CPT code 25645: Carpal fracture repair, other than scaphoid, each bone2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $548.13 for 25645 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25645 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 25645 covers

A hand or orthopedic surgeon surgically exposes a fractured carpal bone other than the scaphoid, restores its alignment, and may stabilize the fragments. The code can apply to bones such as the lunate, triquetrum, hamate, or capitate. These operations are generally performed in an operating room for a fracture requiring open treatment rather than closed care.

Select 25645 when the operative report supports open treatment of a non-scaphoid carpal fracture, and identify the bone and each bone treated. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures 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 Puerto Rico compares for 25645

Across 109 of 109 payment localities, the facility rate for 25645 runs from $485.57 in Arkansas to $661.01 in San Benito County, CA. Puerto Rico pays $548.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25645 rates by state

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

See 25645 in every payment locality

How the 25645 rate is calculated

Each of 25645’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 25645

25645 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 25645

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

How 25645 has changed in Puerto Rico

Price 25645 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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