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Billing code 25574: Forearm fracture repairMedicare rate & RVUs

Reports operative fixation of a radial shaft fracture when the accompanying ulnar shaft fracture is treated without open fixation.

CMS RVU26DEffective Oct 1, 2026109 payment localities204 Medicare services in 2024

Medicare pays $640.96 for 25574 nationally in a facility.

Medicare rate · 25574

Forearm fracture repair

Swap in your local Medicare rate.

Work RVUs
8.58
Total RVUs
19.19
Global days
090

National rate · 2026

$640.96

Facility setting, before claim adjustments.

See every locality for 25574 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 25574 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 25574 covers

This code describes operative care for fractures through both forearm shafts when the surgeon internally fixes the radius and treats the ulna by a closed method. Orthopedic surgeons commonly perform this repair in an operating room for a both-bone forearm fracture when the chosen treatment differs between the two bones. The operative report should make clear that both shaft fractures were treated and identify the fixation performed on the radius and the closed treatment provided for the ulna.

Report the code only when the radius is fixed internally and the ulna receives closed treatment; fixation of both bones points to a different code. 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 reported with modifier 50, payment is at 150%. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team surgery is 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 25574 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

25574 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$578.60
Alaska*Unavailable$777.24
ArizonaUnavailable$623.37
ArkansasUnavailable$570.89
AtlantaUnavailable$658.31
AustinUnavailable$652.04
BakersfieldUnavailable$651.96
Baltimore/Surr. CntysUnavailable$681.00
BeaumontUnavailable$610.18
BrazoriaUnavailable$627.73

25574 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
25574 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 25574 rate is calculated

Each of 25574’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 · 25574

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.58Practice expense 8.86Malpractice 1.75

19.1900 adjusted RVUs×$33.4009 conversion factor=$640.96

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 25574

25574 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25574

Forearm fracture repair

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)2Paid.
Co-surgeons (62)2Permitted.
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 · 25574

Forearm fracture repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

25574 without 50 · national facility

$640.96

Forearm fracture repair

25574-50 · Bilateral: 150%

$961.44

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

25574 compared with similar codes

Compare codes

25574 vs 25575 vs 25565 vs 25515: national Medicare rates

Swap in your local Medicare rate.

  • 25574
    Forearm fracture repair · 8.58 wRVU
    —
  • 25575
    Forearm fracture repair · 11.98 wRVU
    —
  • 25565
    Forearm fracture care · 5.7 wRVU
    $623.59
  • 25515
    Radius fracture repair · 8.58 wRVU
    —

How to choose

25575Forearm fracture repair
Use 25575 when both radial and ulnar shaft fractures are fixed internally. This code is for internal fixation of the radius with closed treatment of the ulna.
25565Forearm fracture care
Use 25565 for closed treatment with manipulation of both shaft fractures. This code includes operative fixation of the radius.
25515Radius fracture repair
Use 25515 for operative treatment of an isolated radial shaft fracture. This code applies when both shaft fractures are treated, with the ulna managed closed.

Codes related to 25574

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

Codes related to 25574
CodeHow it relatesNational office range
Same family
25575Forearm fracture repairBoth forearm shafts are fixed internally rather than treating the ulna closed.No office rate
Used instead
25565Forearm fracture careClosed treatment with manipulation for fractures of both radial and ulnar shafts.$547.46–$796.37
25560Forearm fracture careClosed treatment without manipulation for fractures of both shafts.$291.25–$435.26
25515Radius fracture repairOperative fixation when the fracture involves the radial shaft alone.No office rate
25545Fracture fixationOperative fixation when the fracture involves the ulnar shaft alone.No office rate

25574 billing questions

When should this be reported instead of 25575?

Report 25574 when the radius receives internal fixation and the ulna is treated closed. Use 25575 when both shaft fractures receive internal fixation.

How does this differ from closed treatment of both shafts?

Codes 25560 and 25565 describe closed treatment of both radial and ulnar shaft fractures. This code describes a mixed approach: internal fixation of the radius and closed treatment of the ulna.

What should the operative note document?

Document the shaft fracture of each bone, the internal fixation performed on the radius, and the closed treatment chosen for the ulna.

What care is included in the global period?

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

Can an assistant or co-surgeon participate?

Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted.

How is this code handled with other same-session procedures?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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 25574PPRRVU2026_Oct_nonQPP.csv, line 2,483 (RVU26D)

Open CMS sourceHow we calculate rates

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