No office rate
25450 is for arrest of one distal forearm growth plate; 25455 is for both the radius and ulna.
On this page
CMS RVU26D · Effective 2026-10-01
25455 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$682.47
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 25455: Distal radius and ulna growth arrest
Surgical growth arrest of both distal forearm physes is reported when a skeletally immature patient needs growth controlled at the radius and ulna.
This operation intentionally stops growth at the distal radius and ulna, the growth plates near the wrist. Pediatric orthopedic surgeons may perform it to address a developing wrist deformity or growth imbalance in a skeletally immature patient. The procedure involves treating both physes in the same forearm; it is distinct from repairing a fracture or a bone nonunion.
Report 25455 when the surgeon documents arrest of both distal physes on one side. If only one bone’s growth plate is treated, the single-bone code 25450 is the relevant sibling. The operative report should identify the treated bones and side, the growth-related indication, and the procedure performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When procedures are performed in the same session, the highest-valued is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 25455
- 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 RVU9.47 · 46%
- Practice expense (office) RVU9.21 · 44%
- Malpractice RVU2.02 · 10%
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.
25455 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
25400 describes a radius or ulna repair, not intentional arrest of the distal growth plates.
No office rate
25405 is a radius or ulna repair involving grafting; 25455 treats growth at both distal physes.
The same code, a different location
How does Delaware compare?
25455 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware 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
Alabama
Alabama · 25455
Office
Unavailable
Facility
$623.66
No comparable office rate is available.
Arkansas
Arkansas · 25455
Office
Unavailable
Facility
$615.30
No comparable office rate is available.
Arizona
Arizona · 25455
Office
Unavailable
Facility
$672.15
No comparable office rate is available.
Bakersfield
California · 25455
Office
Unavailable
Facility
$700.56
No comparable office rate is available.
Chico
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
El Centro
California · 25455
Office
Unavailable
Facility
$695.34
No comparable office rate is available.
Fresno
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Hanford-Corcoran
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Madera
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Merced
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Modesto
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Napa
California · 25455
Office
Unavailable
Facility
$775.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25455
Office
Unavailable
Facility
$730.81
No comparable office rate is available.
Redding
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Rest Of California
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25455
Office
Unavailable
Facility
$716.71
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25455
Office
Unavailable
Facility
$721.62
No comparable office rate is available.
Salinas
California · 25455
Office
Unavailable
Facility
$718.81
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25455
Office
Unavailable
Facility
$730.28
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25455
Office
Unavailable
Facility
$811.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25455
Office
Unavailable
Facility
$808.78
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25455
Office
Unavailable
Facility
$830.86
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25455
Office
Unavailable
Facility
$821.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25455
Office
Unavailable
Facility
$708.23
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25455
Office
Unavailable
Facility
$732.87
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25455
Office
Unavailable
Facility
$720.01
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25455
Office
Unavailable
Facility
$739.72
No comparable office rate is available.
Stockton
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Vallejo
California · 25455
Office
Unavailable
Facility
$772.65
No comparable office rate is available.
Visalia
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Yuba City
California · 25455
Office
Unavailable
Facility
$695.00
No comparable office rate is available.
Colorado
Colorado · 25455
Office
Unavailable
Facility
$700.11
No comparable office rate is available.
Connecticut
Connecticut · 25455
Office
Unavailable
Facility
$735.58
No comparable office rate is available.
Fort Lauderdale
Florida · 25455
Office
Unavailable
Facility
$749.91
No comparable office rate is available.
Rest Of Florida
Florida · 25455
Office
Unavailable
Facility
$711.80
No comparable office rate is available.
Atlanta
Georgia · 25455
Office
Unavailable
Facility
$710.83
No comparable office rate is available.
Rest Of Georgia
Georgia · 25455
Office
Unavailable
Facility
$671.13
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25455
Office
Unavailable
Facility
$705.14
No comparable office rate is available.
Iowa
Iowa · 25455
Office
Unavailable
Facility
$624.57
No comparable office rate is available.
Idaho
Idaho · 25455
Office
Unavailable
Facility
$631.23
No comparable office rate is available.
East St. Louis
Illinois · 25455
Office
Unavailable
Facility
$735.20
No comparable office rate is available.
Rest Of Illinois
Illinois · 25455
Office
Unavailable
Facility
$702.62
No comparable office rate is available.
Suburban Chicago
Illinois · 25455
Office
Unavailable
Facility
$754.01
No comparable office rate is available.
Indiana
Indiana · 25455
Office
Unavailable
Facility
$634.26
No comparable office rate is available.
Kansas
Kansas · 25455
Office
Unavailable
Facility
$628.40
No comparable office rate is available.
Kentucky
Kentucky · 25455
Office
Unavailable
Facility
$651.52
No comparable office rate is available.
New Orleans
Louisiana · 25455
Office
Unavailable
Facility
$682.42
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25455
Office
Unavailable
Facility
$653.19
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25455
Office
Unavailable
Facility
$756.62
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25455
Office
Unavailable
Facility
$699.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25455
Office
Unavailable
Facility
$734.91
No comparable office rate is available.
Rest Of Maryland
Maryland · 25455
Office
Unavailable
Facility
$692.72
No comparable office rate is available.
Rest Of Maine
Maine · 25455
Office
Unavailable
Facility
$641.29
No comparable office rate is available.
Southern Maine
Maine · 25455
Office
Unavailable
Facility
$663.73
No comparable office rate is available.
Detroit
Michigan · 25455
Office
Unavailable
Facility
$726.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 25455
Office
Unavailable
Facility
$673.34
No comparable office rate is available.
Minnesota
Minnesota · 25455
Office
Unavailable
Facility
$652.82
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25455
Office
Unavailable
Facility
$671.08
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25455
Office
Unavailable
Facility
$676.77
No comparable office rate is available.
Rest Of Missouri
Missouri · 25455
Office
Unavailable
Facility
$647.19
No comparable office rate is available.
Mississippi
Mississippi · 25455
Office
Unavailable
Facility
$631.03
No comparable office rate is available.
Montana**
Montana · 25455
Office
Unavailable
Facility
$691.26
No comparable office rate is available.
North Carolina
North Carolina · 25455
Office
Unavailable
Facility
$646.43
No comparable office rate is available.
North Dakota**
North Dakota · 25455
Office
Unavailable
Facility
$651.32
No comparable office rate is available.
Nebraska
Nebraska · 25455
Office
Unavailable
Facility
$625.75
No comparable office rate is available.
New Hampshire
New Hampshire · 25455
Office
Unavailable
Facility
$695.58
No comparable office rate is available.
Northern Nj
New Jersey · 25455
Office
Unavailable
Facility
$765.13
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25455
Office
Unavailable
Facility
$738.90
No comparable office rate is available.
New Mexico
New Mexico · 25455
Office
Unavailable
Facility
$679.43
No comparable office rate is available.
Nevada**
Nevada · 25455
Office
Unavailable
Facility
$680.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25455
Office
Unavailable
Facility
$827.60
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25455
Office
Unavailable
Facility
$749.03
No comparable office rate is available.
Queens
New York · 25455
Office
Unavailable
Facility
$797.45
No comparable office rate is available.
Rest Of New York
New York · 25455
Office
Unavailable
Facility
$655.98
No comparable office rate is available.
Ohio
Ohio · 25455
Office
Unavailable
Facility
$665.18
No comparable office rate is available.
Oklahoma
Oklahoma · 25455
Office
Unavailable
Facility
$643.44
No comparable office rate is available.
Portland
Oregon · 25455
Office
Unavailable
Facility
$713.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 25455
Office
Unavailable
Facility
$670.13
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25455
Office
Unavailable
Facility
$722.73
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25455
Office
Unavailable
Facility
$662.46
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25455
Office
Unavailable
Facility
$693.77
No comparable office rate is available.
Rhode Island
Rhode Island · 25455
Office
Unavailable
Facility
$700.27
No comparable office rate is available.
South Carolina
South Carolina · 25455
Office
Unavailable
Facility
$657.90
No comparable office rate is available.
South Dakota**
South Dakota · 25455
Office
Unavailable
Facility
$646.60
No comparable office rate is available.
Tennessee
Tennessee · 25455
Office
Unavailable
Facility
$632.17
No comparable office rate is available.
Austin
Texas · 25455
Office
Unavailable
Facility
$702.18
No comparable office rate is available.
Beaumont
Texas · 25455
Office
Unavailable
Facility
$658.92
No comparable office rate is available.
Brazoria
Texas · 25455
Office
Unavailable
Facility
$676.32
No comparable office rate is available.
Dallas
Texas · 25455
Office
Unavailable
Facility
$683.43
No comparable office rate is available.
Fort Worth
Texas · 25455
Office
Unavailable
Facility
$681.24
No comparable office rate is available.
Galveston
Texas · 25455
Office
Unavailable
Facility
$680.17
No comparable office rate is available.
Houston
Texas · 25455
Office
Unavailable
Facility
$717.14
No comparable office rate is available.
Rest Of Texas
Texas · 25455
Office
Unavailable
Facility
$669.17
No comparable office rate is available.
Utah
Utah · 25455
Office
Unavailable
Facility
$666.06
No comparable office rate is available.
Virginia
Virginia · 25455
Office
Unavailable
Facility
$666.33
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25455
Office
Unavailable
Facility
$693.77
No comparable office rate is available.
Vermont
Vermont · 25455
Office
Unavailable
Facility
$654.99
No comparable office rate is available.
Rest Of Washington
Washington · 25455
Office
Unavailable
Facility
$695.69
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25455
Office
Unavailable
Facility
$764.70
No comparable office rate is available.
Wisconsin
Wisconsin · 25455
Office
Unavailable
Facility
$631.79
No comparable office rate is available.
West Virginia
West Virginia · 25455
Office
Unavailable
Facility
$680.18
No comparable office rate is available.
Wyoming**
Wyoming · 25455
Office
Unavailable
Facility
$673.86
No comparable office rate is available.
See how rates vary across the country
25455 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 25455 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$750.72
$682.47 × 110% = $750.72
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 25455 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,468
- Code
- 25455
- Physician work
- 9.47
- Practice expense
- 9.21
- Malpractice
- 2.02
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.47 | × 1.005 | 9.5174 |
| Practice expense | 9.21 | × 0.988 | 9.0995 |
| Malpractice | 2.02 | × 0.899 | 1.8160 |
| Total RVUs | 20.4328 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$682.47
Open 25455 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.47 | 1.005 |
| Practice expense | 9.21 | 0.988 |
| Malpractice | 2.02 | 0.899 |
(9.47 × 1.005 + 9.21 × 0.988 + 2.02 × 0.899) × $33.4009 = $682.47
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
25455 · 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 | $682.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $682.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $682.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $682.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $723.28 | RVU25D |
| 2025-07-01 | Not available in this setting | $723.28 | RVU25C |
| 2025-04-01 | Not available in this setting | $723.28 | RVU25B |
| 2025-01-01 | Not available in this setting | $723.28 | RVU25A |
25455 billing questions
When should 25455 be chosen over 25450?
Use 25455 when the surgeon arrests both the distal radius and distal ulna growth plates in the same forearm. Use 25450 when the operation treats only one of those bones.
Can the procedure be reported bilaterally?
Yes. When both forearms undergo the procedure, report bilateral services with modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports reporting 25455?
The operative report should show that both distal physes were treated, identify the side or sides, and describe the growth-related reason for arrest.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
CMS applies a statutory restriction to assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid 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.
2,46525448,,Arthrp ntrcrpl/crp/mtcrp ssp,A,,11.55,10.78,NA,10.78,,2.20,24.53,24.53,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46625449,,Revj arthrp wrist joint,A,,14.57,10.53,NA,10.53,,2.81,27.91,27.91,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46725450,,Epiphysl arrst dstl rds/ulna,A,,7.86,8.14,NA,8.14,,1.67,17.67,17.67,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46825455,,Epiphysl arrst dstl rds&ulna,A,,9.47,9.21,NA,9.21,,2.02,20.70,20.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,46925490,,Prophylactic tx radius,A,,9.49,8.81,NA,8.81,,2.02,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47025491,,Prophylactic tx ulna,A,,9.90,8.79,NA,8.79,,2.11,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47125492,,Prophylactic tx radius&ulna,A,,12.34,10.29,NA,10.29,,2.62,25.25,25.25,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503