CPT code 25608: Distal radius repair, intra-articular, two fragments2026 Medicare rate & RVUs in Virgin Islands, VI
Reports open reduction and internal fixation of an intra-articular distal radius fracture when the surgeon treats two fragments.
In Virgin Islands, VI, Medicare pays $774.54 for 25608 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 25608 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 25608 covers
An orthopedic or hand surgeon exposes the wrist fracture, restores the joint surface and stabilizes the distal radius, commonly with a plate and screws. This code applies when the fracture extends into the wrist joint and two fragments are treated. The operation is usually performed in an operating room for a displaced or unstable fracture that needs direct surgical reduction and fixation.
Select the code from the operative findings and report: documentation should establish intra-articular involvement, the two-fragment count, and the open reduction and fixation performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures reported with modifier 50, CMS payment is 150%. An assistant at surgery 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 Virgin Islands, VI compares for 25608
Across 109 of 109 payment localities, the facility rate for 25608 runs from $688.94 in Arkansas to $941.59 in Alaska. Virgin Islands, VI pays $774.54. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virgin Islands, VI · this page$774.54
- Los Angeles, CA · California$824.36+$49.82
- Washington, DC area · District of Columbia$859.89+$85.35
- Miami, FL · Florida$896.62+$122.08
- Chicago, IL · Illinois$869.97+$95.43
- Manhattan, NY · New York$892.35+$117.81
- Alaska · Alaska$941.59+$167.05
Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $698.06 |
| ArkansasArkansas | — | $688.94 |
| ArizonaArizona | — | $750.95 |
| Bakersfield, CACalifornia | — | $782.95 |
| Chico, CACalifornia | — | $776.94 |
| El Centro, CACalifornia | — | $777.30 |
| Fresno, CACalifornia | — | $776.94 |
| Hanford, CACalifornia | — | $776.94 |
| Madera, CACalifornia | — | $776.94 |
| Merced, CACalifornia | — | $776.94 |
| Modesto, CACalifornia | — | $776.94 |
| Napa, CACalifornia | — | $866.75 |
| Oxnard, CACalifornia | — | $816.36 |
| Redding, CACalifornia | — | $776.94 |
| Rest of CaliforniaCalifornia | — | $776.94 |
| Riverside, CACalifornia | — | $800.27 |
| Sacramento, CACalifornia | — | $806.50 |
| Salinas, CACalifornia | — | $803.34 |
| San Diego, CACalifornia | — | $815.96 |
| Marin County, CACalifornia | — | $905.92 |
| San Francisco, CACalifornia | — | $903.45 |
| San Benito County, CACalifornia | — | $927.75 |
| Santa Clara County, CACalifornia | — | $917.68 |
| San Luis Obispo, CACalifornia | — | $791.51 |
| Santa Cruz, CACalifornia | — | $818.72 |
| Santa Maria, CACalifornia | — | $804.63 |
| Santa Rosa, CACalifornia | — | $826.37 |
| Stockton, CACalifornia | — | $776.94 |
| Vallejo, CACalifornia | — | $863.20 |
| Visalia, CACalifornia | — | $776.94 |
| Yuba City, CACalifornia | — | $776.94 |
| ColoradoColorado | — | $782.04 |
| ConnecticutConnecticut | — | $820.43 |
| DelawareDelaware | — | $762.31 |
| Fort Lauderdale, FLFlorida | — | $834.87 |
| Rest of FloridaFlorida | — | $793.44 |
| Atlanta, GAGeorgia | — | $792.97 |
| Rest of GeorgiaGeorgia | — | $749.20 |
| Hawaii, Guam, HIHawaii | — | $787.83 |
| IowaIowa | — | $699.37 |
| IdahoIdaho | — | $706.58 |
| East St. Louis, ILIllinois | — | $818.27 |
| Rest of IllinoisIllinois | — | $783.21 |
| Suburban Chicago, ILIllinois | — | $839.53 |
| IndianaIndiana | — | $709.89 |
| KansasKansas | — | $703.40 |
| KentuckyKentucky | — | $728.10 |
| New Orleans, LALouisiana | — | $761.75 |
| Rest of LouisianaLouisiana | — | $729.86 |
| Metropolitan Boston, MAMassachusetts | — | $844.47 |
| Rest of MassachusettsMassachusetts | — | $780.92 |
| Baltimore area, MDMaryland | — | $819.59 |
| Rest of MarylandMaryland | — | $773.62 |
| Rest of MaineMaine | — | $717.38 |
| Southern Maine, MEMaine | — | $742.10 |
| Detroit, MIMichigan | — | $809.75 |
| Rest of MichiganMichigan | — | $751.75 |
| MinnesotaMinnesota | — | $730.70 |
| Metropolitan Kansas City, MOMissouri | — | $749.55 |
| Metropolitan St. Louis, MOMissouri | — | $755.77 |
| Rest of MissouriMissouri | — | $723.23 |
| MississippiMississippi | — | $705.85 |
| MontanaMontana | — | $771.75 |
| North CarolinaNorth Carolina | — | $723.02 |
| North DakotaNorth Dakota | — | $728.84 |
| NebraskaNebraska | — | $700.71 |
| New HampshireNew Hampshire | — | $776.73 |
| Northern New JerseyNew Jersey | — | $853.77 |
| Rest of New JerseyNew Jersey | — | $824.53 |
| New MexicoNew Mexico | — | $758.32 |
| NevadaNevada | — | $760.13 |
| NYC suburbs and Long Island, NYNew York | — | $921.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $835.54 |
| Queens, NYNew York | — | $888.70 |
| Rest of New YorkNew York | — | $733.42 |
| OhioOhio | — | $742.98 |
| OklahomaOklahoma | — | $719.46 |
| Portland, OROregon | — | $796.74 |
| Rest of OregonOregon | — | $749.01 |
| Metropolitan Philadelphia, PAPennsylvania | — | $806.27 |
| Rest of PennsylvaniaPennsylvania | — | $740.11 |
| Puerto RicoPuerto Rico | — | $774.54 |
| Rhode IslandRhode Island | — | $782.10 |
| South CarolinaSouth Carolina | — | $735.26 |
| South DakotaSouth Dakota | — | $723.77 |
| TennesseeTennessee | — | $707.49 |
| Austin, TXTexas | — | $784.02 |
| Beaumont, TXTexas | — | $736.24 |
| Brazoria, TXTexas | — | $755.78 |
| Dallas, TXTexas | — | $763.49 |
| Fort Worth, TXTexas | — | $761.04 |
| Galveston, TXTexas | — | $759.94 |
| Houston, TXTexas | — | $799.66 |
| Rest of TexasTexas | — | $747.57 |
| UtahUtah | — | $744.16 |
| VirginiaVirginia | — | $744.82 |
| VermontVermont | — | $732.70 |
| Rest of WashingtonWashington | — | $777.23 |
| King County, WAWashington | — | $853.61 |
| WisconsinWisconsin | — | $707.50 |
| West VirginiaWest Virginia | — | $758.72 |
| WyomingWyoming | — | $753.05 |
25608 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 25608 rate is calculated
Each of 25608’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 · 25608
RVUs × geographic indexes × conversion factor
Work10.79
10.79 RVUs× 1.000 GPCI
Practice expense10.15
10.15 RVUs× 1.000 GPCI
Malpractice2.17
2.17 RVUs× 1.000 GPCI
Adjusted RVUs
23.1100
Conversion factor
$33.4009
Medicare rate
$771.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virgin Islands, VI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,489
- Code
- 25608
- Physician work
- 10.79
- Practice expense
- 10.15
- Malpractice
- 2.17
GPCI2026.csv
107
- Locality
- Virgin Islands, VI
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.79 | × 1.000 | 10.7900 |
| Practice expense | 10.15 | × 1.011 | 10.2616 |
| Malpractice | 2.17 | × 0.985 | 2.1374 |
| Total RVUs | 23.1891 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virgin Islands, VI$774.54
Facility: (10.79 × 1 + 10.15 × 1.011 + 2.17 × 0.985) × $33.4009 = $774.54
Payment rules and modifiers for 25608
25608 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25608
Distal radius repair, intra-articular, two fragments
| 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 · 25608
Distal radius repair, intra-articular, two fragments
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
25608 without 50 · national facility
$771.89
Distal radius repair, intra-articular, two fragments
25608-50 · Bilateral: 150%
$1,157.84
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).
How 25608 has changed in Virgin Islands, VI
25608 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $774.54 | RVU26D |
| 2026-07-01 | Not available in this setting | $774.54 | RVU26C |
| 2026-04-01 | Not available in this setting | $774.54 | RVU26B |
| 2026-01-01 | Not available in this setting | $774.54 | RVU26A |
| 2025-10-01 | Not available in this setting | $825.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $825.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $825.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $825.40 | RVU25A |
| 2024-10-01 | Not available in this setting | $841.33 | RVU24D |
| 2024-07-01 | Not available in this setting | $841.33 | RVU24C |
| 2024-04-01 | Not available in this setting | $841.33 | RVU24B |
| 2024-03-09 | Not available in this setting | $841.33 | RVU24AR |
| 2024-01-01 | Not available in this setting | $827.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $848.20 | RVU23D |
| 2023-07-01 | Not available in this setting | $846.16 | RVU23C |
| 2023-04-01 | Not available in this setting | $846.16 | RVU23B |
| 2023-01-01 | Not available in this setting | $846.16 | RVU23A |
| 2022-10-01 | Not available in this setting | $853.41 | RVU22D |
| 2022-07-01 | Not available in this setting | $853.41 | RVU22C |
| 2022-04-01 | Not available in this setting | $853.41 | RVU22B |
| 2022-01-01 | Not available in this setting | $853.41 | RVU22A |
| 2021-10-01 | Not available in this setting | $853.50 | RVU21D |
| 2021-07-01 | Not available in this setting | $853.50 | RVU21C |
| 2021-04-01 | Not available in this setting | $853.50 | RVU21B |
| 2021-01-01 | Not available in this setting | $853.50 | RVU21A |
| 2020-10-01 | Not available in this setting | $860.38 | RVU20D |
| 2020-07-01 | Not available in this setting | $860.38 | RVU20C |
| 2020-04-01 | Not available in this setting | $860.38 | RVU20B |
| 2020-01-01 | Not available in this setting | $860.38 | RVU20A |
| 2019-10-01 | Not available in this setting | $856.75 | RVU19D |
| 2019-07-01 | Not available in this setting | $856.75 | RVU19C |
| 2019-04-01 | Not available in this setting | $856.75 | RVU19B |
| 2019-01-01 | Not available in this setting | $856.75 | RVU19A |
| 2018-10-01 | Not available in this setting | $855.45 | RVU18D |
| 2018-07-01 | Not available in this setting | $855.45 | RVU18C |
| 2018-04-01 | Not available in this setting | $855.45 | RVU18B |
| 2018-01-01 | Not available in this setting | $855.45 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $850.49 | RVU17D |
| 2017-07-01 | Not available in this setting | $850.49 | RVU17C |
| 2017-04-01 | Not available in this setting | $850.49 | RVU17B |
| 2017-01-01 | Not available in this setting | $850.49 | RVU17A |
| 2016-10-01 | Not available in this setting | $830.83 | RVU16D |
| 2016-07-01 | Not available in this setting | $830.83 | RVU16C |
| 2016-04-01 | Not available in this setting | $830.83 | RVU16B |
| 2016-01-01 | Not available in this setting | $830.83 | RVU16A |
| 2015-10-01 | Not available in this setting | $834.87 | RVU15D |
| 2015-07-01 | Not available in this setting | $834.87 | RVU15C |
| 2015-04-01 | Not available in this setting | $830.72 | RVU15B |
| 2015-01-01 | Not available in this setting | $830.72 | RVU15A |
| 2014-10-01 | Not available in this setting | $841.03 | RVU14D |
| 2014-07-01 | Not available in this setting | $841.03 | RVU14C |
| 2014-04-01 | Not available in this setting | $841.03 | RVU14B |
| 2014-01-01 | Not available in this setting | $841.03 | RVU14A |
| 2013-10-01 | Not available in this setting | $832.65 | RVU13D |
| 2013-07-01 | Not available in this setting | $832.65 | RVU13C |
| 2013-04-01 | Not available in this setting | $832.65 | RVU13B |
| 2013-01-01 | Not available in this setting | $832.65 | RVU13AR |
Where the Virgin Islands, VI rate applies
Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.
- Charlotte Amalie
- Charlotte Amalie East
- Charlotte Amalie West
- Christiansted
- Coral Bay
- Cruz Bay
- Frederiksted
- Frederiksted Southeast
25608 billing questions
How is this distinguished from code 25609?
Use 25608 when the intra-articular distal radius fracture involves two treated fragments. Code 25609 is for three or more fragments.
When should code 25607 be used instead?
Code 25607 describes open treatment of an extra-articular distal radius fracture. This code is for an intra-articular fracture with two treated fragments.
Can this be reported for percutaneous fixation?
No. Code 25608 describes open treatment; code 25606 is the percutaneous skeletal-fixation alternative for a distal radius fracture.
What documentation supports the fragment count?
The operative report should describe the fracture’s joint involvement, the number of fragments treated, and the open reduction and fixation performed.
What is included in the global period?
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 reported with modifier 50, CMS pays 150%. An assistant at surgery may be paid, but co-surgeons and team surgery are not permitted.
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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