CPT code 25607: Distal radius repair, extra-articular, open treatment2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 25607 in California.

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

What 25607 covers

CPT 25607 represents operative treatment of a distal radius fracture that is extra-articular, or an epiphyseal separation, through an open approach. The surgeon exposes the fracture, restores alignment, and may stabilize it with internal fixation, such as a plate and screws. Orthopedic and hand surgeons commonly perform this procedure in an operating room for injuries requiring direct surgical reduction. The defining distinction is that the fracture does not extend into the joint surface.

Select the code based on the fracture’s extra-articular status, not the number of fragments; intra-articular fractures are coded by fragment count. The operative report should identify the fracture pattern, its extra-articular or epiphyseal status, the open approach, and any fixation performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be 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.

Where 25607 pays more and less in California

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

29 of 29 payment localities

How the 25607 rate is calculated

Each of 25607’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 25607

25607 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

25607 compared with similar codes

How to choose

25605Wrist fracture treatmentWith manipulation

25605 is closed treatment with manipulation. Choose 25607 when the surgeon treats the fracture through an open approach.

25606Distal radius fixationPercutaneous skeletal fixation

25606 is percutaneous skeletal fixation. 25607 is for open treatment of an extra-articular distal radius fracture or epiphyseal separation.

25608Distal radius repairIntra-articular, two fragments

25608 is for an intra-articular distal radius fracture with two fragments; 25607 is for an extra-articular fracture or epiphyseal separation.

25609Distal radius fixationIntra-articular, three or more fragments

25609 is for an intra-articular distal radius fracture with three or more fragments; 25607 is for an extra-articular fracture or epiphyseal separation.

Codes related to 25607

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

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