FeeBase
Log inGet started
Menu

CPT code 25606: Distal radius fixation, percutaneous skeletal fixation2026 Medicare rate & RVUs

Reports percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation when the surgeon stabilizes the injury with fixation placed through the skin.

CMS RVU26DEffective Oct 1, 2026109 payment localities840 Medicare services in 2024

Medicare pays $641.63 for 25606 nationally in a facility.

Medicare rate · 25606

Distal radius fixation, percutaneous skeletal fixation

Office or facility?

Work RVUs
8.1
Total RVUs
19.21
Global days
090

National rate · 2026

$641.63

Facility setting, before claim adjustments.

See every locality for 25606 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 25606 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 25606 covers

An orthopedic or hand surgeon uses percutaneous skeletal fixation to stabilize a distal radius fracture or epiphyseal separation, typically after reducing the fracture and placing fixation through the skin rather than exposing the fracture for open treatment. These procedures are commonly performed in an operating room or ambulatory surgery setting. The record should support the distal radius injury and document the reduction and percutaneous fixation performed.

Report this code for the percutaneous fixation service, not closed treatment that uses manipulation without skeletal fixation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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%. Medicare does not pay an assistant at surgery; 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.

Where 25606 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25606 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$577.80
AlaskaUnavailable$772.01
ArizonaUnavailable$623.75
ArkansasUnavailable$569.89
Atlanta, GAUnavailable$658.82
Austin, TXUnavailable$653.99
Bakersfield, CAUnavailable$654.91
Baltimore area, MDUnavailable$682.31
Beaumont, TXUnavailable$609.31
Brazoria, TXUnavailable$628.55

25606 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.

View every state and territory as a table
25606 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 25606 rate is calculated

Each of 25606’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 · 25606

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.10

8.10 RVUs× 1.000 GPCI

Practice expense9.42

9.42 RVUs× 1.000 GPCI

Malpractice1.69

1.69 RVUs× 1.000 GPCI

Adjusted RVUs

19.2100

Conversion factor

$33.4009

Medicare rate

$641.63

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

Payment rules and modifiers for 25606

25606 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25606

Distal radius fixation, percutaneous skeletal fixation

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 · 25606

Distal radius fixation, percutaneous skeletal fixation

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

25606 without 50 · national facility

$641.63

Distal radius fixation, percutaneous skeletal fixation

25606-50 · Bilateral: 150%

$962.45

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

25606 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 25606

    Distal radius fixation, percutaneous skeletal fixation8.1 wRVU

    Not priced

  • 25605

    Wrist fracture treatment, with manipulation6.09 wRVU

    $634.62

  • 25607

    Distal radius repair, extra-articular, open treatment9.32 wRVU

    Not priced

  • 25608

    Distal radius repair, intra-articular, two fragments10.79 wRVU

    Not priced

How to choose

25605Wrist fracture treatmentWith manipulation
25605 describes closed treatment with manipulation and no percutaneous skeletal fixation. Choose 25606 when the surgeon stabilizes the distal radius injury with fixation placed through the skin.
25607Distal radius repairExtra-articular, open treatment
25607 is for open treatment of an extra-articular distal radius fracture. 25606 describes percutaneous skeletal fixation rather than open treatment.
25608Distal radius repairIntra-articular, two fragments
25608 describes open treatment of an intra-articular distal radius fracture with two fragments. For 25606, the defining distinction is percutaneous fixation, not this open-treatment fragment-count category.

Codes related to 25606

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

Codes related to 25606
CodeHow it relatesNational office range
Used instead
25600Fracture treatment, distal radius, no manipulationClosed treatment of a distal radius fracture or epiphyseal separation without manipulation or percutaneous fixation.$337.54–$509.12
25605Wrist fracture treatment, with manipulationClosed treatment with manipulation, without the percutaneous skeletal fixation reported with 25606.$558.08–$806.13
25607Distal radius repair, extra-articular, open treatmentOpen treatment of an extra-articular distal radius fracture.No office rate
25608Distal radius repair, intra-articular, two fragmentsOpen treatment of an intra-articular distal radius fracture with two fragments.No office rate
25609Distal radius fixation, intra-articular, three or more fragmentsOpen treatment of an intra-articular distal radius fracture with three or more fragments.No office rate

25606 billing questions

How does 25606 differ from closed treatment with manipulation?

Use 25606 when the distal radius fracture or epiphyseal separation is stabilized with percutaneous skeletal fixation. Closed treatment codes 25600 and 25605 describe treatment without that fixation.

How does 25606 differ from 25607, 25608, and 25609?

Those codes describe open treatment of distal radius fractures. Code 25607 is for an extra-articular fracture, while 25608 and 25609 distinguish intra-articular fractures by fragment count.

What documentation supports reporting 25606?

Document the distal radius fracture or epiphyseal separation and the percutaneous skeletal fixation performed. The operative record should make clear that fixation was placed through the skin.

Can 25606 be reported bilaterally?

CMS identifies this as a bilateral procedure. When performed on both sides, modifier 50 is paid at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 25606PPRRVU2026_Oct_nonQPP.csv, line 2,487 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 25606 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 25606 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet