 changed to 7.45

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $402.58changed to$409.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $415.33changed to$402.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.13 changed to 7.32
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $419.45changed to$415.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.86 changed to 7.13
    • Malpractice RVU 0.55 changed to 0.54
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $415.11changed to$419.45

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.71 changed to 6.86
    • Malpractice RVU 0.52 changed to 0.55

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $402.86changed to$415.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.21 changed to 6.71
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $393.15changed to$402.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.14 changed to 6.21
    • Malpractice RVU 0.48 changed to 0.52
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $393.63changed to$393.15

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.50 changed to 0.48

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $388.57changed to$393.63

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.04 changed to 6.14
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $388.12changed to$388.57

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $389.95changed to$388.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.05 changed to 6.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $388.01changed to$389.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $383.21changed to$388.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.97 changed to 6.05
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $389.04changed to$383.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.62 changed to 5.97
    • Malpractice RVU 0.52 changed to 0.50
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $389.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$441.64$390.49RVU26D
2026-07-01$441.64$390.49RVU26C
2026-04-01$441.64$390.49RVU26B
2026-01-01$441.64$390.49RVU26A
2025-10-01$402.70$385.74RVU25D
2025-07-01$402.70$385.74RVU25C
2025-04-01$402.70$385.74RVU25B
2025-01-01$402.70$385.74RVU25A
2024-10-01$409.26$391.00RVU24D
2024-07-01$409.26$391.00RVU24C
2024-04-01$409.26$391.00RVU24B
2024-03-09$409.26$391.00RVU24AR
2024-01-01$402.58$384.62RVU24A
2023-10-01$415.33$396.41RVU23D
2023-07-01$415.33$396.41RVU23C
2023-04-01$415.33$396.41RVU23B
2023-01-01$415.33$396.41RVU23A
2022-10-01$419.45$400.63RVU22D
2022-07-01$419.45$400.63RVU22C
2022-04-01$419.45$400.63RVU22B
2022-01-01$419.45$400.63RVU22A
2021-10-01$415.11$394.84RVU21D
2021-07-01$415.11$394.84RVU21C
2021-04-01$415.11$394.84RVU21B
2021-01-01$415.11$394.84RVU21A
2020-10-01$402.86$383.03RVU20D
2020-07-01$402.86$383.03RVU20C
2020-04-01$402.86$383.03RVU20B
2020-01-01$402.86$383.03RVU20A
2019-10-01$393.15$372.74RVU19D
2019-07-01$393.15$372.74RVU19C
2019-04-01$393.15$372.74RVU19B
2019-01-01$393.15$372.74RVU19A
2018-10-01$393.63$370.21RVU18D
2018-07-01$393.63$370.21RVU18C
2018-04-01$393.63$370.21RVU18B
2018-01-01$393.63$370.21RVU18AR1
2017-10-01$388.57$366.95RVU17D
2017-07-01$388.57$366.95RVU17C
2017-04-01$388.57$366.95RVU17B
2017-01-01$388.57$366.95RVU17A
2016-10-01$388.12$366.55RVU16D
2016-07-01$388.12$366.55RVU16C
2016-04-01$388.12$366.55RVU16B
2016-01-01$388.12$366.55RVU16A
2015-10-01$389.95$367.87RVU15D
2015-07-01$389.95$367.87RVU15C
2015-04-01$388.01$366.04RVU15B
2015-01-01$388.01$366.04RVU15A
2014-10-01$383.21$362.11RVU14D
2014-07-01$383.21$362.11RVU14C
2014-04-01$383.21$362.11RVU14B
2014-01-01$383.21$362.11RVU14A
2013-10-01$389.04$367.03RVU13D
2013-07-01$389.04$367.03RVU13C
2013-04-01$389.04$367.03RVU13B
2013-01-01$389.04$367.03RVU13AR

Price 25600 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

25600 billing questions

When should 25600 be reported instead of 25605?

Use 25600 when the distal radius fracture is treated closed without manipulation. Use 25605 when the provider manipulates the fracture as part of closed treatment.

Can this code include treatment of a distal ulna fracture?

Yes. Treatment of an associated distal ulna fracture is included when performed as part of the distal radius fracture treatment.

Is fracture follow-up included in the service?

CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the first 90 days.

How is bilateral treatment paid?

CMS identifies this as a bilateral procedure. When both sides are treated and reported with modifier 50, payment is 150%.

What distinguishes 25600 from 25606?

25600 describes closed treatment without manipulation. 25606 is for percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation.

Can an assistant or co-surgeon be reported for this service?

CMS does not pay assistant-at-surgery services for this code, and co-surgeons and team surgery are 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 25600PPRRVU2026_Oct_nonQPP.csv, line 2,485 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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