No office rate
Both codes concern open treatment of radius-and-ulna shaft fractures. Choose 25575 when both bones are treated; 25574 is for treatment involving the radius or ulna.
On this page
CMS RVU26D · Effective 2026-10-01
25575 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$834.99
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 25575: Open treatment of both forearm shaft fractures
Reports open operative treatment of shaft fractures of both forearm bones, the radius and ulna, with internal fixation when performed.
This code describes open operative treatment of fractures involving the shafts of both the radius and ulna in the same forearm. An orthopedic surgeon typically exposes and aligns the fractures and may stabilize them with plates, screws, or other fixation. The service is generally performed in a hospital operating room or ambulatory surgery setting. The operative report should establish that both shaft fractures were treated through an open approach; treatment of only one bone points to a different code.
Report one unit for the treated radius-and-ulna fracture pair. Documentation should identify the bones and fracture sites and describe the open treatment and any fixation performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25575
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.98 · 47%
- Practice expense (office) RVU10.86 · 43%
- Malpractice RVU2.48 · 10%
1.1K
Medicare services in 2024 · #2903 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.
25575 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
25515 is for open treatment of a radial shaft fracture alone. Use 25575 when the ulna shaft fracture is also treated.
$615.45
25565 describes closed treatment of both shaft fractures with manipulation. 25575 describes open operative treatment of both.
The same code, a different location
How does Delaware compare?
25575 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 · 25575
Office
Unavailable
Facility
$764.42
No comparable office rate is available.
Arkansas
Arkansas · 25575
Office
Unavailable
Facility
$754.39
No comparable office rate is available.
Arizona
Arizona · 25575
Office
Unavailable
Facility
$822.54
No comparable office rate is available.
Bakersfield
California · 25575
Office
Unavailable
Facility
$855.75
No comparable office rate is available.
Chico
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
El Centro
California · 25575
Office
Unavailable
Facility
$849.31
No comparable office rate is available.
Fresno
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Hanford-Corcoran
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Madera
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Merced
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Modesto
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Napa
California · 25575
Office
Unavailable
Facility
$945.51
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25575
Office
Unavailable
Facility
$891.70
No comparable office rate is available.
Redding
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Rest Of California
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25575
Office
Unavailable
Facility
$875.56
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25575
Office
Unavailable
Facility
$880.81
No comparable office rate is available.
Salinas
California · 25575
Office
Unavailable
Facility
$877.35
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25575
Office
Unavailable
Facility
$890.87
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25575
Office
Unavailable
Facility
$987.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25575
Office
Unavailable
Facility
$984.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25575
Office
Unavailable
Facility
$1011.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25575
Office
Unavailable
Facility
$1000.11
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25575
Office
Unavailable
Facility
$864.50
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25575
Office
Unavailable
Facility
$893.67
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25575
Office
Unavailable
Facility
$878.69
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25575
Office
Unavailable
Facility
$901.98
No comparable office rate is available.
Stockton
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Vallejo
California · 25575
Office
Unavailable
Facility
$941.46
No comparable office rate is available.
Visalia
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Yuba City
California · 25575
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Colorado
Colorado · 25575
Office
Unavailable
Facility
$855.59
No comparable office rate is available.
Connecticut
Connecticut · 25575
Office
Unavailable
Facility
$899.04
No comparable office rate is available.
Fort Lauderdale
Florida · 25575
Office
Unavailable
Facility
$917.36
No comparable office rate is available.
Rest Of Florida
Florida · 25575
Office
Unavailable
Facility
$871.42
No comparable office rate is available.
Atlanta
Georgia · 25575
Office
Unavailable
Facility
$869.36
No comparable office rate is available.
Rest Of Georgia
Georgia · 25575
Office
Unavailable
Facility
$822.44
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25575
Office
Unavailable
Facility
$860.53
No comparable office rate is available.
Iowa
Iowa · 25575
Office
Unavailable
Facility
$764.93
No comparable office rate is available.
Idaho
Idaho · 25575
Office
Unavailable
Facility
$773.04
No comparable office rate is available.
East St. Louis
Illinois · 25575
Office
Unavailable
Facility
$900.69
No comparable office rate is available.
Rest Of Illinois
Illinois · 25575
Office
Unavailable
Facility
$860.79
No comparable office rate is available.
Suburban Chicago
Illinois · 25575
Office
Unavailable
Facility
$922.25
No comparable office rate is available.
Indiana
Indiana · 25575
Office
Unavailable
Facility
$776.65
No comparable office rate is available.
Kansas
Kansas · 25575
Office
Unavailable
Facility
$769.80
No comparable office rate is available.
Kentucky
Kentucky · 25575
Office
Unavailable
Facility
$798.41
No comparable office rate is available.
New Orleans
Louisiana · 25575
Office
Unavailable
Facility
$835.57
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25575
Office
Unavailable
Facility
$800.52
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25575
Office
Unavailable
Facility
$923.38
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25575
Office
Unavailable
Facility
$854.52
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25575
Office
Unavailable
Facility
$898.22
No comparable office rate is available.
Rest Of Maryland
Maryland · 25575
Office
Unavailable
Facility
$847.27
No comparable office rate is available.
Rest Of Maine
Maine · 25575
Office
Unavailable
Facility
$785.38
No comparable office rate is available.
Southern Maine
Maine · 25575
Office
Unavailable
Facility
$811.88
No comparable office rate is available.
Detroit
Michigan · 25575
Office
Unavailable
Facility
$889.84
No comparable office rate is available.
Rest Of Michigan
Michigan · 25575
Office
Unavailable
Facility
$824.84
No comparable office rate is available.
Minnesota
Minnesota · 25575
Office
Unavailable
Facility
$797.91
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25575
Office
Unavailable
Facility
$821.68
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25575
Office
Unavailable
Facility
$828.47
No comparable office rate is available.
Rest Of Missouri
Missouri · 25575
Office
Unavailable
Facility
$793.50
No comparable office rate is available.
Mississippi
Mississippi · 25575
Office
Unavailable
Facility
$773.67
No comparable office rate is available.
Montana**
Montana · 25575
Office
Unavailable
Facility
$845.55
No comparable office rate is available.
North Carolina
North Carolina · 25575
Office
Unavailable
Facility
$791.50
No comparable office rate is available.
North Dakota**
North Dakota · 25575
Office
Unavailable
Facility
$796.51
No comparable office rate is available.
Nebraska
Nebraska · 25575
Office
Unavailable
Facility
$766.26
No comparable office rate is available.
New Hampshire
New Hampshire · 25575
Office
Unavailable
Facility
$850.23
No comparable office rate is available.
Northern Nj
New Jersey · 25575
Office
Unavailable
Facility
$934.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25575
Office
Unavailable
Facility
$903.12
No comparable office rate is available.
New Mexico
New Mexico · 25575
Office
Unavailable
Facility
$832.25
No comparable office rate is available.
Nevada**
Nevada · 25575
Office
Unavailable
Facility
$832.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25575
Office
Unavailable
Facility
$1010.87
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25575
Office
Unavailable
Facility
$915.57
No comparable office rate is available.
Queens
New York · 25575
Office
Unavailable
Facility
$973.95
No comparable office rate is available.
Rest Of New York
New York · 25575
Office
Unavailable
Facility
$802.97
No comparable office rate is available.
Ohio
Ohio · 25575
Office
Unavailable
Facility
$814.82
No comparable office rate is available.
Oklahoma
Oklahoma · 25575
Office
Unavailable
Facility
$788.43
No comparable office rate is available.
Portland
Oregon · 25575
Office
Unavailable
Facility
$871.17
No comparable office rate is available.
Rest Of Oregon
Oregon · 25575
Office
Unavailable
Facility
$819.66
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25575
Office
Unavailable
Facility
$883.77
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25575
Office
Unavailable
Facility
$811.41
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25575
Office
Unavailable
Facility
$848.46
No comparable office rate is available.
Rhode Island
Rhode Island · 25575
Office
Unavailable
Facility
$856.34
No comparable office rate is available.
South Carolina
South Carolina · 25575
Office
Unavailable
Facility
$805.72
No comparable office rate is available.
South Dakota**
South Dakota · 25575
Office
Unavailable
Facility
$790.71
No comparable office rate is available.
Tennessee
Tennessee · 25575
Office
Unavailable
Facility
$774.35
No comparable office rate is available.
Austin
Texas · 25575
Office
Unavailable
Facility
$858.11
No comparable office rate is available.
Beaumont
Texas · 25575
Office
Unavailable
Facility
$807.18
No comparable office rate is available.
Brazoria
Texas · 25575
Office
Unavailable
Facility
$827.42
No comparable office rate is available.
Dallas
Texas · 25575
Office
Unavailable
Facility
$836.10
No comparable office rate is available.
Fort Worth
Texas · 25575
Office
Unavailable
Facility
$833.55
No comparable office rate is available.
Galveston
Texas · 25575
Office
Unavailable
Facility
$832.13
No comparable office rate is available.
Houston
Texas · 25575
Office
Unavailable
Facility
$877.52
No comparable office rate is available.
Rest Of Texas
Texas · 25575
Office
Unavailable
Facility
$819.18
No comparable office rate is available.
Utah
Utah · 25575
Office
Unavailable
Facility
$815.50
No comparable office rate is available.
Virginia
Virginia · 25575
Office
Unavailable
Facility
$815.19
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25575
Office
Unavailable
Facility
$848.46
No comparable office rate is available.
Vermont
Vermont · 25575
Office
Unavailable
Facility
$801.16
No comparable office rate is available.
Rest Of Washington
Washington · 25575
Office
Unavailable
Facility
$850.34
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25575
Office
Unavailable
Facility
$932.90
No comparable office rate is available.
Wisconsin
Wisconsin · 25575
Office
Unavailable
Facility
$773.15
No comparable office rate is available.
West Virginia
West Virginia · 25575
Office
Unavailable
Facility
$833.89
No comparable office rate is available.
Wyoming**
Wyoming · 25575
Office
Unavailable
Facility
$824.17
No comparable office rate is available.
See how rates vary across the country
25575 · 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 25575 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$918.49
$834.99 × 110% = $918.49
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 25575 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
2,484
- Code
- 25575
- Physician work
- 11.98
- Practice expense
- 10.86
- Malpractice
- 2.48
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.98 | × 1.005 | 12.0399 |
| Practice expense | 10.86 | × 0.988 | 10.7297 |
| Malpractice | 2.48 | × 0.899 | 2.2295 |
| Total RVUs | 24.9991 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$834.99
Open 25575 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.98 | 1.005 |
| Practice expense | 10.86 | 0.988 |
| Malpractice | 2.48 | 0.899 |
(11.98 × 1.005 + 10.86 × 0.988 + 2.48 × 0.899) × $33.4009 = $834.99
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
25575 · 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 | $834.99 | RVU26D |
| 2026-07-01 | Not available in this setting | $834.99 | RVU26C |
| 2026-04-01 | Not available in this setting | $834.99 | RVU26B |
| 2026-01-01 | Not available in this setting | $834.99 | RVU26A |
| 2025-10-01 | Not available in this setting | $893.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $893.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $893.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $893.48 | RVU25A |
25575 billing questions
When should 25575 be chosen over 25574?
Use 25575 when open treatment addresses both the radius and ulna shaft fractures. Code 25574 applies when the open treatment is for the radius or ulna, rather than both.
Can 25575 be reported when only one forearm bone is treated?
No. When open treatment is limited to one shaft fracture, consider the code for that bone, such as 25515 for the radial shaft or 25545 for the ulnar shaft.
How does closed treatment differ from 25575?
25575 describes open operative treatment of both shaft fractures. Codes 25560 and 25565 describe closed treatment of both bones, without manipulation and with manipulation, respectively.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures and bilateral cases handled?
For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Bilateral performance with modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
2,48125560,,Cltx rdl&uln shft fx wo mnpj,A,,2.53,6.90,,5.15,,0.51,9.94,8.19,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48225565,,Cltx rdl&uln shft fx w/mnpj,A,,5.70,11.66,,8.25,,1.31,18.67,15.26,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48325574,,Optx rdl&uln shft fx rds/uln,A,,8.58,8.86,NA,8.86,,1.75,19.19,19.19,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48425575,,Optx rdl&uln shft fx rds&uln,A,,11.98,10.86,NA,10.86,,2.48,25.32,25.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48525600,,Cltx dst rdl fx/ephys sep wo,A,,2.71,8.28,,6.98,,0.55,11.54,10.24,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48625605,,Cltx dst rdl fx/ephys sep w/,A,,6.09,11.54,,8.99,,1.37,19.00,16.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48725606,,Perq skel fixj dstl rdl fx,A,,8.10,9.42,NA,9.42,,1.69,19.21,19.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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