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

In Ohio, Medicare pays $669.78 for 25607 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25607 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 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.

How Ohio compares for 25607

Across 109 of 109 payment localities, the facility rate for 25607 runs from $621.37 in Arkansas to $845.88 in Alaska. Ohio pays $669.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25607 rates by state

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

See 25607 in every payment locality

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

Codes related to 25607

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

How 25607 has changed in Ohio

Price 25607 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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