CPT code 25628: Scaphoid fixation, open treatment with fixation2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $656.71 for 25628 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25628 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 25628 covers

An orthopedic or hand surgeon uses an open approach to expose and treat a fractured scaphoid, a carpal bone on the thumb side of the wrist. The surgeon restores fracture alignment as needed and stabilizes the bone with internal fixation, such as a screw. This treatment is commonly performed in an operating room for a displaced or unstable scaphoid fracture when operative fixation is selected.

Report 25628 when the operative record supports open treatment of the scaphoid fracture with internal fixation; closed management or treatment of a different carpal bone calls for a different code. Document the fracture site, operative approach, reduction or alignment work, and fixation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others 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 New Mexico compares for 25628

Across 109 of 109 payment localities, the facility rate for 25628 runs from $598.42 in Arkansas to $818.62 in Alaska. New Mexico pays $656.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25628 rates by state

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

See 25628 in every payment locality

How the 25628 rate is calculated

Each of 25628’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 25628

25628 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 25628

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

How 25628 has changed in New Mexico

Price 25628 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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