Billing code 25605: Wrist fracture treatmentMedicare rate & RVUs

Medicare pays $634.62 for 25605 nationally in the office and $549.44 in a hospital or facility. Local office rates run $558.08–$806.13.

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

What 25605 covers

This service covers closed treatment of a distal radius fracture or separation at the growth plate when the clinician manipulates the fracture to improve alignment. The reduction is performed without opening the fracture site; the wrist is typically immobilized afterward. An orthopedic or hand surgeon may provide the treatment in an emergency department, office, or fracture clinic, and a physician may perform it during an initial acute-care encounter when taking responsibility for definitive fracture care.

Choose this code when the documented treatment includes manipulation, rather than immobilization without manipulation or fixation through an incision or percutaneous technique. The record should identify the distal radius injury and support that a reduction maneuver was performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare 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 25605 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

25605 rates by state

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

How the 25605 rate is calculated

Each of 25605’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 25605

25605 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

25605 compared with similar codes

How to choose

25600Fracture treatment

Both cover closed treatment of a distal radius fracture or epiphyseal separation. Report 25605 when manipulation is performed; 25600 is for treatment without manipulation.

25606Distal radius fixation

25606 involves percutaneous skeletal fixation. Use 25605 when the clinician performs a closed reduction by manipulation without that fixation method.

25607Distal radius repair

25607 is an open-treatment option for an extra-articular distal radius injury. Code 25605 describes closed treatment with manipulation.

25608Distal radius repair

25608 is for open treatment of an intra-articular fracture involving two fragments. Code 25605 is selected for closed manipulation, not open fixation.

Codes related to 25605

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