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

In Puerto Rico, Medicare pays $644.25 for 25606 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $644.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25606 rates by state

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

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.

Payment rules and modifiers for 25606

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

What modifiers do to the payment

When to use modifier 50

Codes related to 25606

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

How 25606 has changed in Puerto Rico

Price 25606 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates