CPT code 25607: Distal radius repair, extra-articular, open treatment2026 Medicare rate & RVUs in Maine
Reports open operative treatment of an extra-articular distal radius fracture or epiphyseal separation, with internal fixation when performed.
CMS doesn’t publish an office rate for 25607 in Maine.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | Unavailable | $647.81 |
| Southern Maine, ME | Unavailable | $671.33 |
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.
How the rate is built · 25607
RVUs × geographic indexes × conversion factor
Work9.32
9.32 RVUs× 1.000 GPCI
Practice expense9.68
9.68 RVUs× 1.000 GPCI
Malpractice1.88
1.88 RVUs× 1.000 GPCI
Adjusted RVUs
20.8800
Conversion factor
$33.4009
Medicare rate
$697.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25607
25607 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25607
Distal radius repair, extra-articular, open treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25607
Distal radius repair, extra-articular, open treatment
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25607 without 50 · national facility
$697.41
Distal radius repair, extra-articular, open treatment
25607-50 · Bilateral: 150%
$1,046.12
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).
25607 compared with similar codes
Compare codes · National
5 codes, side by side
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.
25607 billing questions
How does 25607 differ from 25608 and 25609?
Use 25607 for an extra-articular distal radius fracture or epiphyseal separation. For an intra-articular fracture, 25608 describes two fragments and 25609 describes three or more.
Can internal fixation be reported separately?
Internal fixation, such as plate-and-screw stabilization, is included in the open treatment when performed. Do not separately report the fixation as a separate fracture-treatment service.
When is 25606 a better choice?
25606 describes percutaneous skeletal fixation of a distal radius fracture. Use 25607 when the fracture is treated through an open approach.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
May an assistant or co-surgeon be billed?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
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
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