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

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 Delaware, Medicare pays $380.72 for 25600 in the office and $337.82 when it’s performed in a hospital or facility.

$380.72Office (non-facility)
$337.82Hospital or facility
−1.2%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 Delaware
  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 Delaware 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. Delaware pays $380.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

25600 in Delaware vs other payment areas
  1. Delaware · this page$380.72
  2. Los Angeles, CA · California$433.60+$52.88
  3. Washington, DC area · District of Columbia$441.64+$60.92
  4. Miami, FL · Florida$424.87+$44.15
  5. Chicago, IL · Illinois$411.25+$30.53
  6. Manhattan, NY · New York$446.81+$66.09
  7. Alaska · Alaska$440.43+$59.71

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

Every other payment area

25600 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$342.90$304.91
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

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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 25600 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.71× 1.0052.7235
Practice expense8.28× 0.9888.1806
Malpractice0.55× 0.8990.4945
Total RVUs11.3986
Conversion factor× 33.4009

Office rate, Delaware$380.72

Office: (2.71 × 1.005 + 8.28 × 0.988 + 0.55 × 0.899) × $33.4009 = $380.72

Facility: (2.71 × 1.005 + 6.98 × 0.988 + 0.55 × 0.899) × $33.4009 = $337.82

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, Delaware
Same family
25605Wrist fracture treatment, with manipulationClosed treatment of a distal radius fracture when manipulation is performed.$626.39
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 Delaware

25600 · Office / nonfacility

$380.72

Effective 2026-10-01

The base rate is $34.36 higher than on 2025-10-01, moving from $346.36 to $380.72 (9.9%).

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

    $346.36changed to$380.72

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $352.15changed to$346.36

    • 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

    $346.40changed to$352.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $355.34changed to$346.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.13 changed to 7.32
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $356.95changed to$355.34

    • 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 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $353.59changed to$356.95

    • 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

    $348.95changed to$353.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.21 changed to 6.71
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $345.73changed to$348.95

    • 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 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $346.16changed to$345.73

    • 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

    $342.71changed to$346.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.04 changed to 6.14
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $343.08changed to$342.71

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $344.69changed to$343.08

    • 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

    $342.97changed to$344.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $338.50changed to$342.97

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.97 changed to 6.05
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $342.75changed to$338.50

    • 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
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $342.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$380.72$337.82RVU26D
2026-07-01$380.72$337.82RVU26C
2026-04-01$380.72$337.82RVU26B
2026-01-01$380.72$337.82RVU26A
2025-10-01$346.36$332.24RVU25D
2025-07-01$346.36$332.24RVU25C
2025-04-01$346.36$332.24RVU25B
2025-01-01$346.36$332.24RVU25A
2024-10-01$352.15$336.96RVU24D
2024-07-01$352.15$336.96RVU24C
2024-04-01$352.15$336.96RVU24B
2024-03-09$352.15$336.96RVU24AR
2024-01-01$346.40$331.46RVU24A
2023-10-01$355.34$339.64RVU23D
2023-07-01$355.34$339.64RVU23C
2023-04-01$355.34$339.64RVU23B
2023-01-01$355.34$339.64RVU23A
2022-10-01$356.95$341.39RVU22D
2022-07-01$356.95$341.39RVU22C
2022-04-01$356.95$341.39RVU22B
2022-01-01$356.95$341.39RVU22A
2021-10-01$353.59$336.83RVU21D
2021-07-01$353.59$336.83RVU21C
2021-04-01$353.59$336.83RVU21B
2021-01-01$353.59$336.83RVU21A
2020-10-01$348.95$332.37RVU20D
2020-07-01$348.95$332.37RVU20C
2020-04-01$348.95$332.37RVU20B
2020-01-01$348.95$332.37RVU20A
2019-10-01$345.73$328.47RVU19D
2019-07-01$345.73$328.47RVU19C
2019-04-01$345.73$328.47RVU19B
2019-01-01$345.73$328.47RVU19A
2018-10-01$346.16$326.35RVU18D
2018-07-01$346.16$326.35RVU18C
2018-04-01$346.16$326.35RVU18B
2018-01-01$346.16$326.35RVU18AR1
2017-10-01$342.71$324.32RVU17D
2017-07-01$342.71$324.32RVU17C
2017-04-01$342.71$324.32RVU17B
2017-01-01$342.71$324.32RVU17A
2016-10-01$343.08$324.62RVU16D
2016-07-01$343.08$324.62RVU16C
2016-04-01$343.08$324.62RVU16B
2016-01-01$343.08$324.62RVU16A
2015-10-01$344.69$325.79RVU15D
2015-07-01$344.69$325.79RVU15C
2015-04-01$342.97$324.17RVU15B
2015-01-01$342.97$324.17RVU15A
2014-10-01$338.50$320.28RVU14D
2014-07-01$338.50$320.28RVU14C
2014-04-01$338.50$320.28RVU14B
2014-01-01$338.50$320.28RVU14A
2013-10-01$342.75$323.57RVU13D
2013-07-01$342.75$323.57RVU13C
2013-04-01$342.75$323.57RVU13B
2013-01-01$342.75$323.57RVU13AR

Price 25600 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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