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CMS RVU26D · Effective 2026-10-01

25565 in Delaware

Office / nonfacility

$615.45

Base rate per service

Facility setting

$502.92

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 25565: Closed reduction of both forearm shaft fractures

Reports closed manipulation and treatment of shaft fractures of both the radius and ulna, such as a displaced both-bone forearm fracture.

This service covers closed treatment of shaft fractures of both forearm bones, the radius and ulna, when manipulation is performed to restore alignment. A typical case is a displaced both-bone forearm fracture managed without surgical exposure or internal fixation. An orthopedic surgeon commonly provides the reduction in an emergency department or fracture clinic, then immobilizes the arm and assesses alignment with imaging.

Report the code when the physician treats both shaft fractures with manipulation; documentation should identify both fractures and support the reduction performed. A single-bone fracture, treatment without manipulation, or operative fixation points to a different code. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral services reported with modifier 50, CMS pays 150%. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 25565

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 RVU5.70 · 31%
  • Practice expense (office) RVU11.66 · 62%
  • Malpractice RVU1.31 · 7%

453

Medicare services in 2024 · #3650 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.

25565 compared with similar codes

Office rates for Delaware, from the same CMS release.

25560

Forearm fracture care

Both shafts, without manipulation

$327.94

Use 25560 for closed treatment of both radius and ulna shaft fractures without manipulation. This code requires manipulation.

25505

Fracture treatment

Radial shaft, with manipulation

$582.56

25505 is for a radial shaft fracture treated with manipulation; this code covers shaft fractures of both the radius and ulna.

25535

Fracture treatment

Ulnar shaft, with manipulation

$541.29

25535 is for an ulnar shaft fracture treated with manipulation; this code covers both forearm bones.

25575

Forearm fracture repair

Radius and ulna

No office rate

25575 describes operative treatment with internal fixation of both shaft fractures. This code is for closed treatment with manipulation, without fixation.

The same code, a different location

How does Delaware compare?

25565 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $615.45

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

    $687.97

    $72.52 higher than Delaware

  3. Dc + Md/Va Suburbs

    $708.14

    $92.69 higher than Delaware

  4. Miami

    $706.46

    $91.01 higher than Delaware

  5. Chicago

    $683.54

    $68.09 higher than Delaware

  6. Manhattan

    $724.51

    $109.06 higher than Delaware

  7. Alaska*

    $724.46

    $109.01 higher than Delaware

Other payment areas listed in Delaware 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, 25565 ranges from $547.46 in Arkansas to $796.37 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

  • Alabama

    Alabama · 25565

    Office

    $555.92

    Facility

    $456.26

    $59.53 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 25565

    Office

    $547.46

    Facility

    $449.62

    $67.99 lower than Delaware for the office setting.

  • Arizona

    Arizona · 25565

    Office

    $605.22

    Facility

    $494.85

    $10.23 lower than Delaware for the office setting.

  • Bakersfield

    California · 25565

    Office

    $647.49

    Facility

    $522.66

    $32.04 higher than Delaware for the office setting.

  • Chico

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • El Centro

    California · 25565

    Office

    $644.14

    Facility

    $519.30

    $28.69 higher than Delaware for the office setting.

  • Fresno

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Madera

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Merced

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Modesto

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Napa

    California · 25565

    Office

    $737.91

    Facility

    $587.79

    $122.46 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25565

    Office

    $683.31

    Facility

    $548.68

    $67.86 higher than Delaware for the office setting.

  • Redding

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Rest Of California

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25565

    Office

    $657.98

    Facility

    $533.15

    $42.53 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25565

    Office

    $673.63

    Facility

    $541.17

    $58.18 higher than Delaware for the office setting.

  • Salinas

    California · 25565

    Office

    $671.12

    Facility

    $539.11

    $55.67 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25565

    Office

    $685.60

    Facility

    $549.38

    $70.15 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25565

    Office

    $777.69

    Facility

    $617.09

    $162.24 higher than Delaware for the office setting.

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

    California · 25565

    Office

    $776.20

    Facility

    $615.60

    $160.75 higher than Delaware for the office setting.

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

    California · 25565

    Office

    $796.37

    Facility

    $632.13

    $180.92 higher than Delaware for the office setting.

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

    California · 25565

    Office

    $790.29

    Facility

    $626.05

    $174.84 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25565

    Office

    $660.66

    Facility

    $530.93

    $45.21 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 25565

    Office

    $691.02

    Facility

    $552.64

    $75.57 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 25565

    Office

    $673.27

    Facility

    $540.47

    $57.82 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 25565

    Office

    $697.80

    Facility

    $557.93

    $82.35 higher than Delaware for the office setting.

  • Stockton

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Vallejo

    California · 25565

    Office

    $735.76

    Facility

    $585.65

    $120.31 higher than Delaware for the office setting.

  • Visalia

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Yuba City

    California · 25565

    Office

    $643.92

    Facility

    $519.09

    $28.47 higher than Delaware for the office setting.

  • Colorado

    Colorado · 25565

    Office

    $641.22

    Facility

    $520.04

    $25.77 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 25565

    Office

    $666.58

    Facility

    $543.91

    $51.13 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 25565

    Office

    $664.01

    Facility

    $548.63

    $48.56 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 25565

    Office

    $628.47

    Facility

    $519.58

    $13.02 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 25565

    Office

    $639.19

    Facility

    $523.47

    $23.74 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 25565

    Office

    $589.93

    Facility

    $488.34

    $25.52 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 25565

    Office

    $658.53

    Facility

    $529.03

    $43.08 higher than Delaware for the office setting.

  • Iowa

    Iowa · 25565

    Office

    $564.11

    Facility

    $459.89

    $51.34 lower than Delaware for the office setting.

  • Idaho

    Idaho · 25565

    Office

    $569.38

    Facility

    $464.59

    $46.07 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 25565

    Office

    $636.81

    Facility

    $532.02

    $21.36 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 25565

    Office

    $614.35

    Facility

    $510.36

    $1.10 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 25565

    Office

    $669.22

    Facility

    $552.25

    $53.77 higher than Delaware for the office setting.

  • Indiana

    Indiana · 25565

    Office

    $572.67

    Facility

    $467.09

    $42.78 lower than Delaware for the office setting.

  • Kansas

    Kansas · 25565

    Office

    $564.50

    Facility

    $461.54

    $50.95 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 25565

    Office

    $576.65

    Facility

    $475.39

    $38.80 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 25565

    Office

    $606.57

    Facility

    $499.39

    $8.88 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 25565

    Office

    $576.97

    Facility

    $476.17

    $38.48 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 25565

    Office

    $702.14

    Facility

    $566.15

    $86.69 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25565

    Office

    $638.40

    Facility

    $518.47

    $22.95 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25565

    Office

    $665.44

    Facility

    $543.23

    $49.99 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 25565

    Office

    $626.58

    Facility

    $511.32

    $11.13 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 25565

    Office

    $575.90

    Facility

    $471.11

    $39.55 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 25565

    Office

    $603.94

    Facility

    $491.07

    $11.51 lower than Delaware for the office setting.

  • Detroit

    Michigan · 25565

    Office

    $639.98

    Facility

    $530.07

    $24.53 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 25565

    Office

    $595.36

    Facility

    $491.37

    $20.09 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 25565

    Office

    $604.09

    Facility

    $486.89

    $11.36 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 25565

    Office

    $598.83

    Facility

    $491.88

    $16.62 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 25565

    Office

    $604.99

    Facility

    $496.56

    $10.46 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 25565

    Office

    $568.71

    Facility

    $470.53

    $46.74 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 25565

    Office

    $558.04

    Facility

    $459.98

    $57.41 lower than Delaware for the office setting.

  • Montana**

    Montana · 25565

    Office

    $623.51

    Facility

    $509.61

    $8.06 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 25565

    Office

    $581.71

    Facility

    $475.44

    $33.74 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 25565

    Office

    $597.60

    Facility

    $483.71

    $17.85 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 25565

    Office

    $566.39

    Facility

    $461.26

    $49.06 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 25565

    Office

    $634.09

    Facility

    $515.53

    $18.64 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 25565

    Office

    $700.88

    Facility

    $568.76

    $85.43 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 25565

    Office

    $671.28

    Facility

    $546.91

    $55.83 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 25565

    Office

    $600.06

    Facility

    $495.62

    $15.39 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 25565

    Office

    $616.68

    Facility

    $502.67

    $1.23 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25565

    Office

    $746.88

    Facility

    $611.46

    $131.43 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25565

    Office

    $678.35

    Facility

    $553.63

    $62.90 higher than Delaware for the office setting.

  • Queens

    New York · 25565

    Office

    $726.00

    Facility

    $591.37

    $110.55 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 25565

    Office

    $591.13

    Facility

    $482.92

    $24.32 lower than Delaware for the office setting.

  • Ohio

    Ohio · 25565

    Office

    $590.06

    Facility

    $486.07

    $25.39 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 25565

    Office

    $572.17

    Facility

    $470.46

    $43.28 lower than Delaware for the office setting.

  • Portland

    Oregon · 25565

    Office

    $658.67

    Facility

    $532.13

    $43.22 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 25565

    Office

    $609.04

    Facility

    $495.60

    $6.41 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25565

    Office

    $651.43

    Facility

    $532.87

    $35.98 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25565

    Office

    $589.25

    Facility

    $484.70

    $26.20 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 25565

    Office

    $627.22

    Facility

    $512.07

    $11.77 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 25565

    Office

    $635.34

    Facility

    $517.68

    $19.89 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 25565

    Office

    $587.43

    Facility

    $482.19

    $28.02 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 25565

    Office

    $594.54

    Facility

    $480.64

    $20.91 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 25565

    Office

    $567.90

    Facility

    $464.36

    $47.55 lower than Delaware for the office setting.

  • Austin

    Texas · 25565

    Office

    $641.58

    Facility

    $521.07

    $26.13 higher than Delaware for the office setting.

  • Beaumont

    Texas · 25565

    Office

    $585.44

    Facility

    $481.79

    $30.01 lower than Delaware for the office setting.

  • Brazoria

    Texas · 25565

    Office

    $611.99

    Facility

    $499.11

    $3.46 lower than Delaware for the office setting.

  • Dallas

    Texas · 25565

    Office

    $617.54

    Facility

    $504.10

    $2.09 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 25565

    Office

    $614.21

    Facility

    $501.91

    $1.24 lower than Delaware for the office setting.

  • Galveston

    Texas · 25565

    Office

    $614.87

    Facility

    $501.77

    $0.58 lower than Delaware for the office setting.

  • Houston

    Texas · 25565

    Office

    $638.84

    Facility

    $525.74

    $23.39 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 25565

    Office

    $599.49

    Facility

    $491.40

    $15.96 lower than Delaware for the office setting.

  • Utah

    Utah · 25565

    Office

    $595.76

    Facility

    $488.70

    $19.69 lower than Delaware for the office setting.

  • Virginia

    Virginia · 25565

    Office

    $604.11

    Facility

    $492.15

    $11.34 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25565

    Office

    $627.22

    Facility

    $512.07

    $11.77 higher than Delaware for the office setting.

  • Vermont

    Vermont · 25565

    Office

    $598.09

    Facility

    $485.33

    $17.36 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 25565

    Office

    $636.25

    Facility

    $516.32

    $20.80 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 25565

    Office

    $713.51

    Facility

    $573.76

    $98.06 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 25565

    Office

    $576.96

    Facility

    $467.85

    $38.49 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 25565

    Office

    $591.43

    Facility

    $492.46

    $24.02 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 25565

    Office

    $612.22

    Facility

    $498.32

    $3.23 lower than Delaware for the office setting.

See how rates vary across the country

25565 · 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.

$547.46

$724.46

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$724.461
AL$555.921
AR$547.461
AZ$605.221
CA$643.92–$796.3729
CO$641.221
CT$666.581
DC$708.141
DE$615.451
FL$628.47–$706.463
GA$589.93–$639.192
GU$658.531
HI$658.531
IA$564.111
ID$569.381
IL$614.35–$683.544
IN$572.671
KS$564.501
KY$576.651
LA$576.97–$606.572
MA$638.40–$702.142
MD$626.58–$708.143
ME$575.90–$603.942
MI$595.36–$639.982
MN$604.091
MO$568.71–$604.993
MS$558.041
MT$623.511
NC$581.711
ND$597.601
NE$566.391
NH$634.091
NJ$671.28–$700.882
NM$600.061
NV$616.681
NY$591.13–$746.885
OH$590.061
OK$572.171
OR$609.04–$658.672
PA$589.25–$651.432
PR$627.221
RI$635.341
SC$587.431
SD$594.541
TN$567.901
TX$585.44–$641.588
UT$595.761
VA$604.11–$708.142
VI$627.221
VT$598.091
WA$636.25–$713.512
WI$576.961
WV$591.431
WY$612.221

Explore 25565 on the national rate map →

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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 25565 in Delaware, the physician’s office rate is $615.45 and the facility-setting rate is $502.92: a difference of $112.53.

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 25565 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$677.00

$615.45 × 110% = $677.00

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.

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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 25565 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

2,482

Code
25565
Physician work
5.70
Practice expense
11.66
Malpractice
1.31

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 25565 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.70× 1.0055.7285
Practice expense11.66× 0.98811.5201
Malpractice1.31× 0.8991.1777
Total RVUs18.4263
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$615.45

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

Open 25565 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.71.005
Practice expense11.660.988
Malpractice1.310.899

(5.7 × 1.005 + 11.66 × 0.988 + 1.31 × 0.899) × $33.4009 = $615.45

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.71.005
Practice expense8.250.988
Malpractice1.310.899

(5.7 × 1.005 + 8.25 × 0.988 + 1.31 × 0.899) × $33.4009 = $502.92

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

25565 · Office / nonfacility

$615.45

Effective 2026-10-01

The base rate is $92.11 higher than on 2025-10-01, moving from $523.34 to $615.45 (17.6%).

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

    $523.34changed to$615.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.85 changed to 5.70
    • Practice expense RVU 9.24 changed to 11.66
    • Malpractice RVU 1.17 changed to 1.31
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $523.34

    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$615.45$502.92RVU26D
2026-07-01$615.45$502.92RVU26C
2026-04-01$615.45$502.92RVU26B
2026-01-01$615.45$502.92RVU26A
2025-10-01$523.34$466.22RVU25D
2025-07-01$523.34$466.22RVU25C
2025-04-01$523.34$466.22RVU25B
2025-01-01$523.34$466.22RVU25A

25565 billing questions

How is this different from 25560?

25560 covers closed treatment of radius and ulna shaft fractures without manipulation. Use 25565 when the physician manipulates the fractures to restore alignment.

Can this code be used for a fracture of only one forearm bone?

No. It is for shaft fractures of both the radius and ulna treated with manipulation. A single-bone fracture requires the code for that bone and treatment method.

Is immobilization separately reported?

Immobilization is part of the closed fracture treatment. Do not separately report cast or splint application as a distinct service when it is included in the fracture care.

What documentation supports reporting 25565?

Document shaft fractures of both bones, the closed manipulation performed, and the resulting alignment and immobilization. Imaging findings can support the fracture diagnoses and reduction.

How does the global period affect follow-up visits?

The 90-day global period includes related postoperative care and the day-before preoperative visit. Routine follow-up for the treated fractures is included during that period.

Can an assistant or co-surgeon be billed for this procedure?

CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.

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 25565PPRRVU2026_Oct_nonQPP.csv, line 2,482 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet