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CPT code 25622: Scaphoid fracture care, without manipulation2026 Medicare rate & RVUs in North Carolina

Closed treatment of a scaphoid fracture without manipulation, typically using immobilization and follow-up for a wrist fracture managed nonoperatively.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In North Carolina, Medicare pays $328.00 for 25622 in the office and $276.89 when it’s performed in a hospital or facility.

$328.00Office (non-facility)
$276.89Hospital or facility
−6.5%vs the national office rate ($350.71)

Check a contract rate as a % of Medicare · 25622 nationwide

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

We’ll open 25622 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 25622 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 25622 covers

An orthopedic or hand surgeon reports this service when treating a carpal scaphoid (navicular) fracture nonoperatively without manipulating the fracture. The treatment commonly includes immobilizing the wrist, often in a thumb-spica cast or splint, and monitoring healing. It may be furnished in an office or a facility after clinical assessment and imaging establish the fracture and the treatment plan.

Select this code when the provider performs closed fracture treatment without a reduction maneuver; document the affected wrist, scaphoid fracture, treatment decision, and immobilization plan. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and 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 North Carolina compares for 25622

Across 109 of 109 payment localities, the office rate for 25622 runs from $307.86 in Arkansas to $459.22 in San Benito County, CA. North Carolina pays $328.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

25622 in North Carolina vs other payment areas
  1. North Carolina · this page$328.00
  2. Los Angeles, CA · California$392.63+$64.63
  3. Washington, DC area · District of Columbia$400.70+$72.70
  4. Miami, FL · Florida$388.20+$60.20
  5. Chicago, IL · Illinois$375.91+$47.91
  6. Manhattan, NY · New York$406.27+$78.27
  7. Alaska · Alaska$403.75+$75.75

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

25622 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$312.65$264.72
ArkansasArkansas$307.86$260.81
ArizonaArizona$340.62$287.54
Bakersfield, CACalifornia$368.60$308.56
Chico, CACalifornia$367.10$307.06
El Centro, CACalifornia$367.19$307.15
Fresno, CACalifornia$367.10$307.06
Hanford, CACalifornia$367.10$307.06

25622 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$307.86

$413.16

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
25622 office rate range by state
State / territoryOffice rate rangeLocalities
AK$403.751
AL$312.651
AR$307.861
AZ$340.621
CA$367.10–$459.2229
CO$363.331
CT$374.931
DC$400.701
DE$346.441
FL$349.14–$388.203
GA$328.06–$358.482
GU$376.251
HI$376.251
IA$319.281
ID$321.861
IL$339.83–$375.914
IN$323.791
KS$318.551
KY$322.331
LA$322.14–$338.892
MA$361.32–$399.362
MD$353.04–$400.703
ME$324.55–$341.882
MI$332.00–$354.622
MN$345.021
MO$316.87–$339.143
MS$312.391
MT$350.671
NC$328.001
ND$340.001
NE$320.871
NH$358.371
NJ$378.34–$396.352
NM$334.261
NV$347.941
NY$333.26–$417.695
OH$329.821
OK$320.811
OR$344.39–$374.392
PA$329.89–$365.742
PR$353.101
RI$358.471
SC$329.631
SD$338.731
TN$320.351
TX$327.66–$362.868
UT$334.361
VA$341.30–$400.702
VI$353.101
VT$339.381
WA$360.40–$406.852
WI$328.071
WV$326.801
WY$346.021

See 25622 in every payment locality

How the 25622 rate is calculated

Each of 25622’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 · 25622

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.72

2.72 RVUs× 1.000 GPCI

Practice expense7.24

7.24 RVUs× 1.000 GPCI

Malpractice0.54

0.54 RVUs× 1.000 GPCI

Adjusted RVUs

10.5000

Conversion factor

$33.4009

Medicare rate

$350.71

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,491

Code
25622
Physician work
2.72
Practice expense
7.24
Malpractice
0.54

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 25622 in North Carolina
ComponentRVULocality factorAdjusted
Physician work2.72× 1.0002.7200
Practice expense7.24× 0.9336.7549
Malpractice0.54× 0.6390.3451
Total RVUs9.8200
Conversion factor× 33.4009

Office rate, North Carolina$328.00

Office: (2.72 × 1 + 7.24 × 0.933 + 0.54 × 0.639) × $33.4009 = $328.00

Facility: (2.72 × 1 + 5.6 × 0.933 + 0.54 × 0.639) × $33.4009 = $276.89

Open 25622 in the RVU calculator

Payment rules and modifiers for 25622

25622 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25622

Scaphoid fracture care, without manipulation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 25622

Scaphoid fracture care, without manipulation

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

25622 without 50 · national office

$350.71

Scaphoid fracture care, without manipulation

25622-50 · Bilateral: 150%

$526.07

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).

When to use modifier 50

Codes related to 25622

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

Codes related to 25622
CodeHow it relatesOffice range, North Carolina
Same family
25624Scaphoid fracture care, with manipulationClosed treatment of a scaphoid fracture when manipulation is performed.$512.91
Used instead
25628Scaphoid fixation, open treatment with fixationOpen fixation for a scaphoid fracture treated operatively.No office rate
25630Carpal fracture care, without manipulation, each boneClosed treatment without manipulation of a carpal fracture other than the scaphoid.$322.82
25635Carpal fracture treatment, with manipulation, each boneClosed treatment with manipulation of a carpal fracture other than the scaphoid.$486.45

How 25622 has changed in North Carolina

25622 · Office / nonfacility

$328.00

Effective 2026-10-01

The base rate is $32.56 higher than on 2025-10-01, moving from $295.44 to $328.00 (11.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $295.44changed to$328.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.79 changed to 2.72
    • Practice expense RVU 6.47 changed to 7.24
    • Malpractice RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $300.34changed to$295.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.35 changed to 6.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $295.44changed to$300.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $302.01changed to$295.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.18 changed to 6.35
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $302.30changed to$302.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.93 changed to 6.18
    • Malpractice RVU 0.54 changed to 0.53
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $300.38changed to$302.30

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.82 changed to 5.93
    • Malpractice RVU 0.51 changed to 0.54

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $297.82changed to$300.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.45 changed to 5.82
    • Malpractice RVU 0.52 changed to 0.51
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $294.85changed to$297.82

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.44 changed to 5.45
    • Malpractice RVU 0.47 changed to 0.52
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $296.45changed to$294.85

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.49 changed to 5.44
    • Malpractice RVU 0.48 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $292.50changed to$296.45

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.38 changed to 5.49
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $291.90changed to$292.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.37 changed to 5.38
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $292.62changed to$291.90

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.36 changed to 5.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $291.17changed to$292.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $289.10changed to$291.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.29 changed to 5.36
    • Malpractice RVU 0.50 changed to 0.48
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $292.99changed to$289.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.89 changed to 5.29
    • Malpractice RVU 0.52 changed to 0.50
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $292.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$328.00$276.89RVU26D
2026-07-01$328.00$276.89RVU26C
2026-04-01$328.00$276.89RVU26B
2026-01-01$328.00$276.89RVU26A
2025-10-01$295.44$272.68RVU25D
2025-07-01$295.44$272.68RVU25C
2025-04-01$295.44$272.68RVU25B
2025-01-01$295.44$272.68RVU25A
2024-10-01$300.34$277.22RVU24D
2024-07-01$300.34$277.22RVU24C
2024-04-01$300.34$277.22RVU24B
2024-03-09$300.34$277.22RVU24AR
2024-01-01$295.44$272.70RVU24A
2023-10-01$302.01$279.07RVU23D
2023-07-01$302.01$279.07RVU23C
2023-04-01$302.01$279.07RVU23B
2023-01-01$302.01$279.07RVU23A
2022-10-01$302.30$279.49RVU22D
2022-07-01$302.30$279.49RVU22C
2022-04-01$302.30$279.49RVU22B
2022-01-01$302.30$279.49RVU22A
2021-10-01$300.38$277.07RVU21D
2021-07-01$300.38$277.07RVU21C
2021-04-01$300.38$277.07RVU21B
2021-01-01$300.38$277.07RVU21A
2020-10-01$297.82$274.66RVU20D
2020-07-01$297.82$274.66RVU20C
2020-04-01$297.82$274.66RVU20B
2020-01-01$297.82$274.66RVU20A
2019-10-01$294.85$270.69RVU19D
2019-07-01$294.85$270.69RVU19C
2019-04-01$294.85$270.69RVU19B
2019-01-01$294.85$270.69RVU19A
2018-10-01$296.45$269.64RVU18D
2018-07-01$296.45$269.64RVU18C
2018-04-01$296.45$269.64RVU18B
2018-01-01$296.45$269.64RVU18AR1
2017-10-01$292.50$267.44RVU17D
2017-07-01$292.50$267.44RVU17C
2017-04-01$292.50$267.44RVU17B
2017-01-01$292.50$267.44RVU17A
2016-10-01$291.90$266.60RVU16D
2016-07-01$291.90$266.60RVU16C
2016-04-01$291.90$266.60RVU16B
2016-01-01$291.90$266.60RVU16A
2015-10-01$292.62$266.89RVU15D
2015-07-01$292.62$266.89RVU15C
2015-04-01$291.17$265.56RVU15B
2015-01-01$291.17$265.56RVU15A
2014-10-01$289.10$264.48RVU14D
2014-07-01$289.10$264.48RVU14C
2014-04-01$289.10$264.48RVU14B
2014-01-01$289.10$264.48RVU14A
2013-10-01$292.99$266.49RVU13D
2013-07-01$292.99$266.49RVU13C
2013-04-01$292.99$266.49RVU13B
2013-01-01$292.99$266.49RVU13AR

Price 25622 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

25622 billing questions

When should 25622 be selected instead of 25624?

Use 25622 when the scaphoid fracture is treated without manipulation. Use 25624 when the provider performs manipulation as part of closed treatment.

How does 25622 differ from 25628?

25622 represents closed treatment without manipulation. Choose 25628 when the scaphoid fracture is treated with open reduction and internal fixation.

Can routine fracture follow-up be billed separately?

Related care during the 90-day global period is included, including routine follow-up for this fracture treatment. A separately identifiable service unrelated to the fracture requires its own support.

What documentation supports reporting 25622?

Document the scaphoid fracture, the affected wrist, the decision for closed treatment, and that treatment did not include manipulation. Include the immobilization and follow-up plan.

How is bilateral treatment handled?

For bilateral treatment reported with modifier 50, CMS pays 150%. Document treatment of both wrists.

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
RVUs for 25622PPRRVU2026_Oct_nonQPP.csv, line 2,491 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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