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CPT code 25624: Scaphoid fracture care, with manipulation2026 Medicare rate & RVUs in West Virginia

Reports closed treatment of a carpal scaphoid fracture when the clinician manipulates the fracture to restore alignment without open fixation.

CMS RVU26DEffective Oct 1, 2026One payment locality81 Medicare services in 2024

In West Virginia, Medicare pays $516.29 for 25624 in the office and $426.90 when it’s performed in a hospital or facility.

$516.29Office (non-facility)
$426.90Hospital or facility
−6.0%vs the national office rate ($549.11)

Check a contract rate as a % of Medicare · 25624 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 25624 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 25624 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 25624 covers

An orthopedic or hand surgeon treats a scaphoid fracture through the skin, using external maneuvers to realign the broken carpal bone. This service is typically used when fracture alignment requires manipulation and the clinician can treat the injury without surgically exposing the fracture or placing internal fixation. Immobilization in a cast or splint commonly follows the reduction.

Choose this code when the record identifies a scaphoid fracture and supports manipulation as part of the closed treatment; simple immobilization without manipulation points to a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; 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 West Virginia compares for 25624

Across 109 of 109 payment localities, the office rate for 25624 runs from $482.10 in Arkansas to $709.99 in San Benito County, CA. West Virginia pays $516.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

25624 in West Virginia vs other payment areas
  1. West Virginia · this page$516.29
  2. Los Angeles, CA · California$610.21+$93.92
  3. Washington, DC area · District of Columbia$625.42+$109.13
  4. Miami, FL · Florida$614.96+$98.67
  5. Chicago, IL · Illinois$595.25+$78.96
  6. Manhattan, NY · New York$637.01+$120.72
  7. Alaska · Alaska$635.20+$118.91

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

Every other payment area

25624 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$489.57$399.55
ArkansasArkansas$482.10$393.73
ArizonaArizona$533.13$433.44
Bakersfield, CACalifornia$573.60$460.85
Chico, CACalifornia$570.85$458.10
El Centro, CACalifornia$571.02$458.27
Fresno, CACalifornia$570.85$458.10
Hanford, CACalifornia$570.85$458.10

25624 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.

$482.10

$640.42

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

View every state and territory as a table
25624 office rate range by state
State / territoryOffice rate rangeLocalities
AK$635.201
AL$489.571
AR$482.101
AZ$533.131
CA$570.85–$709.9929
CO$566.731
CT$586.981
DC$625.421
DE$542.191
FL$550.05–$614.963
GA$516.60–$562.062
GU$584.421
HI$584.421
IA$498.341
ID$502.681
IL$536.56–$595.254
IN$505.631
KS$497.951
KY$506.271
LA$506.26–$532.392
MA$563.92–$621.722
MD$552.25–$625.423
ME$507.65–$533.542
MI$522.07–$559.412
MN$536.051
MO$498.51–$531.883
MS$490.301
MT$549.041
NC$512.911
ND$529.271
NE$500.581
NH$559.711
NJ$591.72–$618.832
NM$525.911
NV$543.891
NY$521.17–$655.795
OH$518.021
OK$503.101
OR$537.75–$583.052
PA$517.72–$573.132
PR$552.571
RI$560.351
SC$516.711
SD$526.931
TN$500.851
TX$514.30–$566.528
UT$524.081
VA$533.16–$625.422
VI$552.571
VT$529.011
WA$562.25–$632.572
WI$510.861
WV$516.291
WY$540.431

See 25624 in every payment locality

How the 25624 rate is calculated

Each of 25624’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 · 25624

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.65

4.65 RVUs× 1.000 GPCI

Practice expense10.79

10.79 RVUs× 1.000 GPCI

Malpractice1.00

1.00 RVUs× 1.000 GPCI

Adjusted RVUs

16.4400

Conversion factor

$33.4009

Medicare rate

$549.11

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

The exact West Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,492

Code
25624
Physician work
4.65
Practice expense
10.79
Malpractice
1.00

GPCI2026.csv

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 25624 in West Virginia
ComponentRVULocality factorAdjusted
Physician work4.65× 1.0004.6500
Practice expense10.79× 0.8699.3765
Malpractice1.00× 1.4311.4310
Total RVUs15.4575
Conversion factor× 33.4009

Office rate, West Virginia$516.29

Office: (4.65 × 1 + 10.79 × 0.869 + 1 × 1.431) × $33.4009 = $516.29

Facility: (4.65 × 1 + 7.71 × 0.869 + 1 × 1.431) × $33.4009 = $426.90

Open 25624 in the RVU calculator

Payment rules and modifiers for 25624

25624 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25624

Scaphoid fracture care, with 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)0Not paid without supporting documentation.
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 · 25624

Scaphoid fracture care, with 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

25624 without 50 · national office

$549.11

Scaphoid fracture care, with manipulation

25624-50 · Bilateral: 150%

$823.67

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 25624

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

Codes related to 25624
CodeHow it relatesOffice range, West Virginia
Same family
25622Scaphoid fracture care, without manipulationClosed treatment of a scaphoid fracture without manipulation.$326.80
Used instead
25628Scaphoid fixation, open treatment with fixationOpen treatment with internal fixation for a scaphoid fracture.No office rate
25635Carpal fracture treatment, with manipulation, each boneClosed treatment with manipulation for a carpal fracture other than the scaphoid.$490.17
25680Wrist fracture care, trans-scaphoid perilunate injuryClosed treatment with manipulation of a trans-scaphoid perilunate fracture-dislocation.No office rate

How 25624 has changed in West Virginia

25624 · Office / nonfacility

$516.29

Effective 2026-10-01

The base rate is $48.44 higher than on 2025-10-01, moving from $467.85 to $516.29 (10.4%).

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

    $467.85changed to$516.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.77 changed to 4.65
    • Practice expense RVU 9.73 changed to 10.79
    • Malpractice RVU 0.98 changed to 1.00
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $477.02changed to$467.85

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.56 changed to 9.73
    • Malpractice RVU 0.99 changed to 0.98

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $469.24changed to$477.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $474.73changed to$469.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.33 changed to 9.56
    • Malpractice RVU 0.96 changed to 0.99
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $473.64changed to$474.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.01 changed to 9.33
    • Malpractice RVU 0.99 changed to 0.96
    • Practice expense GPCI 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $470.51changed to$473.64

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.83 changed to 9.01
    • Malpractice RVU 0.95 changed to 0.99

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $467.31changed to$470.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.19 changed to 8.83
    • Malpractice RVU 0.93 changed to 0.95
    • Practice expense GPCI 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $466.93changed to$467.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.07 changed to 8.19
    • Malpractice RVU 0.98 changed to 0.93
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $465.06changed to$466.93

    • Malpractice RVU 0.94 changed to 0.98

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $463.79changed to$465.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.00 changed to 8.07
    • Malpractice RVU 0.97 changed to 0.94

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $453.92changed to$463.79

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.84 changed to 8.00
    • Malpractice RVU 0.96 changed to 0.97
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $448.30changed to$453.92

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.83 changed to 7.84
    • Malpractice RVU 0.94 changed to 0.96
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $455.39changed to$448.30

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.92 changed to 7.83
    • Malpractice RVU 1.00 changed to 0.94

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $453.12changed to$455.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $441.74changed to$453.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.82 changed to 7.92
    • Malpractice RVU 0.84 changed to 1.00
    • Practice expense GPCI 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $442.20changed to$441.74

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.63 changed to 7.82
    • Malpractice RVU 0.88 changed to 0.84
    • Practice expense GPCI 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $442.20

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$516.29$426.90RVU26D
2026-07-01$516.29$426.90RVU26C
2026-04-01$516.29$426.90RVU26B
2026-01-01$516.29$426.90RVU26A
2025-10-01$467.85$427.14RVU25D
2025-07-01$467.85$427.14RVU25C
2025-04-01$467.85$427.14RVU25B
2025-01-01$467.85$427.14RVU25A
2024-10-01$477.02$435.13RVU24D
2024-07-01$477.02$435.13RVU24C
2024-04-01$477.02$435.13RVU24B
2024-03-09$477.02$435.13RVU24AR
2024-01-01$469.24$428.03RVU24A
2023-10-01$474.73$433.35RVU23D
2023-07-01$474.73$433.35RVU23C
2023-04-01$474.73$433.35RVU23B
2023-01-01$474.73$433.35RVU23A
2022-10-01$473.64$432.37RVU22D
2022-07-01$473.64$432.37RVU22C
2022-04-01$473.64$432.37RVU22B
2022-01-01$473.64$432.37RVU22A
2021-10-01$470.51$429.19RVU21D
2021-07-01$470.51$429.19RVU21C
2021-04-01$470.51$429.19RVU21B
2021-01-01$470.51$429.19RVU21A
2020-10-01$467.31$428.34RVU20D
2020-07-01$467.31$428.34RVU20C
2020-04-01$467.31$428.34RVU20B
2020-01-01$467.31$428.34RVU20A
2019-10-01$466.93$428.32RVU19D
2019-07-01$466.93$428.32RVU19C
2019-04-01$465.06$426.45RVU19B
2019-01-01$465.06$426.45RVU19A
2018-10-01$463.79$425.22RVU18D
2018-07-01$463.79$425.22RVU18C
2018-04-01$463.79$425.22RVU18B
2018-01-01$463.79$425.22RVU18AR1
2017-10-01$453.92$418.05RVU17D
2017-07-01$453.92$418.05RVU17C
2017-04-01$453.92$418.05RVU17B
2017-01-01$453.92$418.05RVU17A
2016-10-01$448.30$412.98RVU16D
2016-07-01$448.30$412.98RVU16C
2016-04-01$448.30$412.98RVU16B
2016-01-01$448.30$412.98RVU16A
2015-10-01$455.39$418.74RVU15D
2015-07-01$455.39$418.74RVU15C
2015-04-01$453.12$416.66RVU15B
2015-01-01$453.12$416.66RVU15A
2014-10-01$441.74$406.57RVU14D
2014-07-01$441.74$406.57RVU14C
2014-04-01$441.74$406.57RVU14B
2014-01-01$441.74$406.57RVU14A
2013-10-01$442.20$405.02RVU13D
2013-07-01$442.20$405.02RVU13C
2013-04-01$442.20$405.02RVU13B
2013-01-01$442.20$405.02RVU13AR

Price 25624 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

25624 billing questions

When should I choose 25624 instead of 25622?

Use 25624 when the clinician manipulates the scaphoid fracture during closed treatment. Code 25622 describes closed scaphoid fracture treatment without manipulation.

How does 25624 differ from 25628?

25624 is closed treatment with manipulation. Use 25628 when the scaphoid fracture is treated openly with internal fixation.

What documentation supports 25624?

Document the scaphoid fracture, the closed reduction or manipulation performed, and the treatment plan, including immobilization when used. The record should distinguish manipulation from immobilization alone.

Are routine follow-up visits included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How is bilateral treatment reported?

When the service is performed bilaterally, CMS pays 150% with modifier 50. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. 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
RVUs for 25624PPRRVU2026_Oct_nonQPP.csv, line 2,492 (RVU26D)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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