CPT code 25606: Distal radius fixation, percutaneous skeletal fixation2026 Medicare rate & RVUs in Washington, DC area

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, 2026One payment locality840 Medicare services in 2024

In Washington, DC area, Medicare pays $718.62 for 25606 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$718.62Hospital or facility

Check a contract rate as a % of Medicare · 25606 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 25606 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 25606 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 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.

How Washington, DC area compares for 25606

Across 109 of 109 payment localities, the facility rate for 25606 runs from $569.89 in Arkansas to $784.27 in San Benito County, CA. Washington, DC area pays $718.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

25606 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$718.62
  2. Los Angeles, CA · California$691.34−$27.28
  3. Miami, FL · Florida$740.84+$22.22
  4. Chicago, IL · Illinois$718.20−$0.42
  5. Manhattan, NY · New York$743.00+$24.38
  6. Alaska · Alaska$772.01+$53.39
  7. Alabama · Alabama$577.80−$140.82

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

Every other payment area

25606 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$569.89
ArizonaArizona—$623.75
Bakersfield, CACalifornia—$654.91
Chico, CACalifornia—$650.24
El Centro, CACalifornia—$650.53
Fresno, CACalifornia—$650.24
Hanford, CACalifornia—$650.24
Madera, CACalifornia—$650.24

25606 rates by state

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

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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

See 25606 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,487

Code
25606
Physician work
8.10
Practice expense
9.42
Malpractice
1.69

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 25606 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work8.10× 1.0548.5374
Practice expense9.42× 1.17811.0968
Malpractice1.69× 1.1131.8810
Total RVUs21.5151
Conversion factor× 33.4009

Facility rate, Washington, DC area$718.62

Facility: (8.1 × 1.054 + 9.42 × 1.178 + 1.69 × 1.113) × $33.4009 = $718.62

Open 25606 in the RVU calculator

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

How 25606 has changed in Washington, DC area

25606 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$718.62RVU26D
2026-07-01Not available in this setting$718.62RVU26C
2026-04-01Not available in this setting$718.62RVU26B
2026-01-01Not available in this setting$718.62RVU26A
2025-10-01Not available in this setting$760.18RVU25D
2025-07-01Not available in this setting$760.18RVU25C
2025-04-01Not available in this setting$760.18RVU25B
2025-01-01Not available in this setting$760.18RVU25A
2024-10-01Not available in this setting$773.93RVU24D
2024-07-01Not available in this setting$773.93RVU24C
2024-04-01Not available in this setting$773.93RVU24B
2024-03-09Not available in this setting$773.93RVU24AR
2024-01-01Not available in this setting$761.30RVU24A
2023-10-01Not available in this setting$788.69RVU23D
2023-07-01Not available in this setting$788.69RVU23C
2023-04-01Not available in this setting$788.69RVU23B
2023-01-01Not available in this setting$788.69RVU23A
2022-10-01Not available in this setting$802.65RVU22D
2022-07-01Not available in this setting$802.65RVU22C
2022-04-01Not available in this setting$802.65RVU22B
2022-01-01Not available in this setting$802.65RVU22A
2021-10-01Not available in this setting$800.12RVU21D
2021-07-01Not available in this setting$800.12RVU21C
2021-04-01Not available in this setting$800.12RVU21B
2021-01-01Not available in this setting$800.12RVU21A
2020-10-01Not available in this setting$793.76RVU20D
2020-07-01Not available in this setting$793.76RVU20C
2020-04-01Not available in this setting$793.76RVU20B
2020-01-01Not available in this setting$793.76RVU20A
2019-10-01Not available in this setting$783.59RVU19D
2019-07-01Not available in this setting$783.59RVU19C
2019-04-01Not available in this setting$783.59RVU19B
2019-01-01Not available in this setting$783.59RVU19A
2018-10-01Not available in this setting$782.30RVU18D
2018-07-01Not available in this setting$782.30RVU18C
2018-04-01Not available in this setting$782.30RVU18B
2018-01-01Not available in this setting$782.30RVU18AR1
2017-10-01Not available in this setting$778.80RVU17D
2017-07-01Not available in this setting$778.80RVU17C
2017-04-01Not available in this setting$778.80RVU17B
2017-01-01Not available in this setting$778.80RVU17A
2016-10-01Not available in this setting$778.46RVU16D
2016-07-01Not available in this setting$778.46RVU16C
2016-04-01Not available in this setting$778.46RVU16B
2016-01-01Not available in this setting$778.46RVU16A
2015-10-01Not available in this setting$783.49RVU15D
2015-07-01Not available in this setting$783.49RVU15C
2015-04-01Not available in this setting$779.59RVU15B
2015-01-01Not available in this setting$779.59RVU15A
2014-10-01Not available in this setting$764.43RVU14D
2014-07-01Not available in this setting$764.43RVU14C
2014-04-01Not available in this setting$764.43RVU14B
2014-01-01Not available in this setting$764.43RVU14A
2013-10-01Not available in this setting$757.11RVU13D
2013-07-01Not available in this setting$757.11RVU13C
2013-04-01Not available in this setting$757.11RVU13B
2013-01-01Not available in this setting$757.11RVU13AR

Price 25606 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

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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