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CMS RVU26D · Effective 2026-10-01

25635 in Austin

Office / nonfacility

$537.01

Base rate per service

Facility setting

$433.82

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 25635: Closed treatment of other carpal fracture

Reports closed manipulation to realign a fractured carpal bone other than the scaphoid, with separate reporting for each bone treated.

An orthopedist, hand surgeon, or other qualified treating clinician reports this service when a carpal fracture other than a scaphoid fracture is treated without surgical exposure and requires manipulation to restore alignment. Examples of eligible bones include the triquetrum, lunate, capitate, hamate, trapezium, trapezoid, and pisiform. Treatment may occur in an emergency department, clinic, or other setting where the clinician provides fracture care.

Select the code for each bone treated and document the fracture site, laterality, closed approach, and the manipulation performed. A fracture treated without manipulation is reported with 25630; scaphoid fractures belong to their own code family. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 25635

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.49 · 29%
  • Practice expense (office) RVU10.14 · 65%
  • Malpractice RVU0.96 · 6%

90

Medicare services in 2024 · #4956 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.

25635 compared with similar codes

Office rates for Austin, from the same CMS release.

25630

Carpal fracture care

Without manipulation, each bone

$356.19

Both cover closed treatment of a carpal fracture other than the scaphoid, but 25635 includes manipulation and 25630 does not.

25645

Carpal fracture repair

Other than scaphoid, each bone

No office rate

Use 25645 when the other carpal fracture is treated through an open approach; 25635 describes closed treatment with manipulation.

25624

Scaphoid fracture care

With manipulation

$566.52

Code 25624 is for a scaphoid fracture treated with manipulation. Code 25635 is for another carpal bone.

25622

Scaphoid fracture care

Without manipulation

$362.86

Code 25622 covers closed treatment of a scaphoid fracture without manipulation; 25635 covers manipulation of a different carpal bone.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 25635 is $487.96—$49.05 lower than the $537.01 rate in Austin. Both use the same code, release and participation basis.

25635 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $537.01

  2. Beaumont

    $487.96

    $49.05 lower than Austin

  3. Brazoria

    $511.82

    $25.19 lower than Austin

  4. Dallas

    $516.16

    $20.85 lower than Austin

  5. Fort Worth

    $513.19

    $23.82 lower than Austin

  6. Galveston

    $514.03

    $22.98 lower than Austin

  7. Houston

    $531.61

    $5.40 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, 25635 ranges from $457.41 in Arkansas to $672.04 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 · 25635

    Office

    $500.34

    Facility

    $407.78

    $36.67 lower than Austin for the office setting.

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

    California · 25635

    Office

    $578.07

    Facility

    $462.70

    $41.06 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25635

    Office

    $592.73

    Facility

    $477.84

    $55.72 higher than Austin for the office setting.

  • Miami

    Florida · 25635

    Office

    $583.63

    Facility

    $482.10

    $46.62 higher than Austin for the office setting.

  • Chicago

    Illinois · 25635

    Office

    $564.99

    Facility

    $466.97

    $27.98 higher than Austin for the office setting.

  • Manhattan

    New York · 25635

    Office

    $603.98

    Facility

    $490.64

    $66.97 higher than Austin for the office setting.

  • Alaska*

    Alaska · 25635

    Office

    $603.32

    Facility

    $499.45

    $66.31 higher than Austin for the office setting.

  • Alabama

    Alabama · 25635

    Office

    $464.47

    Facility

    $379.13

    $72.54 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 25635

    Office

    $457.41

    Facility

    $373.64

    $79.60 lower than Austin for the office setting.

  • Arizona

    Arizona · 25635

    Office

    $505.60

    Facility

    $411.10

    $31.41 lower than Austin for the office setting.

  • Bakersfield

    California · 25635

    Office

    $543.55

    Facility

    $436.65

    $6.54 higher than Austin for the office setting.

  • Chico

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • El Centro

    California · 25635

    Office

    $541.07

    Facility

    $434.17

    $4.06 higher than Austin for the office setting.

  • Fresno

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Madera

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Merced

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Modesto

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Napa

    California · 25635

    Office

    $622.09

    Facility

    $493.55

    $85.08 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25635

    Office

    $574.47

    Facility

    $459.19

    $37.46 higher than Austin for the office setting.

  • Redding

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Rest Of California

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25635

    Office

    $551.22

    Facility

    $444.33

    $14.21 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25635

    Office

    $566.45

    Facility

    $453.02

    $29.44 higher than Austin for the office setting.

  • Salinas

    California · 25635

    Office

    $564.34

    Facility

    $451.30

    $27.33 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25635

    Office

    $576.92

    Facility

    $460.27

    $39.91 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25635

    Office

    $656.48

    Facility

    $518.96

    $119.47 higher than Austin for the office setting.

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

    California · 25635

    Office

    $655.39

    Facility

    $517.87

    $118.38 higher than Austin for the office setting.

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

    California · 25635

    Office

    $672.04

    Facility

    $531.40

    $135.03 higher than Austin for the office setting.

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

    California · 25635

    Office

    $667.58

    Facility

    $526.94

    $130.57 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25635

    Office

    $555.47

    Facility

    $444.38

    $18.46 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 25635

    Office

    $581.81

    Facility

    $463.31

    $44.80 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 25635

    Office

    $566.26

    Facility

    $452.54

    $29.25 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 25635

    Office

    $587.56

    Facility

    $467.79

    $50.55 higher than Austin for the office setting.

  • Stockton

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Vallejo

    California · 25635

    Office

    $620.52

    Facility

    $491.98

    $83.51 higher than Austin for the office setting.

  • Visalia

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Yuba City

    California · 25635

    Office

    $540.91

    Facility

    $434.01

    $3.90 higher than Austin for the office setting.

  • Colorado

    Colorado · 25635

    Office

    $537.17

    Facility

    $433.40

    $0.16 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 25635

    Office

    $556.53

    Facility

    $451.49

    $19.52 higher than Austin for the office setting.

  • Delaware

    Delaware · 25635

    Office

    $514.17

    Facility

    $417.81

    $22.84 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 25635

    Office

    $551.03

    Facility

    $452.23

    $14.02 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 25635

    Office

    $521.95

    Facility

    $428.71

    $15.06 lower than Austin for the office setting.

  • Atlanta

    Georgia · 25635

    Office

    $533.03

    Facility

    $433.94

    $3.98 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 25635

    Office

    $490.30

    Facility

    $403.30

    $46.71 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 25635

    Office

    $553.62

    Facility

    $442.73

    $16.61 higher than Austin for the office setting.

  • Iowa

    Iowa · 25635

    Office

    $472.60

    Facility

    $383.36

    $64.41 lower than Austin for the office setting.

  • Idaho

    Idaho · 25635

    Office

    $476.73

    Facility

    $387.00

    $60.28 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 25635

    Office

    $526.14

    Facility

    $436.41

    $10.87 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 25635

    Office

    $509.31

    Facility

    $420.26

    $27.70 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 25635

    Office

    $555.67

    Facility

    $455.50

    $18.66 higher than Austin for the office setting.

  • Indiana

    Indiana · 25635

    Office

    $479.51

    Facility

    $389.10

    $57.50 lower than Austin for the office setting.

  • Kansas

    Kansas · 25635

    Office

    $472.30

    Facility

    $384.13

    $64.71 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 25635

    Office

    $480.40

    Facility

    $393.70

    $56.61 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 25635

    Office

    $505.10

    Facility

    $413.32

    $31.91 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 25635

    Office

    $480.42

    Facility

    $394.11

    $56.59 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 25635

    Office

    $589.05

    Facility

    $472.60

    $52.04 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25635

    Office

    $534.56

    Facility

    $431.86

    $2.45 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25635

    Office

    $555.44

    Facility

    $450.79

    $18.43 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 25635

    Office

    $523.65

    Facility

    $424.95

    $13.36 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 25635

    Office

    $481.50

    Facility

    $391.78

    $55.51 lower than Austin for the office setting.

  • Southern Maine

    Maine · 25635

    Office

    $505.84

    Facility

    $409.19

    $31.17 lower than Austin for the office setting.

  • Detroit

    Michigan · 25635

    Office

    $530.86

    Facility

    $436.75

    $6.15 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 25635

    Office

    $495.39

    Facility

    $406.35

    $41.62 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 25635

    Office

    $507.97

    Facility

    $407.61

    $29.04 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 25635

    Office

    $499.32

    Facility

    $407.74

    $37.69 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 25635

    Office

    $504.53

    Facility

    $411.68

    $32.48 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 25635

    Office

    $473.15

    Facility

    $389.08

    $63.86 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 25635

    Office

    $465.27

    Facility

    $381.30

    $71.74 lower than Austin for the office setting.

  • Montana**

    Montana · 25635

    Office

    $520.66

    Facility

    $423.13

    $16.35 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 25635

    Office

    $486.45

    Facility

    $395.46

    $50.56 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 25635

    Office

    $501.67

    Facility

    $404.14

    $35.34 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 25635

    Office

    $474.70

    Facility

    $384.68

    $62.31 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 25635

    Office

    $530.60

    Facility

    $429.07

    $6.41 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 25635

    Office

    $586.54

    Facility

    $473.40

    $49.53 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 25635

    Office

    $560.99

    Facility

    $454.48

    $23.98 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 25635

    Office

    $499.05

    Facility

    $409.62

    $37.96 lower than Austin for the office setting.

  • Nevada**

    Nevada · 25635

    Office

    $515.70

    Facility

    $418.08

    $21.31 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25635

    Office

    $621.81

    Facility

    $505.85

    $84.80 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25635

    Office

    $566.38

    Facility

    $459.58

    $29.37 higher than Austin for the office setting.

  • Queens

    New York · 25635

    Office

    $606.13

    Facility

    $490.85

    $69.12 higher than Austin for the office setting.

  • Rest Of New York

    New York · 25635

    Office

    $494.26

    Facility

    $401.61

    $42.75 lower than Austin for the office setting.

  • Ohio

    Ohio · 25635

    Office

    $491.51

    Facility

    $402.47

    $45.50 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 25635

    Office

    $477.33

    Facility

    $390.24

    $59.68 lower than Austin for the office setting.

  • Portland

    Oregon · 25635

    Office

    $552.50

    Facility

    $444.15

    $15.49 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 25635

    Office

    $509.84

    Facility

    $412.70

    $27.17 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25635

    Office

    $543.49

    Facility

    $441.96

    $6.48 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25635

    Office

    $491.18

    Facility

    $401.65

    $45.83 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 25635

    Office

    $523.96

    Facility

    $425.36

    $13.05 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 25635

    Office

    $531.28

    Facility

    $430.53

    $5.73 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 25635

    Office

    $490.17

    Facility

    $400.05

    $46.84 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 25635

    Office

    $499.43

    Facility

    $401.90

    $37.58 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 25635

    Office

    $475.05

    Facility

    $386.40

    $61.96 lower than Austin for the office setting.

  • Utah

    Utah · 25635

    Office

    $497.13

    Facility

    $405.45

    $39.88 lower than Austin for the office setting.

  • Virginia

    Virginia · 25635

    Office

    $505.54

    Facility

    $409.66

    $31.47 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25635

    Office

    $523.96

    Facility

    $425.36

    $13.05 lower than Austin for the office setting.

  • Vermont

    Vermont · 25635

    Office

    $501.49

    Facility

    $404.94

    $35.52 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 25635

    Office

    $532.96

    Facility

    $430.26

    $4.05 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 25635

    Office

    $599.23

    Facility

    $479.56

    $62.22 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 25635

    Office

    $484.31

    Facility

    $390.87

    $52.70 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 25635

    Office

    $490.17

    Facility

    $405.42

    $46.84 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 25635

    Office

    $512.38

    Facility

    $414.85

    $24.63 lower than Austin for the office setting.

See how rates vary across the country

25635 · 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.

$457.41

$606.47

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$603.321
AL$464.471
AR$457.411
AZ$505.601
CA$540.91–$672.0429
CO$537.171
CT$556.531
DC$592.731
DE$514.171
FL$521.95–$583.633
GA$490.30–$533.032
GU$553.621
HI$553.621
IA$472.601
ID$476.731
IL$509.31–$564.994
IN$479.511
KS$472.301
KY$480.401
LA$480.42–$505.102
MA$534.56–$589.052
MD$523.65–$592.733
ME$481.50–$505.842
MI$495.39–$530.862
MN$507.971
MO$473.15–$504.533
MS$465.271
MT$520.661
NC$486.451
ND$501.671
NE$474.701
NH$530.601
NJ$560.99–$586.542
NM$499.051
NV$515.701
NY$494.26–$621.815
OH$491.511
OK$477.331
OR$509.84–$552.502
PA$491.18–$543.492
PR$523.961
RI$531.281
SC$490.171
SD$499.431
TN$475.051
TX$487.96–$537.018
UT$497.131
VA$505.54–$592.732
VI$523.961
VT$501.491
WA$532.96–$599.232
WI$484.311
WV$490.171
WY$512.381

Explore 25635 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 25635 in Austin, the physician’s office rate is $537.01 and the facility-setting rate is $433.82: a difference of $103.19.

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 25635 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$590.71

$537.01 × 110% = $590.71

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 25635 in Austin.

PPRRVU2026_Oct_nonQPP.csv

2,495

Code
25635
Physician work
4.49
Practice expense
10.14
Malpractice
0.96

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 25635 in Austin
ComponentRVULocality factorAdjusted
Physician work4.49× 1.0024.4990
Practice expense10.14× 1.05810.7281
Malpractice0.96× 0.8860.8506
Total RVUs16.0777
Conversion factor× 33.4009

Office / nonfacility rate, Austin$537.01

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

Open 25635 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.491.002
Practice expense10.141.058
Malpractice0.960.886

(4.49 × 1.002 + 10.14 × 1.058 + 0.96 × 0.886) × $33.4009 = $537.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.491.002
Practice expense7.221.058
Malpractice0.960.886

(4.49 × 1.002 + 7.22 × 1.058 + 0.96 × 0.886) × $33.4009 = $433.82

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

25635 · Office / nonfacility

$537.01

Effective 2026-10-01

The base rate is $51.19 higher than on 2025-10-01, moving from $485.82 to $537.01 (10.5%).

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

    $485.82changed to$537.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.61 changed to 4.49
    • Practice expense RVU 9.13 changed to 10.14
    • Malpractice RVU 0.94 changed to 0.96
    • 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: $485.82

    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$537.01$433.82RVU26D
2026-07-01$537.01$433.82RVU26C
2026-04-01$537.01$433.82RVU26B
2026-01-01$537.01$433.82RVU26A
2025-10-01$485.82$439.80RVU25D
2025-07-01$485.82$439.80RVU25C
2025-04-01$485.82$439.80RVU25B
2025-01-01$485.82$439.80RVU25A

25635 billing questions

How does this differ from 25630?

Use 25635 when closed treatment includes manipulation to realign the fracture. Code 25630 is for closed treatment without manipulation.

Can this code be used for a scaphoid fracture?

No. Scaphoid fractures are reported from the scaphoid-specific family, such as 25622 or 25624, depending on whether manipulation is performed.

How many units should be reported?

The code is reported for each carpal bone treated. Document the bone and the manipulation for each treated fracture.

What does the 90-day global include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

How is bilateral treatment reported?

When the service is performed bilaterally, modifier 50 applies; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is available only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.

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 25635PPRRVU2026_Oct_nonQPP.csv, line 2,495 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet