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CMS RVU26D · Effective 2026-10-01

25624 in Chico

Office / nonfacility

$570.85

Base rate per service

Facility setting

$458.10

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 25624: Closed scaphoid fracture treatment with manipulation

Reports closed treatment of a carpal scaphoid fracture when the clinician manipulates the fracture to restore alignment without open fixation.

An orthopedic or hand surgeon treats a scaphoid fracture through the skin, using external maneuvers to realign the broken carpal bone. This service is typically used when fracture alignment requires manipulation and the clinician can treat the injury without surgically exposing the fracture or placing internal fixation. Immobilization in a cast or splint commonly follows the reduction.

Choose this code when the record identifies a scaphoid fracture and supports manipulation as part of the closed treatment; simple immobilization without manipulation points to a different code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 25624

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 RVU4.65 · 28%
  • Practice expense (office) RVU10.79 · 66%
  • Malpractice RVU1.00 · 6%

81

Medicare services in 2024 · #5035 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.

25624 compared with similar codes

Office rates for Chico, from the same CMS release.

25622

Scaphoid fracture care

Without manipulation

$367.10

Both describe closed scaphoid fracture treatment. Choose 25624 when manipulation is performed; choose 25622 when treatment is without manipulation.

25628

Scaphoid fixation

Open treatment with fixation

No office rate

25628 is for open scaphoid fracture treatment with internal fixation; 25624 is closed treatment with manipulation.

25635

Carpal fracture treatment

With manipulation, each bone

$540.91

25635 describes closed treatment with manipulation of a carpal fracture other than the scaphoid. For a scaphoid fracture, use 25624.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 25624 is $573.60—$2.75 higher than the $570.85 rate in Chico. Both use the same code, release and participation basis.

25624 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $570.85

  2. Bakersfield

    $573.60

    $2.75 higher than Chico

  3. El Centro

    $571.02

    $0.17 higher than Chico

  4. Fresno

    $570.85

    The same base rate than Chico

  5. Hanford-Corcoran

    $570.85

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $610.21

    $39.36 higher than Chico

  7. Madera

    $570.85

    The same base rate than Chico

Other payment areas listed in California 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, 25624 ranges from $482.10 in Arkansas to $709.99 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

  • Merced

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Modesto

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Napa

    California · 25624

    Office

    $657.07

    Facility

    $521.48

    $86.22 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25624

    Office

    $606.46

    Facility

    $484.86

    $35.61 higher than Chico for the office setting.

  • Redding

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25624

    Office

    $581.59

    Facility

    $468.84

    $10.74 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25624

    Office

    $597.95

    Facility

    $478.31

    $27.10 higher than Chico for the office setting.

  • Salinas

    California · 25624

    Office

    $595.73

    Facility

    $476.50

    $24.88 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25624

    Office

    $609.11

    Facility

    $486.07

    $38.26 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25624

    Office

    $693.56

    Facility

    $548.50

    $122.71 higher than Chico for the office setting.

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

    California · 25624

    Office

    $692.42

    Facility

    $547.37

    $121.57 higher than Chico for the office setting.

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

    California · 25624

    Office

    $709.99

    Facility

    $561.65

    $139.14 higher than Chico for the office setting.

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

    California · 25624

    Office

    $705.35

    Facility

    $557.00

    $134.50 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25624

    Office

    $586.35

    Facility

    $469.17

    $15.50 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 25624

    Office

    $614.36

    Facility

    $489.37

    $43.51 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 25624

    Office

    $597.79

    Facility

    $477.84

    $26.94 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 25624

    Office

    $620.44

    Facility

    $494.11

    $49.59 higher than Chico for the office setting.

  • Stockton

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 25624

    Office

    $655.43

    Facility

    $519.84

    $84.58 higher than Chico for the office setting.

  • Visalia

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 25624

    Office

    $570.85

    Facility

    $458.10

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25624

    Office

    $625.42

    Facility

    $504.24

    $54.57 higher than Chico for the office setting.

  • Miami

    Florida · 25624

    Office

    $614.96

    Facility

    $507.86

    $44.11 higher than Chico for the office setting.

  • Chicago

    Illinois · 25624

    Office

    $595.25

    Facility

    $491.86

    $24.40 higher than Chico for the office setting.

  • Manhattan

    New York · 25624

    Office

    $637.01

    Facility

    $517.47

    $66.16 higher than Chico for the office setting.

  • Alaska*

    Alaska · 25624

    Office

    $635.20

    Facility

    $525.63

    $64.35 higher than Chico for the office setting.

  • Alabama

    Alabama · 25624

    Office

    $489.57

    Facility

    $399.55

    $81.28 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 25624

    Office

    $482.10

    Facility

    $393.73

    $88.75 lower than Chico for the office setting.

  • Arizona

    Arizona · 25624

    Office

    $533.13

    Facility

    $433.44

    $37.72 lower than Chico for the office setting.

  • Colorado

    Colorado · 25624

    Office

    $566.73

    Facility

    $457.27

    $4.12 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 25624

    Office

    $586.98

    Facility

    $476.19

    $16.13 higher than Chico for the office setting.

  • Delaware

    Delaware · 25624

    Office

    $542.19

    Facility

    $440.55

    $28.66 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 25624

    Office

    $580.78

    Facility

    $476.57

    $9.93 higher than Chico for the office setting.

  • Rest Of Florida

    Florida · 25624

    Office

    $550.05

    Facility

    $451.71

    $20.80 lower than Chico for the office setting.

  • Atlanta

    Georgia · 25624

    Office

    $562.06

    Facility

    $457.54

    $8.79 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 25624

    Office

    $516.60

    Facility

    $424.84

    $54.25 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 25624

    Office

    $584.42

    Facility

    $467.45

    $13.57 higher than Chico for the office setting.

  • Iowa

    Iowa · 25624

    Office

    $498.34

    Facility

    $404.21

    $72.51 lower than Chico for the office setting.

  • Idaho

    Idaho · 25624

    Office

    $502.68

    Facility

    $408.03

    $68.17 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 25624

    Office

    $554.15

    Facility

    $459.50

    $16.70 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 25624

    Office

    $536.56

    Facility

    $442.64

    $34.29 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 25624

    Office

    $585.71

    Facility

    $480.06

    $14.86 higher than Chico for the office setting.

  • Indiana

    Indiana · 25624

    Office

    $505.63

    Facility

    $410.27

    $65.22 lower than Chico for the office setting.

  • Kansas

    Kansas · 25624

    Office

    $497.95

    Facility

    $404.95

    $72.90 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 25624

    Office

    $506.27

    Facility

    $414.81

    $64.58 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 25624

    Office

    $532.39

    Facility

    $435.58

    $38.46 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 25624

    Office

    $506.26

    Facility

    $415.22

    $64.59 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 25624

    Office

    $621.72

    Facility

    $498.89

    $50.87 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25624

    Office

    $563.92

    Facility

    $455.59

    $6.93 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25624

    Office

    $585.82

    Facility

    $475.44

    $14.97 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 25624

    Office

    $552.25

    Facility

    $448.14

    $18.60 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 25624

    Office

    $507.65

    Facility

    $413.01

    $63.20 lower than Chico for the office setting.

  • Southern Maine

    Maine · 25624

    Office

    $533.54

    Facility

    $431.59

    $37.31 lower than Chico for the office setting.

  • Detroit

    Michigan · 25624

    Office

    $559.41

    Facility

    $460.14

    $11.44 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 25624

    Office

    $522.07

    Facility

    $428.14

    $48.78 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 25624

    Office

    $536.05

    Facility

    $430.19

    $34.80 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 25624

    Office

    $526.36

    Facility

    $429.76

    $44.49 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 25624

    Office

    $531.88

    Facility

    $433.94

    $38.97 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 25624

    Office

    $498.51

    Facility

    $409.83

    $72.34 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 25624

    Office

    $490.30

    Facility

    $401.72

    $80.55 lower than Chico for the office setting.

  • Montana**

    Montana · 25624

    Office

    $549.04

    Facility

    $446.17

    $21.81 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 25624

    Office

    $512.91

    Facility

    $416.92

    $57.94 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 25624

    Office

    $529.27

    Facility

    $426.40

    $41.58 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 25624

    Office

    $500.58

    Facility

    $405.63

    $70.27 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 25624

    Office

    $559.71

    Facility

    $452.62

    $11.14 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 25624

    Office

    $618.83

    Facility

    $499.50

    $47.98 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 25624

    Office

    $591.72

    Facility

    $479.38

    $20.87 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 25624

    Office

    $525.91

    Facility

    $431.58

    $44.94 lower than Chico for the office setting.

  • Nevada**

    Nevada · 25624

    Office

    $543.89

    Facility

    $440.92

    $26.96 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25624

    Office

    $655.79

    Facility

    $533.47

    $84.94 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25624

    Office

    $597.35

    Facility

    $484.70

    $26.50 higher than Chico for the office setting.

  • Queens

    New York · 25624

    Office

    $639.41

    Facility

    $517.81

    $68.56 higher than Chico for the office setting.

  • Rest Of New York

    New York · 25624

    Office

    $521.17

    Facility

    $423.44

    $49.68 lower than Chico for the office setting.

  • Ohio

    Ohio · 25624

    Office

    $518.02

    Facility

    $424.10

    $52.83 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 25624

    Office

    $503.10

    Facility

    $411.23

    $67.75 lower than Chico for the office setting.

  • Portland

    Oregon · 25624

    Office

    $583.05

    Facility

    $468.76

    $12.20 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 25624

    Office

    $537.75

    Facility

    $435.29

    $33.10 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25624

    Office

    $573.13

    Facility

    $466.04

    $2.28 higher than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25624

    Office

    $517.72

    Facility

    $423.28

    $53.13 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 25624

    Office

    $552.57

    Facility

    $448.57

    $18.28 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 25624

    Office

    $560.35

    Facility

    $454.08

    $10.50 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 25624

    Office

    $516.71

    Facility

    $421.65

    $54.14 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 25624

    Office

    $526.93

    Facility

    $424.06

    $43.92 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 25624

    Office

    $500.85

    Facility

    $407.34

    $70.00 lower than Chico for the office setting.

  • Austin

    Texas · 25624

    Office

    $566.52

    Facility

    $457.68

    $4.33 lower than Chico for the office setting.

  • Beaumont

    Texas · 25624

    Office

    $514.30

    Facility

    $420.69

    $56.55 lower than Chico for the office setting.

  • Brazoria

    Texas · 25624

    Office

    $539.76

    Facility

    $437.81

    $31.09 lower than Chico for the office setting.

  • Dallas

    Texas · 25624

    Office

    $544.32

    Facility

    $441.86

    $26.53 lower than Chico for the office setting.

  • Fort Worth

    Texas · 25624

    Office

    $541.15

    Facility

    $439.72

    $29.70 lower than Chico for the office setting.

  • Galveston

    Texas · 25624

    Office

    $542.09

    Facility

    $439.93

    $28.76 lower than Chico for the office setting.

  • Houston

    Texas · 25624

    Office

    $560.39

    Facility

    $458.23

    $10.46 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 25624

    Office

    $527.49

    Facility

    $429.86

    $43.36 lower than Chico for the office setting.

  • Utah

    Utah · 25624

    Office

    $524.08

    Facility

    $427.38

    $46.77 lower than Chico for the office setting.

  • Virginia

    Virginia · 25624

    Office

    $533.16

    Facility

    $432.04

    $37.69 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25624

    Office

    $552.57

    Facility

    $448.57

    $18.28 lower than Chico for the office setting.

  • Vermont

    Vermont · 25624

    Office

    $529.01

    Facility

    $427.16

    $41.84 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 25624

    Office

    $562.25

    Facility

    $453.92

    $8.60 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 25624

    Office

    $632.57

    Facility

    $506.35

    $61.72 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 25624

    Office

    $510.86

    Facility

    $412.31

    $59.99 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 25624

    Office

    $516.29

    Facility

    $426.90

    $54.56 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 25624

    Office

    $540.43

    Facility

    $437.55

    $30.42 lower than Chico for the office setting.

See how rates vary across the country

25624 · 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.

$482.10

$640.42

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$635.201
AL$489.571
AR$482.101
AZ$533.131
CA$570.85–$709.9929
CO$566.731
CT$586.981
DC$625.421
DE$542.191
FL$550.05–$614.963
GA$516.60–$562.062
GU$584.421
HI$584.421
IA$498.341
ID$502.681
IL$536.56–$595.254
IN$505.631
KS$497.951
KY$506.271
LA$506.26–$532.392
MA$563.92–$621.722
MD$552.25–$625.423
ME$507.65–$533.542
MI$522.07–$559.412
MN$536.051
MO$498.51–$531.883
MS$490.301
MT$549.041
NC$512.911
ND$529.271
NE$500.581
NH$559.711
NJ$591.72–$618.832
NM$525.911
NV$543.891
NY$521.17–$655.795
OH$518.021
OK$503.101
OR$537.75–$583.052
PA$517.72–$573.132
PR$552.571
RI$560.351
SC$516.711
SD$526.931
TN$500.851
TX$514.30–$566.528
UT$524.081
VA$533.16–$625.422
VI$552.571
VT$529.011
WA$562.25–$632.572
WI$510.861
WV$516.291
WY$540.431

Explore 25624 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 25624 in Chico, the physician’s office rate is $570.85 and the facility-setting rate is $458.10: a difference of $112.75.

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 25624 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$627.94

$570.85 × 110% = $627.94

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 25624 in Chico.

PPRRVU2026_Oct_nonQPP.csv

2,492

Code
25624
Physician work
4.65
Practice expense
10.79
Malpractice
1.00

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 25624 in Chico
ComponentRVULocality factorAdjusted
Physician work4.65× 1.0174.7290
Practice expense10.79× 1.09611.8258
Malpractice1.00× 0.5360.5360
Total RVUs17.0909
Conversion factor× 33.4009

Office / nonfacility rate, Chico$570.85

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

Open 25624 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.651.017
Practice expense10.791.096
Malpractice10.536

(4.65 × 1.017 + 10.79 × 1.096 + 1 × 0.536) × $33.4009 = $570.85

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.651.017
Practice expense7.711.096
Malpractice10.536

(4.65 × 1.017 + 7.71 × 1.096 + 1 × 0.536) × $33.4009 = $458.10

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

25624 · Office / nonfacility

$570.85

Effective 2026-10-01

The base rate is $52.64 higher than on 2025-10-01, moving from $518.21 to $570.85 (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

    $518.21changed to$570.85

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.77 changed to 4.65
    • Practice expense RVU 9.73 changed to 10.79
    • Malpractice RVU 0.98 changed to 1.00
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $518.21

    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$570.85$458.10RVU26D
2026-07-01$570.85$458.10RVU26C
2026-04-01$570.85$458.10RVU26B
2026-01-01$570.85$458.10RVU26A
2025-10-01$518.21$466.59RVU25D
2025-07-01$518.21$466.59RVU25C
2025-04-01$518.21$466.59RVU25B
2025-01-01$518.21$466.59RVU25A

25624 billing questions

When should I choose 25624 instead of 25622?

Use 25624 when the clinician manipulates the scaphoid fracture during closed treatment. Code 25622 describes closed scaphoid fracture treatment without manipulation.

How does 25624 differ from 25628?

25624 is closed treatment with manipulation. Use 25628 when the scaphoid fracture is treated openly with internal fixation.

What documentation supports 25624?

Document the scaphoid fracture, the closed reduction or manipulation performed, and the treatment plan, including immobilization when used. The record should distinguish manipulation from immobilization alone.

Are routine follow-up visits included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How is bilateral treatment reported?

When the service is performed bilaterally, CMS pays 150% with modifier 50. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 25624PPRRVU2026_Oct_nonQPP.csv, line 2,492 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet