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CMS RVU26D · Effective 2026-10-01

25535 in Austin

Office / nonfacility

$563.91

Base rate per service

Facility setting

$463.55

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Orthopedic fracture care

About 25535: Closed ulnar shaft fracture reduction

Reports closed reduction of an ulnar shaft fracture when the physician manipulates the bone to improve alignment without open surgery.

An orthopedic surgeon or other qualified physician reports this service for closed treatment of an ulnar shaft fracture that requires manipulation to restore alignment. The reduction is performed without surgically exposing the fracture; immobilization may follow. Typical settings include an emergency department, clinic, or hospital, depending on where the fracture is treated.

Select this code when documentation supports manipulation of the ulnar shaft fracture, rather than treatment without manipulation or open fixation. Record the fracture site, reduction performed, and treatment plan. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 25535

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.23 · 32%
  • Practice expense (office) RVU10.10 · 62%
  • Malpractice RVU1.08 · 7%

381

Medicare services in 2024 · #3775 by national volume

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.

25535 compared with similar codes

Office rates for Austin, from the same CMS release.

25530

Fracture treatment

Ulnar shaft, without manipulation

$312.85

Both describe closed treatment of an ulnar shaft fracture. Choose 25535 when manipulation is performed; choose 25530 when it is not.

25545

Fracture fixation

Ulnar shaft

No office rate

25545 describes open treatment with internal fixation. This code is for closed reduction by manipulation without open fixation.

25505

Fracture treatment

Radial shaft, with manipulation

$607.60

25505 applies to a radial shaft fracture treated closed with manipulation; 25535 applies to the ulnar shaft.

25565

Forearm fracture care

Radius and ulna, with manipulation

$641.58

25565 describes closed treatment with manipulation of fractures involving both the radial and ulnar shafts, rather than an ulnar shaft fracture alone.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 25535 is $515.19—$48.72 lower than the $563.91 rate in Austin. Both use the same code, release and participation basis.

25535 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $563.91

  2. Beaumont

    $515.19

    $48.72 lower than Austin

  3. Brazoria

    $538.53

    $25.38 lower than Austin

  4. Dallas

    $543.21

    $20.70 lower than Austin

  5. Fort Worth

    $540.30

    $23.61 lower than Austin

  6. Galveston

    $540.94

    $22.97 lower than Austin

  7. Houston

    $560.71

    $3.20 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 25535 ranges from $483.05 in Arkansas to $699.69 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 25535

    Office

    $527.40

    Facility

    $437.38

    $36.51 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 25535

    Office

    $604.89

    Facility

    $492.67

    $40.98 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25535

    Office

    $621.67

    Facility

    $509.92

    $57.76 higher than Austin for the office setting.

  • Miami

    Florida · 25535

    Office

    $617.10

    Facility

    $518.35

    $53.19 higher than Austin for the office setting.

  • Chicago

    Illinois · 25535

    Office

    $597.73

    Facility

    $502.40

    $33.82 higher than Austin for the office setting.

  • Manhattan

    New York · 25535

    Office

    $635.08

    Facility

    $524.85

    $71.17 higher than Austin for the office setting.

  • Alaska*

    Alaska · 25535

    Office

    $641.18

    Facility

    $540.16

    $77.27 higher than Austin for the office setting.

  • Alabama

    Alabama · 25535

    Office

    $490.28

    Facility

    $407.28

    $73.63 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 25535

    Office

    $483.05

    Facility

    $401.56

    $80.86 lower than Austin for the office setting.

  • Arizona

    Arizona · 25535

    Office

    $532.46

    Facility

    $440.54

    $31.45 lower than Austin for the office setting.

  • Bakersfield

    California · 25535

    Office

    $569.71

    Facility

    $465.74

    $5.80 higher than Austin for the office setting.

  • Chico

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • El Centro

    California · 25535

    Office

    $566.91

    Facility

    $462.94

    $3.00 higher than Austin for the office setting.

  • Fresno

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Madera

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Merced

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Modesto

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Napa

    California · 25535

    Office

    $648.64

    Facility

    $523.62

    $84.73 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25535

    Office

    $600.80

    Facility

    $488.68

    $36.89 higher than Austin for the office setting.

  • Redding

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Rest Of California

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25535

    Office

    $578.34

    Facility

    $474.37

    $14.43 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25535

    Office

    $592.65

    Facility

    $482.33

    $28.74 higher than Austin for the office setting.

  • Salinas

    California · 25535

    Office

    $590.42

    Facility

    $480.48

    $26.51 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25535

    Office

    $602.95

    Facility

    $489.50

    $39.04 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25535

    Office

    $683.50

    Facility

    $549.75

    $119.59 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 25535

    Office

    $682.28

    Facility

    $548.52

    $118.37 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 25535

    Office

    $699.69

    Facility

    $562.91

    $135.78 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 25535

    Office

    $694.68

    Facility

    $557.89

    $130.77 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25535

    Office

    $581.23

    Facility

    $473.19

    $17.32 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 25535

    Office

    $607.57

    Facility

    $492.32

    $43.66 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 25535

    Office

    $592.26

    Facility

    $481.66

    $28.35 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 25535

    Office

    $613.53

    Facility

    $497.04

    $49.62 higher than Austin for the office setting.

  • Stockton

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Vallejo

    California · 25535

    Office

    $646.88

    Facility

    $521.85

    $82.97 higher than Austin for the office setting.

  • Visalia

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Yuba City

    California · 25535

    Office

    $566.73

    Facility

    $462.76

    $2.82 higher than Austin for the office setting.

  • Colorado

    Colorado · 25535

    Office

    $563.90

    Facility

    $462.97

    $0.01 lower than Austin for the office setting.

  • Connecticut

    Connecticut · 25535

    Office

    $585.15

    Facility

    $482.99

    $21.24 higher than Austin for the office setting.

  • Delaware

    Delaware · 25535

    Office

    $541.29

    Facility

    $447.57

    $22.62 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 25535

    Office

    $581.64

    Facility

    $485.55

    $17.73 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 25535

    Office

    $551.41

    Facility

    $460.73

    $12.50 lower than Austin for the office setting.

  • Atlanta

    Georgia · 25535

    Office

    $561.28

    Facility

    $464.90

    $2.63 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 25535

    Office

    $518.60

    Facility

    $433.99

    $45.31 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 25535

    Office

    $579.14

    Facility

    $471.28

    $15.23 higher than Austin for the office setting.

  • Iowa

    Iowa · 25535

    Office

    $497.68

    Facility

    $410.89

    $66.23 lower than Austin for the office setting.

  • Idaho

    Idaho · 25535

    Office

    $502.11

    Facility

    $414.84

    $61.80 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 25535

    Office

    $557.70

    Facility

    $470.43

    $6.21 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 25535

    Office

    $539.07

    Facility

    $452.46

    $24.84 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 25535

    Office

    $586.29

    Facility

    $488.87

    $22.38 higher than Austin for the office setting.

  • Indiana

    Indiana · 25535

    Office

    $504.94

    Facility

    $417.01

    $58.97 lower than Austin for the office setting.

  • Kansas

    Kansas · 25535

    Office

    $497.83

    Facility

    $412.08

    $66.08 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 25535

    Office

    $507.60

    Facility

    $423.27

    $56.31 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 25535

    Office

    $533.11

    Facility

    $443.85

    $30.80 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 25535

    Office

    $507.80

    Facility

    $423.85

    $56.11 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 25535

    Office

    $616.75

    Facility

    $503.49

    $52.84 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25535

    Office

    $561.46

    Facility

    $461.57

    $2.45 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25535

    Office

    $584.08

    Facility

    $482.30

    $20.17 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 25535

    Office

    $550.95

    Facility

    $454.95

    $12.96 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 25535

    Office

    $507.49

    Facility

    $420.22

    $56.42 lower than Austin for the office setting.

  • Southern Maine

    Maine · 25535

    Office

    $531.76

    Facility

    $437.76

    $32.15 lower than Austin for the office setting.

  • Detroit

    Michigan · 25535

    Office

    $561.05

    Facility

    $469.51

    $2.86 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 25535

    Office

    $523.41

    Facility

    $436.81

    $40.50 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 25535

    Office

    $532.50

    Facility

    $434.89

    $31.41 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 25535

    Office

    $526.70

    Facility

    $437.63

    $37.21 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 25535

    Office

    $531.99

    Facility

    $441.68

    $31.92 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 25535

    Office

    $500.62

    Facility

    $418.85

    $63.29 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 25535

    Office

    $491.80

    Facility

    $410.13

    $72.11 lower than Austin for the office setting.

  • Montana**

    Montana · 25535

    Office

    $548.04

    Facility

    $453.18

    $15.87 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 25535

    Office

    $512.48

    Facility

    $423.98

    $51.43 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 25535

    Office

    $526.68

    Facility

    $431.82

    $37.23 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 25535

    Office

    $499.70

    Facility

    $412.14

    $64.21 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 25535

    Office

    $557.43

    Facility

    $458.68

    $6.48 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 25535

    Office

    $615.54

    Facility

    $505.51

    $51.63 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 25535

    Office

    $589.63

    Facility

    $486.05

    $25.72 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 25535

    Office

    $527.36

    Facility

    $440.37

    $36.55 lower than Austin for the office setting.

  • Nevada**

    Nevada · 25535

    Office

    $542.42

    Facility

    $447.47

    $21.49 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25535

    Office

    $653.96

    Facility

    $541.18

    $90.05 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25535

    Office

    $595.59

    Facility

    $491.72

    $31.68 higher than Austin for the office setting.

  • Queens

    New York · 25535

    Office

    $636.63

    Facility

    $524.51

    $72.72 higher than Austin for the office setting.

  • Rest Of New York

    New York · 25535

    Office

    $520.53

    Facility

    $430.41

    $43.38 lower than Austin for the office setting.

  • Ohio

    Ohio · 25535

    Office

    $519.05

    Facility

    $432.44

    $44.86 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 25535

    Office

    $503.97

    Facility

    $419.26

    $59.94 lower than Austin for the office setting.

  • Portland

    Oregon · 25535

    Office

    $579.11

    Facility

    $473.73

    $15.20 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 25535

    Office

    $536.05

    Facility

    $441.57

    $27.86 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25535

    Office

    $572.05

    Facility

    $473.30

    $8.14 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25535

    Office

    $518.46

    Facility

    $431.38

    $45.45 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 25535

    Office

    $551.28

    Facility

    $455.38

    $12.63 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 25535

    Office

    $558.66

    Facility

    $460.68

    $5.25 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 25535

    Office

    $517.06

    Facility

    $429.41

    $46.85 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 25535

    Office

    $524.16

    Facility

    $429.30

    $39.75 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 25535

    Office

    $500.71

    Facility

    $414.48

    $63.20 lower than Austin for the office setting.

  • Utah

    Utah · 25535

    Office

    $524.19

    Facility

    $435.02

    $39.72 lower than Austin for the office setting.

  • Virginia

    Virginia · 25535

    Office

    $531.77

    Facility

    $438.52

    $32.14 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25535

    Office

    $551.28

    Facility

    $455.38

    $12.63 lower than Austin for the office setting.

  • Vermont

    Vermont · 25535

    Office

    $526.92

    Facility

    $433.01

    $36.99 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 25535

    Office

    $559.64

    Facility

    $459.75

    $4.27 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 25535

    Office

    $626.82

    Facility

    $510.43

    $62.91 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 25535

    Office

    $508.98

    Facility

    $418.10

    $54.93 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 25535

    Office

    $519.46

    Facility

    $437.03

    $44.45 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 25535

    Office

    $538.73

    Facility

    $443.87

    $25.18 lower than Austin for the office setting.

See how rates vary across the country

25535 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$483.05

$641.18

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$641.181
AL$490.281
AR$483.051
AZ$532.461
CA$566.73–$699.6929
CO$563.901
CT$585.151
DC$621.671
DE$541.291
FL$551.41–$617.103
GA$518.60–$561.282
GU$579.141
HI$579.141
IA$497.681
ID$502.111
IL$539.07–$597.734
IN$504.941
KS$497.831
KY$507.601
LA$507.80–$533.112
MA$561.46–$616.752
MD$550.95–$621.673
ME$507.49–$531.762
MI$523.41–$561.052
MN$532.501
MO$500.62–$531.993
MS$491.801
MT$548.041
NC$512.481
ND$526.681
NE$499.701
NH$557.431
NJ$589.63–$615.542
NM$527.361
NV$542.421
NY$520.53–$653.965
OH$519.051
OK$503.971
OR$536.05–$579.112
PA$518.46–$572.052
PR$551.281
RI$558.661
SC$517.061
SD$524.161
TN$500.711
TX$515.19–$563.918
UT$524.191
VA$531.77–$621.672
VI$551.281
VT$526.921
WA$559.64–$626.822
WI$508.981
WV$519.461
WY$538.731

Explore 25535 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 25535 in Austin, the physician’s office rate is $563.91 and the facility-setting rate is $463.55: a difference of $100.36.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 25535 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$620.30

$563.91 × 110% = $620.30

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 25535 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,479

Code
25535
Physician work
5.23
Practice expense
10.10
Malpractice
1.08

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 25535 in Austin
ComponentRVULocality factorAdjusted
Physician work5.23× 1.0025.2405
Practice expense10.10× 1.05810.6858
Malpractice1.08× 0.8860.9569
Total RVUs16.8831
Conversion factor× 33.4009

Office / nonfacility rate, Austin$563.91

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 25535 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.231.002
Practice expense10.11.058
Malpractice1.080.886

(5.23 × 1.002 + 10.1 × 1.058 + 1.08 × 0.886) × $33.4009 = $563.91

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.231.002
Practice expense7.261.058
Malpractice1.080.886

(5.23 × 1.002 + 7.26 × 1.058 + 1.08 × 0.886) × $33.4009 = $463.55

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

25535 · Office / nonfacility

$563.91

Effective 2026-10-01

The base rate is $52.23 higher than on 2025-10-01, moving from $511.68 to $563.91 (10.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $511.68changed to$563.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.36 changed to 5.23
    • Practice expense RVU 9.09 changed to 10.10
    • Malpractice RVU 1.04 changed to 1.08
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $511.68

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$563.91$463.55RVU26D
2026-07-01$563.91$463.55RVU26C
2026-04-01$563.91$463.55RVU26B
2026-01-01$563.91$463.55RVU26A
2025-10-01$511.68$471.08RVU25D
2025-07-01$511.68$471.08RVU25C
2025-04-01$511.68$471.08RVU25B
2025-01-01$511.68$471.08RVU25A

25535 billing questions

How does this differ from 25530?

Use 25535 when the physician manipulates the ulnar shaft fracture to improve alignment. Code 25530 describes closed treatment without manipulation.

When is 25545 more appropriate?

Code 25545 is for open treatment of an ulnar shaft fracture with internal fixation. This code describes closed treatment with manipulation, without open fixation.

What documentation supports reporting 25535?

Document the ulnar shaft fracture, the manipulation or reduction performed, and the treatment plan. The record should distinguish the service from treatment without manipulation.

How does the 90-day global period affect follow-up billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS applies that period to this fracture treatment.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

How are bilateral treatment and multiple procedures handled?

CMS pays bilateral reporting with modifier 50 at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 25535PPRRVU2026_Oct_nonQPP.csv, line 2,479 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet