CPT code 25651: Fracture fixation, percutaneous ulnar styloid2026 Medicare rate & RVUs in Texas
Reports percutaneous stabilization of an ulnar styloid fracture when the surgeon fixes the fracture without directly exposing it through an open approach.
CMS doesn’t publish an office rate for 25651 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 9 sections
What 25651 covers
An orthopedic or hand surgeon uses fixation placed through the skin, such as pins or wires, to stabilize an ulnar styloid fracture without surgically exposing the fracture site. This approach may be selected when the fracture requires fixation but can be stabilized percutaneously. Ulnar styloid fractures may occur alongside distal radius fractures, so the record should identify the treated bone and fracture.
Report this code for the percutaneous fixation service, not for closed treatment with immobilization alone or fixation performed through an open exposure. The operative report should document the ulnar styloid fracture, the percutaneous technique, and the fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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.
Where 25651 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $484.00 |
| Beaumont, TX | Unavailable | $448.76 |
| Brazoria, TX | Unavailable | $464.62 |
| Dallas, TX | Unavailable | $468.98 |
| Fort Worth, TX | Unavailable | $467.01 |
| Galveston, TX | Unavailable | $466.92 |
| Houston, TX | Unavailable | $487.61 |
| Rest of Texas | Unavailable | $457.39 |
How the 25651 rate is calculated
Each of 25651’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 · 25651
RVUs × geographic indexes × conversion factor
Work5.67
5.67 RVUs× 1.000 GPCI
Practice expense7.38
7.38 RVUs× 1.000 GPCI
Malpractice1.13
1.13 RVUs× 1.000 GPCI
Adjusted RVUs
14.1800
Conversion factor
$33.4009
Medicare rate
$473.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25651
25651 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25651
Fracture fixation, percutaneous ulnar styloid
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25651
Fracture fixation, percutaneous ulnar styloid
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25651 without 50 · national facility
$473.62
Fracture fixation, percutaneous ulnar styloid
25651-50 · Bilateral: 150%
$710.43
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).
25651 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25650Fracture treatmentUlnar styloid, no manipulation
- Choose 25650 for closed treatment of the ulnar styloid fracture without percutaneous fixation; choose 25651 when percutaneous fixation is performed.
- 25652Ulnar styloid fractureOpen treatment
- 25652 describes open treatment of the ulnar styloid fracture. This code is for fixation without direct open exposure of the fracture.
- 25606Distal radius fixationPercutaneous skeletal fixation
- 25606 concerns percutaneous fixation of a distal radius fracture, not the ulnar styloid. Select by the bone treated and document each distinct fracture service.
25651 billing questions
How does this differ from 25650?
Use 25651 when the ulnar styloid fracture is stabilized with percutaneous fixation. Code 25650 describes closed fracture treatment without that fixation approach.
When would 25652 be used instead?
25652 is for open treatment of an ulnar styloid fracture. This code describes fixation performed percutaneously without directly exposing the fracture site.
Can treatment of a distal radius fracture be reported in the same session?
A distinct distal radius fracture treated during the session may have its own applicable fracture-treatment code. Document the site and treatment performed for each fracture.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity.
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
Fee sheets · Coming soon
Put 25651 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist