$367.10
25622 is closed treatment of a scaphoid fracture without manipulation. Use 25628 when the surgeon opens the site and stabilizes the fracture with internal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
25628 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$674.70
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 surgery
About 25628: Open scaphoid fracture fixation
Reports open operative treatment of a carpal scaphoid fracture when the surgeon stabilizes the fracture with internal fixation.
An orthopedic or hand surgeon uses an open approach to expose and treat a fractured scaphoid, a carpal bone on the thumb side of the wrist. The surgeon restores fracture alignment as needed and stabilizes the bone with internal fixation, such as a screw. This treatment is commonly performed in an operating room for a displaced or unstable scaphoid fracture when operative fixation is selected.
Report 25628 when the operative record supports open treatment of the scaphoid fracture with internal fixation; closed management or treatment of a different carpal bone calls for a different code. Document the fracture site, operative approach, reduction or alignment work, and fixation performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 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 services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25628
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.43 · 47%
- Practice expense (office) RVU8.80 · 44%
- Malpractice RVU1.80 · 9%
611
Medicare services in 2024 · #3374 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.
25628 compared with similar codes
Office rates for Chico, from the same CMS release.
$570.85
25624 is closed treatment of a scaphoid fracture with manipulation. It does not represent open fixation as reported with 25628.
No office rate
25440 addresses repair of an established scaphoid nonunion or malunion. 25628 describes open fixation of a scaphoid fracture, not reconstruction of a nonunion or malunion.
No office rate
25645 is open treatment of a carpal fracture in a bone other than the scaphoid. 25628 is specific to the scaphoid.
The same code, a different location
How does Chico compare?
25628 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Modesto
California · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Napa
California · 25628
Office
Unavailable
Facility
$752.75
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25628
Office
Unavailable
Facility
$708.67
No comparable office rate is available.
Redding
California · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Rest Of California
California · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25628
Office
Unavailable
Facility
$694.07
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25628
Office
Unavailable
Facility
$700.37
No comparable office rate is available.
Salinas
California · 25628
Office
Unavailable
Facility
$697.62
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25628
Office
Unavailable
Facility
$708.54
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25628
Office
Unavailable
Facility
$786.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25628
Office
Unavailable
Facility
$784.88
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25628
Office
Unavailable
Facility
$805.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25628
Office
Unavailable
Facility
$797.33
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25628
Office
Unavailable
Facility
$687.33
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25628
Office
Unavailable
Facility
$710.93
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25628
Office
Unavailable
Facility
$698.73
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25628
Office
Unavailable
Facility
$717.59
No comparable office rate is available.
Stockton
California · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Vallejo
California · 25628
Office
Unavailable
Facility
$749.81
No comparable office rate is available.
Visalia
California · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Yuba City
California · 25628
Office
Unavailable
Facility
$674.70
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25628
Office
Unavailable
Facility
$745.14
No comparable office rate is available.
Miami
Florida · 25628
Office
Unavailable
Facility
$773.00
No comparable office rate is available.
Chicago
Illinois · 25628
Office
Unavailable
Facility
$750.55
No comparable office rate is available.
Manhattan
New York · 25628
Office
Unavailable
Facility
$772.03
No comparable office rate is available.
Alaska*
Alaska · 25628
Office
Unavailable
Facility
$818.62
No comparable office rate is available.
Alabama
Alabama · 25628
Office
Unavailable
Facility
$606.19
No comparable office rate is available.
Arkansas
Arkansas · 25628
Office
Unavailable
Facility
$598.42
No comparable office rate is available.
Arizona
Arizona · 25628
Office
Unavailable
Facility
$651.25
No comparable office rate is available.
Colorado
Colorado · 25628
Office
Unavailable
Facility
$678.44
No comparable office rate is available.
Connecticut
Connecticut · 25628
Office
Unavailable
Facility
$710.58
No comparable office rate is available.
Delaware
Delaware · 25628
Office
Unavailable
Facility
$661.00
No comparable office rate is available.
Fort Lauderdale
Florida · 25628
Office
Unavailable
Facility
$721.42
No comparable office rate is available.
Rest Of Florida
Florida · 25628
Office
Unavailable
Facility
$686.33
No comparable office rate is available.
Atlanta
Georgia · 25628
Office
Unavailable
Facility
$686.75
No comparable office rate is available.
Rest Of Georgia
Georgia · 25628
Office
Unavailable
Facility
$648.82
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25628
Office
Unavailable
Facility
$683.98
No comparable office rate is available.
Iowa
Iowa · 25628
Office
Unavailable
Facility
$607.78
No comparable office rate is available.
Idaho
Idaho · 25628
Office
Unavailable
Facility
$613.82
No comparable office rate is available.
East St. Louis
Illinois · 25628
Office
Unavailable
Facility
$706.47
No comparable office rate is available.
Rest Of Illinois
Illinois · 25628
Office
Unavailable
Facility
$677.30
No comparable office rate is available.
Suburban Chicago
Illinois · 25628
Office
Unavailable
Facility
$725.57
No comparable office rate is available.
Indiana
Indiana · 25628
Office
Unavailable
Facility
$616.66
No comparable office rate is available.
Kansas
Kansas · 25628
Office
Unavailable
Facility
$610.98
No comparable office rate is available.
Kentucky
Kentucky · 25628
Office
Unavailable
Facility
$631.28
No comparable office rate is available.
New Orleans
Louisiana · 25628
Office
Unavailable
Facility
$659.85
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25628
Office
Unavailable
Facility
$632.69
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25628
Office
Unavailable
Facility
$732.34
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25628
Office
Unavailable
Facility
$677.43
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25628
Office
Unavailable
Facility
$709.77
No comparable office rate is available.
Rest Of Maryland
Maryland · 25628
Office
Unavailable
Facility
$670.77
No comparable office rate is available.
Rest Of Maine
Maine · 25628
Office
Unavailable
Facility
$622.78
No comparable office rate is available.
Southern Maine
Maine · 25628
Office
Unavailable
Facility
$644.19
No comparable office rate is available.
Detroit
Michigan · 25628
Office
Unavailable
Facility
$699.98
No comparable office rate is available.
Rest Of Michigan
Michigan · 25628
Office
Unavailable
Facility
$651.20
No comparable office rate is available.
Minnesota
Minnesota · 25628
Office
Unavailable
Facility
$635.22
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25628
Office
Unavailable
Facility
$649.71
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25628
Office
Unavailable
Facility
$655.03
No comparable office rate is available.
Rest Of Missouri
Missouri · 25628
Office
Unavailable
Facility
$626.89
No comparable office rate is available.
Mississippi
Mississippi · 25628
Office
Unavailable
Facility
$612.47
No comparable office rate is available.
Montana**
Montana · 25628
Office
Unavailable
Facility
$668.90
No comparable office rate is available.
North Carolina
North Carolina · 25628
Office
Unavailable
Facility
$627.62
No comparable office rate is available.
North Dakota**
North Dakota · 25628
Office
Unavailable
Facility
$633.31
No comparable office rate is available.
Nebraska
Nebraska · 25628
Office
Unavailable
Facility
$608.99
No comparable office rate is available.
New Hampshire
New Hampshire · 25628
Office
Unavailable
Facility
$673.56
No comparable office rate is available.
Northern Nj
New Jersey · 25628
Office
Unavailable
Facility
$739.98
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25628
Office
Unavailable
Facility
$714.49
No comparable office rate is available.
New Mexico
New Mexico · 25628
Office
Unavailable
Facility
$656.71
No comparable office rate is available.
Nevada**
Nevada · 25628
Office
Unavailable
Facility
$659.27
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25628
Office
Unavailable
Facility
$796.25
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25628
Office
Unavailable
Facility
$723.74
No comparable office rate is available.
Queens
New York · 25628
Office
Unavailable
Facility
$769.25
No comparable office rate is available.
Rest Of New York
New York · 25628
Office
Unavailable
Facility
$636.47
No comparable office rate is available.
Ohio
Ohio · 25628
Office
Unavailable
Facility
$643.93
No comparable office rate is available.
Oklahoma
Oklahoma · 25628
Office
Unavailable
Facility
$624.16
No comparable office rate is available.
Portland
Oregon · 25628
Office
Unavailable
Facility
$691.29
No comparable office rate is available.
Rest Of Oregon
Oregon · 25628
Office
Unavailable
Facility
$649.99
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25628
Office
Unavailable
Facility
$698.34
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25628
Office
Unavailable
Facility
$641.61
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25628
Office
Unavailable
Facility
$671.35
No comparable office rate is available.
Rhode Island
Rhode Island · 25628
Office
Unavailable
Facility
$678.21
No comparable office rate is available.
South Carolina
South Carolina · 25628
Office
Unavailable
Facility
$637.66
No comparable office rate is available.
South Dakota**
South Dakota · 25628
Office
Unavailable
Facility
$629.10
No comparable office rate is available.
Tennessee
Tennessee · 25628
Office
Unavailable
Facility
$614.44
No comparable office rate is available.
Austin
Texas · 25628
Office
Unavailable
Facility
$679.84
No comparable office rate is available.
Beaumont
Texas · 25628
Office
Unavailable
Facility
$638.30
No comparable office rate is available.
Brazoria
Texas · 25628
Office
Unavailable
Facility
$655.67
No comparable office rate is available.
Dallas
Texas · 25628
Office
Unavailable
Facility
$662.14
No comparable office rate is available.
Fort Worth
Texas · 25628
Office
Unavailable
Facility
$659.98
No comparable office rate is available.
Galveston
Texas · 25628
Office
Unavailable
Facility
$659.14
No comparable office rate is available.
Houston
Texas · 25628
Office
Unavailable
Facility
$692.09
No comparable office rate is available.
Rest Of Texas
Texas · 25628
Office
Unavailable
Facility
$648.20
No comparable office rate is available.
Utah
Utah · 25628
Office
Unavailable
Facility
$645.25
No comparable office rate is available.
Virginia
Virginia · 25628
Office
Unavailable
Facility
$646.35
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25628
Office
Unavailable
Facility
$671.35
No comparable office rate is available.
Vermont
Vermont · 25628
Office
Unavailable
Facility
$636.38
No comparable office rate is available.
Rest Of Washington
Washington · 25628
Office
Unavailable
Facility
$674.32
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25628
Office
Unavailable
Facility
$740.49
No comparable office rate is available.
Wisconsin
Wisconsin · 25628
Office
Unavailable
Facility
$615.07
No comparable office rate is available.
West Virginia
West Virginia · 25628
Office
Unavailable
Facility
$656.43
No comparable office rate is available.
Wyoming**
Wyoming · 25628
Office
Unavailable
Facility
$653.39
No comparable office rate is available.
See how rates vary across the country
25628 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 25628 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$742.17
$674.70 × 110% = $742.17
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.
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 25628 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,493
- Code
- 25628
- Physician work
- 9.43
- Practice expense
- 8.80
- Malpractice
- 1.80
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.43 | × 1.017 | 9.5903 |
| Practice expense | 8.80 | × 1.096 | 9.6448 |
| Malpractice | 1.80 | × 0.536 | 0.9648 |
| Total RVUs | 20.1999 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$674.70
Open 25628 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.43 | 1.017 |
| Practice expense | 8.8 | 1.096 |
| Malpractice | 1.8 | 0.536 |
(9.43 × 1.017 + 8.8 × 1.096 + 1.8 × 0.536) × $33.4009 = $674.70
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
25628 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $674.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $674.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $674.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $674.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $727.36 | RVU25D |
| 2025-07-01 | Not available in this setting | $727.36 | RVU25C |
| 2025-04-01 | Not available in this setting | $727.36 | RVU25B |
| 2025-01-01 | Not available in this setting | $727.36 | RVU25A |
25628 billing questions
When should 25628 be chosen over closed scaphoid fracture treatment?
Use 25628 when the surgeon treats the scaphoid fracture through an open approach and applies internal fixation. Closed treatment without manipulation or with manipulation is represented by 25622 or 25624, respectively.
Does 25628 describe fixation of any carpal bone?
No. It is specific to open treatment with internal fixation of a scaphoid fracture. Open treatment of a carpal fracture other than the scaphoid is represented by 25645.
What documentation supports reporting 25628?
The operative report should identify the scaphoid fracture and describe the open approach and internal fixation performed. Include the treatment details that distinguish the service from closed management or treatment of another carpal bone.
Are related postoperative visits included?
Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported with 25628?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted under the supplied CMS rules for this code.
How does Medicare handle bilateral reporting and other procedures in the same session?
Bilateral reporting with modifier 50 is paid at 150%. When 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.
2,49025609,,Optx dst rd xart fx/ep sep3+,A,,14.02,12.22,NA,12.22,,2.75,28.99,28.99,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49125622,,Cltx carpl scphd fx w/o mnpj,A,,2.72,7.24,,5.60,,0.54,10.50,8.86,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49225624,,Cltx carpl scphd fx w/mnpj,A,,4.65,10.79,,7.71,,1.00,16.44,13.36,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49325628,,Optx carpl scphd fx int fixj,A,,9.43,8.80,NA,8.80,,1.80,20.03,20.03,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49425630,,Cltx carpl fx w/o mnpj ea b1,A,,2.95,6.80,,5.17,,0.58,10.33,8.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49525635,,Cltx carpl fx w/mnpj ea b1,A,,4.49,10.14,,7.22,,0.96,15.59,12.67,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49625645,,Optx crpl fx oth/thn scph ea,A,,7.23,7.59,NA,7.59,,1.53,16.35,16.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536