Billing code 25505: Fracture treatmentMedicare rate & RVUs

Medicare pays $590.19 for 25505 nationally in the office and $490.66 in a hospital or facility. Local office rates run $518.20–$755.86.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25505 covers

This service covers closed management of a fracture through the shaft of the radius when the clinician manipulates the bone fragments to improve alignment. An orthopedic surgeon or other qualified physician may perform the reduction in an emergency department, operating room, or other appropriate setting, then immobilize the forearm. The defining feature is a reduction maneuver—not simply applying a splint or cast to a fracture that is left unreduced. A fracture associated with distal radioulnar joint dislocation or a fracture of both forearm bones may call for a different code.

Report 25505 when documentation supports a radial shaft fracture and closed reduction by manipulation; imaging and the treatment record should support the fracture site and reduction 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 other procedures at 50%. For bilateral reporting with modifier 50, payment is 150%. CMS does not pay an assistant at surgery for this code; 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 25505 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25505 rates by state

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

How the 25505 rate is calculated

Each of 25505’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 25505

25505 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

25505 compared with similar codes

How to choose

25500Radial fracture care

Both describe closed treatment of a radial shaft fracture; 25505 includes manipulation to reduce the fracture, while 25500 is for treatment without manipulation.

25515Radius fracture repair

25515 describes open treatment of a radial shaft fracture. Choose 25505 when the fracture is reduced and treated without open surgical treatment.

25520Forearm fracture care

25520 is for a radial shaft fracture with an associated dislocation. 25505 describes closed reduction of the radial shaft fracture without that dislocation circumstance.

25565Forearm fracture care

25565 applies when both the radius and ulna shafts are fractured and treated closed with manipulation; 25505 is for the radial shaft fracture.

Codes related to 25505

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

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