$394.84
Use 25650 for closed treatment of the ulnar styloid fracture. Choose 25652 when the surgeon directly exposes and treats the fracture.
On this page
CMS RVU26D · Effective 2026-10-01
25652 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$597.48
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 25652: Open treatment of ulnar styloid fracture
Report open treatment when a surgeon directly exposes and treats an ulnar styloid fracture, often to address displacement or associated wrist instability.
This service involves surgically exposing an ulnar styloid fracture and treating it directly; fixation may be used. Orthopedic or hand surgeons commonly perform it in an operating room, often when the fragment is displaced or the fracture is associated with distal radioulnar joint instability. Ulnar styloid fractures can occur with distal radius fractures, so the operative plan may address both injuries during the same session.
Choose this code when the documented treatment uses an open approach, rather than closed care or percutaneous skeletal fixation. The operative report should identify the fracture, describe the open approach and treatment, and document any fixation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 25652
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.86 · 44%
- Practice expense (office) RVU8.26 · 47%
- Malpractice RVU1.57 · 9%
567
Medicare services in 2024 · #3447 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.
25652 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
25651 describes percutaneous skeletal fixation. 25652 describes open treatment, with fixation when performed.
No office rate
25607 is for open treatment of an extra-articular distal radius fracture, not an ulnar styloid fracture. A patient with both injuries may have treatment of each documented.
The same code, a different location
How does Chico compare?
25652 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 · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Modesto
California · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Napa
California · 25652
Office
Unavailable
Facility
$669.33
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25652
Office
Unavailable
Facility
$628.66
No comparable office rate is available.
Redding
California · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Rest Of California
California · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25652
Office
Unavailable
Facility
$614.36
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25652
Office
Unavailable
Facility
$620.95
No comparable office rate is available.
Salinas
California · 25652
Office
Unavailable
Facility
$618.54
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25652
Office
Unavailable
Facility
$628.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25652
Office
Unavailable
Facility
$700.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25652
Office
Unavailable
Facility
$698.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25652
Office
Unavailable
Facility
$717.35
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25652
Office
Unavailable
Facility
$710.06
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25652
Office
Unavailable
Facility
$609.34
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25652
Office
Unavailable
Facility
$631.36
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25652
Office
Unavailable
Facility
$619.68
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25652
Office
Unavailable
Facility
$637.31
No comparable office rate is available.
Stockton
California · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Vallejo
California · 25652
Office
Unavailable
Facility
$666.77
No comparable office rate is available.
Visalia
California · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Yuba City
California · 25652
Office
Unavailable
Facility
$597.48
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25652
Office
Unavailable
Facility
$660.07
No comparable office rate is available.
Miami
Florida · 25652
Office
Unavailable
Facility
$682.35
No comparable office rate is available.
Chicago
Illinois · 25652
Office
Unavailable
Facility
$661.99
No comparable office rate is available.
Manhattan
New York · 25652
Office
Unavailable
Facility
$683.09
No comparable office rate is available.
Alaska*
Alaska · 25652
Office
Unavailable
Facility
$716.52
No comparable office rate is available.
Alabama
Alabama · 25652
Office
Unavailable
Facility
$533.62
No comparable office rate is available.
Arkansas
Arkansas · 25652
Office
Unavailable
Facility
$526.53
No comparable office rate is available.
Arizona
Arizona · 25652
Office
Unavailable
Facility
$574.76
No comparable office rate is available.
Colorado
Colorado · 25652
Office
Unavailable
Facility
$600.19
No comparable office rate is available.
Connecticut
Connecticut · 25652
Office
Unavailable
Facility
$628.37
No comparable office rate is available.
Delaware
Delaware · 25652
Office
Unavailable
Facility
$583.57
No comparable office rate is available.
Fort Lauderdale
Florida · 25652
Office
Unavailable
Facility
$636.82
No comparable office rate is available.
Rest Of Florida
Florida · 25652
Office
Unavailable
Facility
$605.10
No comparable office rate is available.
Atlanta
Georgia · 25652
Office
Unavailable
Facility
$606.60
No comparable office rate is available.
Rest Of Georgia
Georgia · 25652
Office
Unavailable
Facility
$571.13
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25652
Office
Unavailable
Facility
$606.58
No comparable office rate is available.
Iowa
Iowa · 25652
Office
Unavailable
Facility
$535.79
No comparable office rate is available.
Idaho
Idaho · 25652
Office
Unavailable
Facility
$541.16
No comparable office rate is available.
East St. Louis
Illinois · 25652
Office
Unavailable
Facility
$621.96
No comparable office rate is available.
Rest Of Illinois
Illinois · 25652
Office
Unavailable
Facility
$596.38
No comparable office rate is available.
Suburban Chicago
Illinois · 25652
Office
Unavailable
Facility
$640.63
No comparable office rate is available.
Indiana
Indiana · 25652
Office
Unavailable
Facility
$543.77
No comparable office rate is available.
Kansas
Kansas · 25652
Office
Unavailable
Facility
$538.37
No comparable office rate is available.
Kentucky
Kentucky · 25652
Office
Unavailable
Facility
$555.78
No comparable office rate is available.
New Orleans
Louisiana · 25652
Office
Unavailable
Facility
$581.72
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25652
Office
Unavailable
Facility
$556.93
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25652
Office
Unavailable
Facility
$649.38
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25652
Office
Unavailable
Facility
$599.04
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25652
Office
Unavailable
Facility
$627.63
No comparable office rate is available.
Rest Of Maryland
Maryland · 25652
Office
Unavailable
Facility
$592.50
No comparable office rate is available.
Rest Of Maine
Maine · 25652
Office
Unavailable
Facility
$548.97
No comparable office rate is available.
Southern Maine
Maine · 25652
Office
Unavailable
Facility
$569.03
No comparable office rate is available.
Detroit
Michigan · 25652
Office
Unavailable
Facility
$617.18
No comparable office rate is available.
Rest Of Michigan
Michigan · 25652
Office
Unavailable
Facility
$573.62
No comparable office rate is available.
Minnesota
Minnesota · 25652
Office
Unavailable
Facility
$561.95
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25652
Office
Unavailable
Facility
$572.83
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25652
Office
Unavailable
Facility
$577.72
No comparable office rate is available.
Rest Of Missouri
Missouri · 25652
Office
Unavailable
Facility
$551.43
No comparable office rate is available.
Mississippi
Mississippi · 25652
Office
Unavailable
Facility
$538.83
No comparable office rate is available.
Montana**
Montana · 25652
Office
Unavailable
Facility
$590.76
No comparable office rate is available.
North Carolina
North Carolina · 25652
Office
Unavailable
Facility
$553.45
No comparable office rate is available.
North Dakota**
North Dakota · 25652
Office
Unavailable
Facility
$559.71
No comparable office rate is available.
Nebraska
Nebraska · 25652
Office
Unavailable
Facility
$537.00
No comparable office rate is available.
New Hampshire
New Hampshire · 25652
Office
Unavailable
Facility
$595.62
No comparable office rate is available.
Northern Nj
New Jersey · 25652
Office
Unavailable
Facility
$655.11
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25652
Office
Unavailable
Facility
$631.83
No comparable office rate is available.
New Mexico
New Mexico · 25652
Office
Unavailable
Facility
$578.50
No comparable office rate is available.
Nevada**
Nevada · 25652
Office
Unavailable
Facility
$582.38
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25652
Office
Unavailable
Facility
$704.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25652
Office
Unavailable
Facility
$639.90
No comparable office rate is available.
Queens
New York · 25652
Office
Unavailable
Facility
$681.05
No comparable office rate is available.
Rest Of New York
New York · 25652
Office
Unavailable
Facility
$561.49
No comparable office rate is available.
Ohio
Ohio · 25652
Office
Unavailable
Facility
$567.28
No comparable office rate is available.
Oklahoma
Oklahoma · 25652
Office
Unavailable
Facility
$549.65
No comparable office rate is available.
Portland
Oregon · 25652
Office
Unavailable
Facility
$612.26
No comparable office rate is available.
Rest Of Oregon
Oregon · 25652
Office
Unavailable
Facility
$574.18
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25652
Office
Unavailable
Facility
$617.02
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25652
Office
Unavailable
Facility
$565.35
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25652
Office
Unavailable
Facility
$593.11
No comparable office rate is available.
Rhode Island
Rhode Island · 25652
Office
Unavailable
Facility
$599.29
No comparable office rate is available.
South Carolina
South Carolina · 25652
Office
Unavailable
Facility
$562.03
No comparable office rate is available.
South Dakota**
South Dakota · 25652
Office
Unavailable
Facility
$556.04
No comparable office rate is available.
Tennessee
Tennessee · 25652
Office
Unavailable
Facility
$541.48
No comparable office rate is available.
Austin
Texas · 25652
Office
Unavailable
Facility
$601.41
No comparable office rate is available.
Beaumont
Texas · 25652
Office
Unavailable
Facility
$562.31
No comparable office rate is available.
Brazoria
Texas · 25652
Office
Unavailable
Facility
$578.94
No comparable office rate is available.
Dallas
Texas · 25652
Office
Unavailable
Facility
$584.67
No comparable office rate is available.
Fort Worth
Texas · 25652
Office
Unavailable
Facility
$582.60
No comparable office rate is available.
Galveston
Texas · 25652
Office
Unavailable
Facility
$582.01
No comparable office rate is available.
Houston
Texas · 25652
Office
Unavailable
Facility
$610.75
No comparable office rate is available.
Rest Of Texas
Texas · 25652
Office
Unavailable
Facility
$571.70
No comparable office rate is available.
Utah
Utah · 25652
Office
Unavailable
Facility
$568.96
No comparable office rate is available.
Virginia
Virginia · 25652
Office
Unavailable
Facility
$570.75
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25652
Office
Unavailable
Facility
$593.11
No comparable office rate is available.
Vermont
Vermont · 25652
Office
Unavailable
Facility
$562.20
No comparable office rate is available.
Rest Of Washington
Washington · 25652
Office
Unavailable
Facility
$596.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25652
Office
Unavailable
Facility
$657.02
No comparable office rate is available.
Wisconsin
Wisconsin · 25652
Office
Unavailable
Facility
$542.99
No comparable office rate is available.
West Virginia
West Virginia · 25652
Office
Unavailable
Facility
$577.32
No comparable office rate is available.
Wyoming**
Wyoming · 25652
Office
Unavailable
Facility
$577.23
No comparable office rate is available.
See how rates vary across the country
25652 · 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 25652 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$657.23
$597.48 × 110% = $657.23
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 25652 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,499
- Code
- 25652
- Physician work
- 7.86
- Practice expense
- 8.26
- Malpractice
- 1.57
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.86 | × 1.017 | 7.9936 |
| Practice expense | 8.26 | × 1.096 | 9.0530 |
| Malpractice | 1.57 | × 0.536 | 0.8415 |
| Total RVUs | 17.8881 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$597.48
Open 25652 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.86 | 1.017 |
| Practice expense | 8.26 | 1.096 |
| Malpractice | 1.57 | 0.536 |
(7.86 × 1.017 + 8.26 × 1.096 + 1.57 × 0.536) × $33.4009 = $597.48
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
25652 · 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 | $597.48 | RVU26D |
| 2026-07-01 | Not available in this setting | $597.48 | RVU26C |
| 2026-04-01 | Not available in this setting | $597.48 | RVU26B |
| 2026-01-01 | Not available in this setting | $597.48 | RVU26A |
| 2025-10-01 | Not available in this setting | $634.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $634.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $634.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $634.50 | RVU25A |
25652 billing questions
How does this differ from 25650?
25652 describes open treatment of the ulnar styloid fracture. 25650 is for closed treatment, without an open approach.
When would 25651 be more appropriate?
Use 25651 when the fracture is treated with percutaneous skeletal fixation. 25652 is for direct treatment through an open approach.
Can this be reported with distal radius fracture surgery?
An ulnar styloid fracture may be treated during the same session as a distal radius fracture. Document the distinct fracture and its treatment; same-session multiple-procedure payment rules may apply.
What documentation supports 25652?
The operative report should establish the ulnar styloid fracture, the open approach, and the treatment performed, including fixation if used.
Does the 90-day global include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for this procedure?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons are paid only with supporting documentation.
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.
2,49625645,,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
2,49725650,,Cltx ulnar styloid fracture,A,,3.15,7.54,,5.92,,0.66,11.35,9.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49825651,,Perq skel fix ulnar styld fx,A,,5.67,7.38,NA,7.38,,1.13,14.18,14.18,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49925652,,Optx ulnar styloid fracture,A,,7.86,8.26,NA,8.26,,1.57,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50025660,,Cltx rdcrpl/ntrcrpl dislc 1+,A,,4.86,7.44,NA,7.44,,1.05,13.35,13.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50125670,,Optx rdcrpl/ntrcrpl dislc 1+,A,,7.89,7.80,NA,7.80,,1.68,17.37,17.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50225671,,Perq skel fix rad/uln dislc,A,,6.30,8.02,NA,8.02,,1.33,15.65,15.65,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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