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CPT code 25622: Scaphoid fracture care, without manipulation2026 Medicare rate & RVUs in Houston, TX

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 Houston, TX, Medicare pays $356.53 for 25622 in the office and $302.13 when it’s performed in a hospital or facility.

$356.53Office (non-facility)
$302.13Hospital or facility
+1.7%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $356.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

25622 in Houston, TX vs other payment areas
  1. Houston, TX · this page$356.53
  2. Austin, TX · Texas$362.86+$6.33
  3. Beaumont, TX · Texas$327.66−$28.87
  4. Brazoria, TX · Texas$345.29−$11.24
  5. Dallas, TX · Texas$348.00−$8.53
  6. Fort Worth, TX · Texas$345.81−$10.72
  7. Galveston, TX · Texas$346.64−$9.89

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

Every other payment area

25622 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$336.63$284.64
Los Angeles, CACalifornia$392.63$327.83
Washington, DC areaDistrict of Columbia$400.70$336.17
Miami, FLFlorida$388.20$331.18
Chicago, ILIllinois$375.91$320.86
Manhattan, NYNew York$406.27$342.62
AlaskaAlaska$403.75$345.42
AlabamaAlabama$312.65$264.72

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 25622 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work2.72× 1.0082.7418
Practice expense7.24× 0.9937.1893
Malpractice0.54× 1.3760.7430
Total RVUs10.6741
Conversion factor× 33.4009

Office rate, Houston, TX$356.53

Office: (2.72 × 1.008 + 7.24 × 0.993 + 0.54 × 1.376) × $33.4009 = $356.53

Facility: (2.72 × 1.008 + 5.6 × 0.993 + 0.54 × 1.376) × $33.4009 = $302.13

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, Houston, TX
Same family
25624Scaphoid fracture care, with manipulationClosed treatment of a scaphoid fracture when manipulation is performed.$560.39
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.$351.51
25635Carpal fracture treatment, with manipulation, each boneClosed treatment with manipulation of a carpal fracture other than the scaphoid.$531.61

How 25622 has changed in Houston, TX

25622 · Office / nonfacility

$356.53

Effective 2026-10-01

The base rate is $30.95 higher than on 2025-10-01, moving from $325.58 to $356.53 (9.5%).

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

    $325.58changed to$356.53

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $331.04changed to$325.58

    • 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

    $325.64changed to$331.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $330.22changed to$325.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.18 changed to 6.35
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $327.63changed to$330.22

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $325.45changed to$327.63

    • 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

    $321.16changed to$325.45

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $316.82changed to$321.16

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $318.63changed to$316.82

    • 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

    $313.25changed to$318.63

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.38 changed to 5.49
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $311.63changed to$313.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.37 changed to 5.38
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $312.39changed to$311.63

    • 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

    $310.84changed to$312.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $308.42changed to$310.84

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $312.90changed to$308.42

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $312.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$356.53$302.13RVU26D
2026-07-01$356.53$302.13RVU26C
2026-04-01$356.53$302.13RVU26B
2026-01-01$356.53$302.13RVU26A
2025-10-01$325.58$300.92RVU25D
2025-07-01$325.58$300.92RVU25C
2025-04-01$325.58$300.92RVU25B
2025-01-01$325.58$300.92RVU25A
2024-10-01$331.04$306.00RVU24D
2024-07-01$331.04$306.00RVU24C
2024-04-01$331.04$306.00RVU24B
2024-03-09$331.04$306.00RVU24AR
2024-01-01$325.64$301.01RVU24A
2023-10-01$330.22$305.09RVU23D
2023-07-01$330.22$305.09RVU23C
2023-04-01$330.22$305.09RVU23B
2023-01-01$330.22$305.09RVU23A
2022-10-01$327.63$302.34RVU22D
2022-07-01$327.63$302.34RVU22C
2022-04-01$327.63$302.34RVU22B
2022-01-01$327.63$302.34RVU22A
2021-10-01$325.45$299.60RVU21D
2021-07-01$325.45$299.60RVU21C
2021-04-01$325.45$299.60RVU21B
2021-01-01$325.45$299.60RVU21A
2020-10-01$321.16$295.76RVU20D
2020-07-01$321.16$295.76RVU20C
2020-04-01$321.16$295.76RVU20B
2020-01-01$321.16$295.76RVU20A
2019-10-01$316.82$290.56RVU19D
2019-07-01$316.82$290.56RVU19C
2019-04-01$316.82$290.56RVU19B
2019-01-01$316.82$290.56RVU19A
2018-10-01$318.63$289.49RVU18D
2018-07-01$318.63$289.49RVU18C
2018-04-01$318.63$289.49RVU18B
2018-01-01$318.63$289.49RVU18AR1
2017-10-01$313.25$286.09RVU17D
2017-07-01$313.25$286.09RVU17C
2017-04-01$313.25$286.09RVU17B
2017-01-01$313.25$286.09RVU17A
2016-10-01$311.63$284.25RVU16D
2016-07-01$311.63$284.25RVU16C
2016-04-01$311.63$284.25RVU16B
2016-01-01$311.63$284.25RVU16A
2015-10-01$312.39$284.56RVU15D
2015-07-01$312.39$284.56RVU15C
2015-04-01$310.84$283.14RVU15B
2015-01-01$310.84$283.14RVU15A
2014-10-01$308.42$281.81RVU14D
2014-07-01$308.42$281.81RVU14C
2014-04-01$308.42$281.81RVU14B
2014-01-01$308.42$281.81RVU14A
2013-10-01$312.90$284.27RVU13D
2013-07-01$312.90$284.27RVU13C
2013-04-01$312.90$284.27RVU13B
2013-01-01$312.90$284.27RVU13AR

Price 25622 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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