FeeBase
Log inGet started
Menu

Billing code 25652: Ulnar styloid fractureMedicare rate & RVUs

Report open treatment when a surgeon directly exposes and treats an ulnar styloid fracture, often to address displacement or associated wrist instability.

CMS RVU26DEffective Oct 1, 2026109 payment localities567 Medicare services in 2024

Medicare pays $590.86 for 25652 nationally in a facility.

Medicare rate · 25652

Ulnar styloid fracture

Swap in your local Medicare rate.

Work RVUs
7.86
Total RVUs
17.69
Global days
090

National rate · 2026

$590.86

Facility setting, before claim adjustments.

See every locality for 25652 → · 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 25652 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 25652 covers

This service involves surgically exposing an ulnar styloid fracture and treating it directly; fixation may be used. Orthopedic or hand surgeons commonly perform it in an operating room, often when the fragment is displaced or the fracture is associated with distal radioulnar joint instability. Ulnar styloid fractures can occur with distal radius fractures, so the operative plan may address both injuries during the same session.

Choose this code when the documented treatment uses an open approach, rather than closed care or percutaneous skeletal fixation. The operative report should identify the fracture, describe the open approach and treatment, and document any 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 other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and 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 25652 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

25652 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$533.62
Alaska*Unavailable$716.52
ArizonaUnavailable$574.76
ArkansasUnavailable$526.53
AtlantaUnavailable$606.60
AustinUnavailable$601.41
BakersfieldUnavailable$601.83
Baltimore/Surr. CntysUnavailable$627.63
BeaumontUnavailable$562.31
BrazoriaUnavailable$578.94

25652 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
25652 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 25652 rate is calculated

Each of 25652’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 · 25652

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.86Practice expense 8.26Malpractice 1.57

17.6900 adjusted RVUs×$33.4009 conversion factor=$590.86

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

Payment rules and modifiers for 25652

25652 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25652

Ulnar styloid fracture

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)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
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 · 25652

Ulnar styloid fracture

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

25652 without 50 · national facility

$590.86

Ulnar styloid fracture

25652-50 · Bilateral: 150%

$886.29

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

25652 compared with similar codes

Compare codes

25652 vs 25650 vs 25651 vs 25607: national Medicare rates

Swap in your local Medicare rate.

  • 25652
    Ulnar styloid fracture · 7.86 wRVU
    —
  • 25650
    Fracture treatment · 3.15 wRVU
    $379.10
  • 25651
    Fracture fixation · 5.67 wRVU
    —
  • 25607
    Distal radius repair · 9.32 wRVU
    —

How to choose

25650Fracture treatment
Use 25650 for closed treatment of the ulnar styloid fracture. Choose 25652 when the surgeon directly exposes and treats the fracture.
25651Fracture fixation
25651 describes percutaneous skeletal fixation. 25652 describes open treatment, with fixation when performed.
25607Distal radius repair
25607 is for open treatment of an extra-articular distal radius fracture, not an ulnar styloid fracture. A patient with both injuries may have treatment of each documented.

Codes related to 25652

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

Codes related to 25652
CodeHow it relatesNational office range
Same family
25650Fracture treatmentClosed treatment of an ulnar styloid fracture.$332.90–$491.76
25651Fracture fixationPercutaneous skeletal fixation of an ulnar styloid fracture.No office rate
Often billed with
25607Distal radius repairOpen treatment of an extra-articular distal radius fracture may occur in the same session.No office rate
25608Distal radius repairOpen treatment of an intra-articular distal radius fracture may occur in the same session.No office rate

25652 billing questions

How does this differ from 25650?

25652 describes open treatment of the ulnar styloid fracture. 25650 is for closed treatment, without an open approach.

When would 25651 be more appropriate?

Use 25651 when the fracture is treated with percutaneous skeletal fixation. 25652 is for direct treatment through an open approach.

Can this be reported with distal radius fracture surgery?

An ulnar styloid fracture may be treated during the same session as a distal radius fracture. Document the distinct fracture and its treatment; same-session multiple-procedure payment rules may apply.

What documentation supports 25652?

The operative report should establish the ulnar styloid fracture, the open approach, and the treatment performed, including fixation if used.

Does the 90-day global include postoperative care?

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

Can an assistant surgeon be paid for this procedure?

CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons are paid only with supporting documentation.

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 25652PPRRVU2026_Oct_nonQPP.csv, line 2,499 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 25652 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 25652 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →