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CPT code 25605: Wrist fracture treatment, with manipulation2026 Medicare rate & RVUs in King County, WA

Reports closed reduction of a distal radius fracture or epiphyseal separation when manipulation is used to restore alignment without open treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality19.3K Medicare services in 2024

In King County, WA, Medicare pays $723.91 for 25605 in the office and $619.40 when it’s performed in a hospital or facility.

$723.91Office (non-facility)
$619.40Hospital or facility
+14.1%vs the national office rate ($634.62)

Check a contract rate as a % of Medicare · 25605 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 25605 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 25605 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 25605 covers

This service covers closed treatment of a distal radius fracture or separation at the growth plate when the clinician manipulates the fracture to improve alignment. The reduction is performed without opening the fracture site; the wrist is typically immobilized afterward. An orthopedic or hand surgeon may provide the treatment in an emergency department, office, or fracture clinic, and a physician may perform it during an initial acute-care encounter when taking responsibility for definitive fracture care.

Choose this code when the documented treatment includes manipulation, rather than immobilization without manipulation or fixation through an incision or percutaneous technique. The record should identify the distal radius injury and support that a reduction maneuver was performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 King County, WA compares for 25605

Across 109 of 109 payment localities, the office rate for 25605 runs from $558.08 in Arkansas to $806.13 in San Benito County, CA. King County, WA pays $723.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

25605 in King County, WA vs other payment areas
  1. King County, WA · this page$723.91
  2. Rest of Washington · Washington$646.75−$77.16
  3. Los Angeles, CA · California$698.12−$25.79
  4. Washington, DC area · District of Columbia$719.38−$4.53
  5. Miami, FL · Florida$720.39−$3.52
  6. Chicago, IL · Illinois$697.23−$26.68
  7. Manhattan, NY · New York$736.89+$12.98

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

Every other payment area

25605 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$740.83$650.12
AlabamaAlabama$566.58$492.05
ArkansasArkansas$558.08$484.91
ArizonaArizona$616.08$533.55
Bakersfield, CACalifornia$657.59$564.24
Chico, CACalifornia$653.85$560.50
El Centro, CACalifornia$654.07$560.73
Fresno, CACalifornia$653.85$560.50

25605 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.

$558.08

$740.83

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

View every state and territory as a table
25605 office rate range by state
State / territoryOffice rate rangeLocalities
AK$740.831
AL$566.581
AR$558.081
AZ$616.081
CA$653.85–$806.1329
CO$651.711
CT$677.971
DC$719.381
DE$626.391
FL$640.67–$720.393
GA$601.77–$650.592
GU$668.161
HI$668.161
IA$574.261
ID$579.671
IL$626.85–$697.234
IN$582.961
KS$574.921
KY$587.941
LA$588.37–$618.102
MA$649.01–$712.702
MD$637.52–$719.383
ME$586.48–$614.262
MI$606.99–$652.522
MN$613.581
MO$580.24–$616.213
MS$569.101
MT$634.531
NC$592.271
ND$607.441
NE$576.481
NH$644.701
NJ$682.65–$712.222
NM$611.821
NV$627.361
NY$601.75–$759.705
OH$601.451
OK$583.171
OR$619.48–$668.942
PA$600.49–$662.912
PR$638.171
RI$646.261
SC$598.461
SD$604.231
TN$578.351
TX$596.68–$652.168
UT$606.821
VA$614.61–$719.382
VI$638.171
VT$608.161
WA$646.75–$723.912
WI$586.761
WV$603.851
WY$622.721

See 25605 in every payment locality

How the 25605 rate is calculated

Each of 25605’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 · 25605

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.09

6.09 RVUs× 1.000 GPCI

Practice expense11.54

11.54 RVUs× 1.000 GPCI

Malpractice1.37

1.37 RVUs× 1.000 GPCI

Adjusted RVUs

19.0000

Conversion factor

$33.4009

Medicare rate

$634.62

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

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,486

Code
25605
Physician work
6.09
Practice expense
11.54
Malpractice
1.37

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 25605 in King County, WA
ComponentRVULocality factorAdjusted
Physician work6.09× 1.0506.3945
Practice expense11.54× 1.22714.1596
Malpractice1.37× 0.8171.1193
Total RVUs21.6734
Conversion factor× 33.4009

Office rate, King County, WA$723.91

Office: (6.09 × 1.05 + 11.54 × 1.227 + 1.37 × 0.817) × $33.4009 = $723.91

Facility: (6.09 × 1.05 + 8.99 × 1.227 + 1.37 × 0.817) × $33.4009 = $619.40

Open 25605 in the RVU calculator

Payment rules and modifiers for 25605

25605 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25605

Wrist fracture treatment, with 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 · 25605

Wrist fracture treatment, with 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

25605 without 50 · national office

$634.62

Wrist fracture treatment, with manipulation

25605-50 · Bilateral: 150%

$951.93

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 25605

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

Codes related to 25605
CodeHow it relatesOffice range, King County, WA
Same family
25600Fracture treatment, distal radius, no manipulationClosed treatment of a distal radius fracture or epiphyseal separation without manipulation.$449.39
Used instead
25606Distal radius fixation, percutaneous skeletal fixationUsed when percutaneous skeletal fixation is performed for the distal radius injury.No office rate
25607Distal radius repair, extra-articular, open treatmentOpen treatment option for an extra-articular distal radius fracture or epiphyseal separation.No office rate
25608Distal radius repair, intra-articular, two fragmentsOpen treatment option for an intra-articular distal radius fracture involving two fragments.No office rate
25609Distal radius fixation, intra-articular, three or more fragmentsOpen treatment option for an intra-articular distal radius fracture involving three or more fragments.No office rate

How 25605 has changed in King County, WA

25605 · Office / nonfacility

$723.91

Effective 2026-10-01

The base rate is $108.24 higher than on 2025-10-01, moving from $615.67 to $723.91 (17.6%).

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

    $615.67changed to$723.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.25 changed to 6.09
    • Practice expense RVU 9.37 changed to 11.54
    • Malpractice RVU 1.27 changed to 1.37
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $628.58changed to$615.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.24 changed to 9.37
    • Malpractice RVU 1.28 changed to 1.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $618.32changed to$628.58

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $624.74changed to$618.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.05 changed to 9.24
    • Malpractice RVU 1.25 changed to 1.28
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $618.08changed to$624.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.71 changed to 9.05
    • Malpractice RVU 1.27 changed to 1.25
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $617.39changed to$618.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.59 changed to 8.71
    • Malpractice RVU 1.24 changed to 1.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $612.37changed to$617.39

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.09 changed to 8.59
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $602.93changed to$612.37

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.12 changed to 8.09
    • Malpractice RVU 1.08 changed to 1.24
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $605.82changed to$602.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.19 changed to 8.12
    • Malpractice RVU 1.10 changed to 1.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $593.80changed to$605.82

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.11 changed to 8.19
    • Malpractice RVU 1.12 changed to 1.10
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $587.20changed to$593.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.16 changed to 8.11
    • Malpractice RVU 1.15 changed to 1.12
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $590.15changed to$587.20

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.18 changed to 8.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $587.21changed to$590.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $592.76changed to$587.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.13 changed to 8.18
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $604.23changed to$592.76

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.00 changed to 8.13
    • Malpractice RVU 1.20 changed to 1.15
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $604.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$723.91$619.40RVU26D
2026-07-01$723.91$619.40RVU26C
2026-04-01$723.91$619.40RVU26B
2026-01-01$723.91$619.40RVU26A
2025-10-01$615.67$577.78RVU25D
2025-07-01$615.67$577.78RVU25C
2025-04-01$615.67$577.78RVU25B
2025-01-01$615.67$577.78RVU25A
2024-10-01$628.58$590.00RVU24D
2024-07-01$628.58$590.00RVU24C
2024-04-01$628.58$590.00RVU24B
2024-03-09$628.58$590.00RVU24AR
2024-01-01$618.32$580.37RVU24A
2023-10-01$624.74$587.11RVU23D
2023-07-01$624.74$587.11RVU23C
2023-04-01$624.74$587.11RVU23B
2023-01-01$624.74$587.11RVU23A
2022-10-01$618.08$581.30RVU22D
2022-07-01$618.08$581.30RVU22C
2022-04-01$618.08$581.30RVU22B
2022-01-01$618.08$581.30RVU22A
2021-10-01$617.39$579.48RVU21D
2021-07-01$617.39$579.48RVU21C
2021-04-01$617.39$579.48RVU21B
2021-01-01$617.39$579.48RVU21A
2020-10-01$612.37$576.48RVU20D
2020-07-01$612.37$576.48RVU20C
2020-04-01$612.37$576.48RVU20B
2020-01-01$612.37$576.48RVU20A
2019-10-01$602.93$566.58RVU19D
2019-07-01$602.93$566.58RVU19C
2019-04-01$602.93$566.58RVU19B
2019-01-01$602.93$566.58RVU19A
2018-10-01$605.82$566.22RVU18D
2018-07-01$605.82$566.22RVU18C
2018-04-01$605.82$566.22RVU18B
2018-01-01$605.82$566.22RVU18AR1
2017-10-01$593.80$556.63RVU17D
2017-07-01$593.80$556.63RVU17C
2017-04-01$593.80$556.63RVU17B
2017-01-01$593.80$556.63RVU17A
2016-10-01$587.20$549.57RVU16D
2016-07-01$587.20$549.57RVU16C
2016-04-01$587.20$549.57RVU16B
2016-01-01$587.20$549.57RVU16A
2015-10-01$590.15$551.55RVU15D
2015-07-01$590.15$551.55RVU15C
2015-04-01$587.21$548.81RVU15B
2015-01-01$587.21$548.81RVU15A
2014-10-01$592.76$555.68RVU14D
2014-07-01$592.76$555.68RVU14C
2014-04-01$592.76$555.68RVU14B
2014-01-01$592.76$555.68RVU14A
2013-10-01$604.23$564.92RVU13D
2013-07-01$604.23$564.92RVU13C
2013-04-01$604.23$564.92RVU13B
2013-01-01$604.23$564.92RVU13AR

Price 25605 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 25605 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

25605 billing questions

How does this differ from 25600?

Use 25605 when the clinician manipulates the fracture or epiphyseal separation to restore alignment. Code 25600 is for closed treatment without manipulation.

When is 25606 a better fit?

25606 describes percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation. Choose 25605 for closed manipulation without that fixation method.

How should an open reduction be distinguished?

Codes 25607–25609 describe open treatment, with the applicable code depending on fracture characteristics. Code 25605 is for closed treatment with manipulation.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care. Routine related follow-up after the reduction is part of that global period.

How are bilateral fractures and other same-session procedures paid?

CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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 25605PPRRVU2026_Oct_nonQPP.csv, line 2,486 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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