Billing code 25622: Scaphoid fracture careMedicare rate & RVUs
Closed treatment of a scaphoid fracture without manipulation, typically using immobilization and follow-up for a wrist fracture managed nonoperatively.
Medicare pays $350.71 for 25622 nationally in the office and $295.93 in a hospital or facility. Local office rates run $307.86–$459.22.
Medicare rate · 25622
Scaphoid fracture care
Swap in your local Medicare rate.
- Work RVUs
- 2.72
- Total RVUs
- 10.50
- Global days
- 090
National rate · 2026
$350.71
Office setting, before claim adjustments.
See every locality for 25622 → · 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
What 25622 covers
An orthopedic or hand surgeon reports this service when treating a carpal scaphoid (navicular) fracture nonoperatively without manipulating the fracture. The treatment commonly includes immobilizing the wrist, often in a thumb-spica cast or splint, and monitoring healing. It may be furnished in an office or a facility after clinical assessment and imaging establish the fracture and the treatment plan.
Select this code when the provider performs closed fracture treatment without a reduction maneuver; document the affected wrist, scaphoid fracture, treatment decision, and immobilization plan. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and 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 25622 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$307.86 to $459.22
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $312.65 | $264.72 |
| Alaska* | $403.75 | $345.42 |
| Arizona | $340.62 | $287.54 |
| Arkansas | $307.86 | $260.81 |
| Atlanta | $358.48 | $302.82 |
| Austin | $362.86 | $304.91 |
| Bakersfield | $368.60 | $308.56 |
| Baltimore/Surr. Cntys | $374.09 | $315.31 |
| Beaumont | $327.66 | $277.82 |
| Brazoria | $345.29 | $291.01 |
| Chicago | $375.91 | $320.86 |
| Chico | $367.10 | $307.06 |
| Colorado | $363.33 | $305.04 |
| Connecticut | $374.93 | $315.94 |
| Dallas | $348.00 | $293.44 |
| Dc + Md/Va Suburbs | $400.70 | $336.17 |
| Delaware | $346.44 | $292.32 |
| Detroit | $354.62 | $301.76 |
| East St. Louis | $349.65 | $299.26 |
| El Centro | $367.19 | $307.15 |
| Fort Lauderdale | $368.43 | $312.94 |
| Fort Worth | $345.81 | $291.80 |
| Fresno | $367.10 | $307.06 |
| Galveston | $346.64 | $292.25 |
| Hanford-Corcoran | $367.10 | $307.06 |
| Hawaii, Guam | $376.25 | $313.96 |
| Houston | $356.53 | $302.13 |
| Idaho | $321.86 | $271.46 |
| Indiana | $323.79 | $273.01 |
| Iowa | $319.28 | $269.16 |
| Kansas | $318.55 | $269.03 |
| Kentucky | $322.33 | $273.64 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $392.63 | $327.83 |
| Madera | $367.10 | $307.06 |
| Manhattan | $406.27 | $342.62 |
| Merced | $367.10 | $307.06 |
| Metropolitan Boston | $399.36 | $333.96 |
| Metropolitan Kansas City | $335.54 | $284.11 |
| Metropolitan Philadelphia | $365.74 | $308.72 |
| Metropolitan St. Louis | $339.14 | $286.99 |
| Miami | $388.20 | $331.18 |
| Minnesota | $345.02 | $288.66 |
| Mississippi | $312.39 | $265.23 |
| Modesto | $367.10 | $307.06 |
| Montana** | $350.67 | $295.90 |
| Napa | $424.46 | $352.26 |
| Nebraska | $320.87 | $270.31 |
| Nevada** | $347.94 | $293.11 |
| New Hampshire | $358.37 | $301.35 |
| New Mexico | $334.26 | $284.03 |
| New Orleans | $338.89 | $287.35 |
| North Carolina | $328.00 | $276.89 |
| North Dakota** | $340.00 | $285.22 |
| Northern Nj | $396.35 | $332.81 |
| Nyc Suburbs/Long Island | $417.69 | $352.56 |
| Ohio | $329.82 | $279.80 |
| Oklahoma | $320.81 | $271.90 |
| Oxnard-Thousand Oaks-Ventura | $390.47 | $325.72 |
| Portland | $374.39 | $313.53 |
| Poughkpsie/N Nyc Suburbs | $381.56 | $321.58 |
| Puerto Rico | $353.10 | $297.72 |
| Queens | $408.51 | $343.76 |
| Redding | $367.10 | $307.06 |
| Rest Of California | $367.10 | $307.06 |
| Rest Of Florida | $349.14 | $296.77 |
| Rest Of Georgia | $328.06 | $279.19 |
| Rest Of Illinois | $339.83 | $289.81 |
| Rest Of Louisiana | $322.14 | $273.66 |
| Rest Of Maine | $324.55 | $274.15 |
| Rest Of Maryland | $353.04 | $297.61 |
| Rest Of Massachusetts | $361.32 | $303.64 |
| Rest Of Michigan | $332.00 | $281.99 |
| Rest Of Missouri | $316.87 | $269.65 |
| Rest Of New Jersey | $378.34 | $318.52 |
| Rest Of New York | $333.26 | $281.22 |
| Rest Of Oregon | $344.39 | $289.83 |
| Rest Of Pennsylvania | $329.89 | $279.60 |
| Rest Of Texas | $336.63 | $284.64 |
| Rest Of Washington | $360.40 | $302.72 |
| Rhode Island | $358.47 | $301.88 |
| Riverside-San Bernardino-Ontario | $372.91 | $312.87 |
| Sacramento-Roseville-Folsom | $385.03 | $321.32 |
| Salinas | $383.61 | $320.12 |
| San Diego-Chula Vista-Carlsbad | $392.57 | $327.06 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $448.73 | $371.49 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $448.12 | $370.88 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $459.22 | $380.23 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $456.71 | $377.72 |
| San Luis Obispo-Paso Robles | $377.50 | $315.11 |
| Santa Cruz-Watsonville | $396.24 | $329.69 |
| Santa Maria-Santa Barbara | $385.03 | $321.16 |
| Santa Rosa-Petaluma | $400.20 | $332.93 |
| Seattle (King Cnty) | $406.85 | $339.63 |
| South Carolina | $329.63 | $279.01 |
| South Dakota** | $338.73 | $283.96 |
| Southern Maine | $341.88 | $287.59 |
| Stockton | $367.10 | $307.06 |
| Suburban Chicago | $371.80 | $315.54 |
| Tennessee | $320.35 | $270.56 |
| Utah | $334.36 | $282.87 |
| Vallejo | $423.57 | $351.38 |
| Vermont | $339.38 | $285.15 |
| Virgin Islands | $353.10 | $297.72 |
| Virginia | $341.30 | $287.45 |
| Visalia | $367.10 | $307.06 |
| West Virginia | $326.80 | $279.20 |
| Wisconsin | $328.07 | $275.59 |
| Wyoming** | $346.02 | $291.24 |
| Yuba City | $367.10 | $307.06 |
25622 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$307.86
$413.16
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $403.75 | 1 |
| AL | $312.65 | 1 |
| AR | $307.86 | 1 |
| AZ | $340.62 | 1 |
| CA | $367.10–$459.22 | 29 |
| CO | $363.33 | 1 |
| CT | $374.93 | 1 |
| DC | $400.70 | 1 |
| DE | $346.44 | 1 |
| FL | $349.14–$388.20 | 3 |
| GA | $328.06–$358.48 | 2 |
| GU | $376.25 | 1 |
| HI | $376.25 | 1 |
| IA | $319.28 | 1 |
| ID | $321.86 | 1 |
| IL | $339.83–$375.91 | 4 |
| IN | $323.79 | 1 |
| KS | $318.55 | 1 |
| KY | $322.33 | 1 |
| LA | $322.14–$338.89 | 2 |
| MA | $361.32–$399.36 | 2 |
| MD | $353.04–$400.70 | 3 |
| ME | $324.55–$341.88 | 2 |
| MI | $332.00–$354.62 | 2 |
| MN | $345.02 | 1 |
| MO | $316.87–$339.14 | 3 |
| MS | $312.39 | 1 |
| MT | $350.67 | 1 |
| NC | $328.00 | 1 |
| ND | $340.00 | 1 |
| NE | $320.87 | 1 |
| NH | $358.37 | 1 |
| NJ | $378.34–$396.35 | 2 |
| NM | $334.26 | 1 |
| NV | $347.94 | 1 |
| NY | $333.26–$417.69 | 5 |
| OH | $329.82 | 1 |
| OK | $320.81 | 1 |
| OR | $344.39–$374.39 | 2 |
| PA | $329.89–$365.74 | 2 |
| PR | $353.10 | 1 |
| RI | $358.47 | 1 |
| SC | $329.63 | 1 |
| SD | $338.73 | 1 |
| TN | $320.35 | 1 |
| TX | $327.66–$362.86 | 8 |
| UT | $334.36 | 1 |
| VA | $341.30–$400.70 | 2 |
| VI | $353.10 | 1 |
| VT | $339.38 | 1 |
| WA | $360.40–$406.85 | 2 |
| WI | $328.07 | 1 |
| WV | $326.80 | 1 |
| WY | $346.02 | 1 |
How the 25622 rate is calculated
Each of 25622’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 · 25622
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.72Practice expense 7.24Malpractice 0.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25622
25622 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25622
Scaphoid fracture care
| 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) | 1 | Not paid (statutory restriction). |
| 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 · 25622
Scaphoid fracture care
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
25622 without 50 · national office
$350.71
Scaphoid fracture care
25622-50 · Bilateral: 150%
$526.07
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).
25622 compared with similar codes
Compare codes
25622 vs 25624 vs 25628 vs 25630: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25624Scaphoid fracture care
- Both codes address closed treatment of a scaphoid fracture. Report 25622 when treatment does not include manipulation; report 25624 when manipulation is performed.
- 25628Scaphoid fixation
- 25628 is for open reduction and internal fixation of a scaphoid fracture. 25622 is for closed treatment without manipulation.
- 25630Carpal fracture care
- 25630 applies to a carpal fracture other than the scaphoid treated without manipulation. 25622 identifies the scaphoid specifically.
25622 billing questions
When should 25622 be selected instead of 25624?
Use 25622 when the scaphoid fracture is treated without manipulation. Use 25624 when the provider performs manipulation as part of closed treatment.
How does 25622 differ from 25628?
25622 represents closed treatment without manipulation. Choose 25628 when the scaphoid fracture is treated with open reduction and internal fixation.
Can routine fracture follow-up be billed separately?
Related care during the 90-day global period is included, including routine follow-up for this fracture treatment. A separately identifiable service unrelated to the fracture requires its own support.
What documentation supports reporting 25622?
Document the scaphoid fracture, the affected wrist, the decision for closed treatment, and that treatment did not include manipulation. Include the immobilization and follow-up plan.
How is bilateral treatment handled?
For bilateral treatment reported with modifier 50, CMS pays 150% under the stated bilateral rule. Document treatment of both wrists.
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
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