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CMS RVU26D · Effective 2026-10-01

25650 in Beaumont

Office / nonfacility

$354.87

Base rate per service

Facility setting

$305.63

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 25650: Closed ulnar styloid fracture treatment without manipulation

Closed treatment of an ulnar styloid fracture without manipulation, reported when the fracture is managed nonoperatively with immobilization and fracture-care follow-up.

This code covers nonoperative care of an ulnar styloid fracture when the provider treats the fracture without manipulating or reducing it. An orthopedic or hand surgeon may provide definitive fracture care in an office or facility; emergency clinicians may stabilize the wrist, but this code represents the provider’s fracture-treatment service. Routine immobilization and fracture-care follow-up are part of the treatment episode.

Report the code when documentation identifies the ulnar styloid fracture and supports treatment without manipulation. Record the affected side, treatment plan, and follow-up responsibility; distinguish the styloid injury from any separately treated distal radius fracture. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. With modifier 50, bilateral treatment is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 25650

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 RVU3.15 · 28%
  • Practice expense (office) RVU7.54 · 66%
  • Malpractice RVU0.66 · 6%

1.1K

Medicare services in 2024 · #2915 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.

25650 compared with similar codes

Office rates for Beaumont, from the same CMS release.

25651

Fracture fixation

Percutaneous ulnar styloid

No office rate

Choose 25651 when the ulnar styloid fracture is treated with percutaneous skeletal fixation; 25650 describes closed treatment without manipulation.

25652

Ulnar styloid fracture

Open treatment

No office rate

Choose 25652 for open treatment of the ulnar styloid fracture. This code is for closed treatment without manipulation.

25600

Fracture treatment

Distal radius, no manipulation

$359.25

25600 treats a distal radius fracture without manipulation, not an ulnar styloid fracture. A separate, treated fracture of each bone may support reporting both codes.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 25650 is $391.40—$36.53 higher than the $354.87 rate in Beaumont. Both use the same code, release and participation basis.

25650 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $354.87

  2. Austin

    $391.40

    $36.53 higher than Beaumont

  3. Brazoria

    $372.83

    $17.96 higher than Beaumont

  4. Dallas

    $375.91

    $21.04 higher than Beaumont

  5. Fort Worth

    $373.68

    $18.81 higher than Beaumont

  6. Galveston

    $374.39

    $19.52 higher than Beaumont

  7. Houston

    $386.47

    $31.60 higher than Beaumont

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, 25650 ranges from $332.90 in Arkansas to $491.76 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 · 25650

    Office

    $364.12

    Facility

    $312.77

    $9.25 higher than Beaumont for the office setting.

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

    California · 25650

    Office

    $422.09

    Facility

    $358.08

    $67.22 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25650

    Office

    $432.10

    Facility

    $368.36

    $77.23 higher than Beaumont for the office setting.

  • Miami

    Florida · 25650

    Office

    $423.13

    Facility

    $366.80

    $68.26 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 25650

    Office

    $409.64

    Facility

    $355.26

    $54.77 higher than Beaumont for the office setting.

  • Manhattan

    New York · 25650

    Office

    $439.55

    Facility

    $376.68

    $84.68 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 25650

    Office

    $438.18

    Facility

    $380.55

    $83.31 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 25650

    Office

    $338.05

    Facility

    $290.71

    $16.82 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 25650

    Office

    $332.90

    Facility

    $286.42

    $21.97 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 25650

    Office

    $368.12

    Facility

    $315.69

    $13.25 higher than Beaumont for the office setting.

  • Bakersfield

    California · 25650

    Office

    $396.66

    Facility

    $337.35

    $41.79 higher than Beaumont for the office setting.

  • Chico

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • El Centro

    California · 25650

    Office

    $394.95

    Facility

    $335.64

    $40.08 higher than Beaumont for the office setting.

  • Fresno

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Madera

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Merced

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Modesto

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Napa

    California · 25650

    Office

    $454.97

    Facility

    $383.65

    $100.10 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25650

    Office

    $419.57

    Facility

    $355.61

    $64.70 higher than Beaumont for the office setting.

  • Redding

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Rest Of California

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25650

    Office

    $401.93

    Facility

    $342.63

    $47.06 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25650

    Office

    $413.71

    Facility

    $350.78

    $58.84 higher than Beaumont for the office setting.

  • Salinas

    California · 25650

    Office

    $412.18

    Facility

    $349.46

    $57.31 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25650

    Office

    $421.52

    Facility

    $356.81

    $66.65 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25650

    Office

    $480.42

    Facility

    $404.13

    $125.55 higher than Beaumont for the office setting.

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

    California · 25650

    Office

    $479.68

    Facility

    $403.38

    $124.81 higher than Beaumont for the office setting.

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

    California · 25650

    Office

    $491.76

    Facility

    $413.73

    $136.89 higher than Beaumont for the office setting.

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

    California · 25650

    Office

    $488.70

    Facility

    $410.67

    $133.83 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25650

    Office

    $405.67

    Facility

    $344.04

    $50.80 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 25650

    Office

    $425.23

    Facility

    $359.48

    $70.36 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 25650

    Office

    $413.62

    Facility

    $350.53

    $58.75 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 25650

    Office

    $429.45

    Facility

    $363.00

    $74.58 higher than Beaumont for the office setting.

  • Stockton

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Vallejo

    California · 25650

    Office

    $453.89

    Facility

    $382.57

    $99.02 higher than Beaumont for the office setting.

  • Visalia

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Yuba City

    California · 25650

    Office

    $394.84

    Facility

    $335.53

    $39.97 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 25650

    Office

    $391.65

    Facility

    $334.08

    $36.78 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 25650

    Office

    $405.23

    Facility

    $346.95

    $50.36 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 25650

    Office

    $374.38

    Facility

    $320.92

    $19.51 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 25650

    Office

    $400.19

    Facility

    $345.37

    $45.32 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 25650

    Office

    $379.11

    Facility

    $327.38

    $24.24 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 25650

    Office

    $387.88

    Facility

    $332.90

    $33.01 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 25650

    Office

    $356.13

    Facility

    $307.87

    $1.26 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 25650

    Office

    $404.32

    Facility

    $342.80

    $49.45 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 25650

    Office

    $344.40

    Facility

    $294.89

    $10.47 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 25650

    Office

    $347.34

    Facility

    $297.55

    $7.53 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 25650

    Office

    $381.31

    Facility

    $331.53

    $26.44 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 25650

    Office

    $369.60

    Facility

    $320.20

    $14.73 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 25650

    Office

    $403.65

    Facility

    $348.08

    $48.78 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 25650

    Office

    $349.38

    Facility

    $299.23

    $5.49 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 25650

    Office

    $343.99

    Facility

    $295.07

    $10.88 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 25650

    Office

    $349.27

    Facility

    $301.17

    $5.60 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 25650

    Office

    $367.24

    Facility

    $316.32

    $12.37 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 25650

    Office

    $349.21

    Facility

    $301.33

    $5.66 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 25650

    Office

    $429.85

    Facility

    $365.24

    $74.98 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25650

    Office

    $389.66

    Facility

    $332.68

    $34.79 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25650

    Office

    $404.39

    Facility

    $346.33

    $49.52 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 25650

    Office

    $381.37

    Facility

    $326.61

    $26.50 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 25650

    Office

    $350.62

    Facility

    $300.84

    $4.25 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 25650

    Office

    $368.70

    Facility

    $315.08

    $13.83 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 25650

    Office

    $385.41

    Facility

    $333.19

    $30.54 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 25650

    Office

    $360.03

    Facility

    $310.63

    $5.16 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 25650

    Office

    $370.88

    Facility

    $315.21

    $16.01 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 25650

    Office

    $363.23

    Facility

    $312.42

    $8.36 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 25650

    Office

    $367.06

    Facility

    $315.54

    $12.19 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 25650

    Office

    $343.77

    Facility

    $297.13

    $11.10 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 25650

    Office

    $338.34

    Facility

    $291.75

    $16.53 lower than Beaumont for the office setting.

  • Montana**

    Montana · 25650

    Office

    $379.06

    Facility

    $324.95

    $24.19 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 25650

    Office

    $354.27

    Facility

    $303.78

    $0.60 lower than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 25650

    Office

    $366.01

    Facility

    $311.90

    $11.14 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 25650

    Office

    $346.00

    Facility

    $296.05

    $8.87 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 25650

    Office

    $386.67

    Facility

    $330.34

    $31.80 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 25650

    Office

    $427.52

    Facility

    $364.76

    $72.65 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 25650

    Office

    $408.62

    Facility

    $349.53

    $53.75 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 25650

    Office

    $362.63

    Facility

    $313.01

    $7.76 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 25650

    Office

    $375.67

    Facility

    $321.51

    $20.80 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25650

    Office

    $452.32

    Facility

    $387.99

    $97.45 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25650

    Office

    $412.39

    Facility

    $353.14

    $57.52 higher than Beaumont for the office setting.

  • Queens

    New York · 25650

    Office

    $441.41

    Facility

    $377.46

    $86.54 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 25650

    Office

    $359.96

    Facility

    $308.56

    $5.09 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 25650

    Office

    $357.37

    Facility

    $307.96

    $2.50 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 25650

    Office

    $347.24

    Facility

    $298.92

    $7.63 lower than Beaumont for the office setting.

  • Portland

    Oregon · 25650

    Office

    $403.09

    Facility

    $342.98

    $48.22 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 25650

    Office

    $371.55

    Facility

    $317.65

    $16.68 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25650

    Office

    $395.57

    Facility

    $339.25

    $40.70 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25650

    Office

    $357.24

    Facility

    $307.56

    $2.37 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 25650

    Office

    $381.54

    Facility

    $326.84

    $26.67 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 25650

    Office

    $387.03

    Facility

    $331.13

    $32.16 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 25650

    Office

    $356.65

    Facility

    $306.66

    $1.78 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 25650

    Office

    $364.46

    Facility

    $310.35

    $9.59 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 25650

    Office

    $345.98

    Facility

    $296.79

    $8.89 lower than Beaumont for the office setting.

  • Utah

    Utah · 25650

    Office

    $361.74

    Facility

    $310.88

    $6.87 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 25650

    Office

    $368.34

    Facility

    $315.15

    $13.47 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25650

    Office

    $381.54

    Facility

    $326.84

    $26.67 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 25650

    Office

    $365.69

    Facility

    $312.12

    $10.82 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 25650

    Office

    $388.55

    Facility

    $331.57

    $33.68 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 25650

    Office

    $437.50

    Facility

    $371.10

    $82.63 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 25650

    Office

    $353.27

    Facility

    $301.43

    $1.60 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · 25650

    Office

    $355.61

    Facility

    $308.59

    $0.74 higher than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 25650

    Office

    $373.37

    Facility

    $319.26

    $18.50 higher than Beaumont for the office setting.

See how rates vary across the country

25650 · 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.

$332.90

$443.30

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$438.181
AL$338.051
AR$332.901
AZ$368.121
CA$394.84–$491.7629
CO$391.651
CT$405.231
DC$432.101
DE$374.381
FL$379.11–$423.133
GA$356.13–$387.882
GU$404.321
HI$404.321
IA$344.401
ID$347.341
IL$369.60–$409.644
IN$349.381
KS$343.991
KY$349.271
LA$349.21–$367.242
MA$389.66–$429.852
MD$381.37–$432.103
ME$350.62–$368.702
MI$360.03–$385.412
MN$370.881
MO$343.77–$367.063
MS$338.341
MT$379.061
NC$354.271
ND$366.011
NE$346.001
NH$386.671
NJ$408.62–$427.522
NM$362.631
NV$375.671
NY$359.96–$452.325
OH$357.371
OK$347.241
OR$371.55–$403.092
PA$357.24–$395.572
PR$381.541
RI$387.031
SC$356.651
SD$364.461
TN$345.981
TX$354.87–$391.408
UT$361.741
VA$368.34–$432.102
VI$381.541
VT$365.691
WA$388.55–$437.502
WI$353.271
WV$355.611
WY$373.371

Explore 25650 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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 25650 in Beaumont, the physician’s office rate is $354.87 and the facility-setting rate is $305.63: a difference of $49.24.

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 25650 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$390.36

$354.87 × 110% = $390.36

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 25650 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

2,497

Code
25650
Physician work
3.15
Practice expense
7.54
Malpractice
0.66

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 25650 in Beaumont
ComponentRVULocality factorAdjusted
Physician work3.15× 1.0003.1500
Practice expense7.54× 0.9106.8614
Malpractice0.66× 0.9290.6131
Total RVUs10.6245
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$354.87

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

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Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.151
Practice expense7.540.91
Malpractice0.660.929

(3.15 × 1 + 7.54 × 0.91 + 0.66 × 0.929) × $33.4009 = $354.87

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.151
Practice expense5.920.91
Malpractice0.660.929

(3.15 × 1 + 5.92 × 0.91 + 0.66 × 0.929) × $33.4009 = $305.63

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

25650 · Office / nonfacility

$354.87

Effective 2026-10-01

The base rate is $39.19 higher than on 2025-10-01, moving from $315.68 to $354.87 (12.4%).

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

    $315.68changed to$354.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.23 changed to 3.15
    • Practice expense RVU 6.57 changed to 7.54
    • Malpractice RVU 0.63 changed to 0.66
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $315.68

    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$354.87$305.63RVU26D
2026-07-01$354.87$305.63RVU26C
2026-04-01$354.87$305.63RVU26B
2026-01-01$354.87$305.63RVU26A
2025-10-01$315.68$294.07RVU25D
2025-07-01$315.68$294.07RVU25C
2025-04-01$315.68$294.07RVU25B
2025-01-01$315.68$294.07RVU25A

25650 billing questions

When is this code appropriate instead of a manipulation code?

Use it when the ulnar styloid fracture is treated without manipulation. If the provider manipulates the fracture, this code does not describe the service.

Can this be reported with a distal radius fracture code?

It may be reported with a code for a separately treated distal radius fracture when both injuries receive distinct treatment. Document each fracture and its treatment.

Is routine casting or fracture follow-up separately reported?

Routine immobilization and related fracture-care follow-up are part of the fracture-treatment episode. Related postoperative care is included in the 90-day global period.

What modifier applies when both wrists are treated?

CMS identifies this as a bilateral procedure; report modifier 50 when appropriate. Bilateral payment is 150% under the stated CMS rule.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is statutorily restricted for this code. 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 25650PPRRVU2026_Oct_nonQPP.csv, line 2,497 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet