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CMS RVU26D · Effective 2026-10-01

25560 in El Centro

Office / nonfacility

$347.75

Base rate per service

Facility setting

$283.68

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.

Fracture treatment

About 25560: Closed treatment of both forearm shaft fractures

Reports closed care of fractures through both forearm shafts when the provider treats them without manipulating either fracture for alignment.

This code fits a fracture of the radius and ulna shafts in the same forearm when the provider manages the injuries closed and does not manipulate them to correct alignment. A typical case is a stable both-bone forearm fracture treated with immobilization, such as a cast or splint. Orthopedic surgeons and other qualified physicians may provide this care in an office, emergency department, or facility setting.

Documentation should identify fractures of both shafts, the affected side, the closed treatment plan, and that no manipulation was performed. The 90-day global 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 procedure is paid in full and other procedures are subject to a 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 25560

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 RVU2.53 · 25%
  • Practice expense (office) RVU6.90 · 69%
  • Malpractice RVU0.51 · 5%

413

Medicare services in 2024 · #3712 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.

25560 compared with similar codes

Office rates for El Centro, from the same CMS release.

25500

Radial fracture care

Without manipulation

$341.86

25500 is for a radial shaft fracture alone. Choose 25560 when both the radius and ulna shafts are treated.

25565

Forearm fracture care

Radius and ulna, with manipulation

$644.14

Both codes address fractures of the radial and ulnar shafts; 25565 includes manipulation, while 25560 is for treatment without manipulation.

25575

Forearm fracture repair

Radius and ulna

No office rate

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

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 25560 is $349.07—$1.32 higher than the $347.75 rate in El Centro. Both use the same code, release and participation basis.

25560 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $347.75

  2. $1.32 higher than El Centro

  3. Chico

    $347.66

    $0.09 lower than El Centro

  4. Fresno

    $347.66

    $0.09 lower than El Centro

  5. $0.09 lower than El Centro

  6. $24.17 higher than El Centro

  7. Madera

    $347.66

    $0.09 lower than El Centro

Other payment areas listed in California 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, 25560 ranges from $291.25 in Arkansas to $435.26 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
  • Merced

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Modesto

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Napa

    California · 25560

    Office

    $402.24

    Facility

    $325.20

    $54.49 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25560

    Office

    $369.89

    Facility

    $300.80

    $22.14 higher than El Centro for the office setting.

  • Redding

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Rest Of California

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25560

    Office

    $353.15

    Facility

    $289.08

    $5.40 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25560

    Office

    $364.71

    Facility

    $296.73

    $16.96 higher than El Centro for the office setting.

  • Salinas

    California · 25560

    Office

    $363.36

    Facility

    $295.62

    $15.61 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25560

    Office

    $371.91

    Facility

    $302.00

    $24.16 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25560

    Office

    $425.31

    Facility

    $342.89

    $77.56 higher than El Centro for the office setting.

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

    California · 25560

    Office

    $424.73

    Facility

    $342.31

    $76.98 higher than El Centro for the office setting.

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

    California · 25560

    Office

    $435.26

    Facility

    $350.98

    $87.51 higher than El Centro for the office setting.

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

    California · 25560

    Office

    $432.89

    Facility

    $348.61

    $85.14 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25560

    Office

    $357.57

    Facility

    $291.00

    $9.82 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 25560

    Office

    $375.43

    Facility

    $304.41

    $27.68 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 25560

    Office

    $364.72

    Facility

    $296.57

    $16.97 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 25560

    Office

    $379.18

    Facility

    $307.40

    $31.43 higher than El Centro for the office setting.

  • Stockton

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Vallejo

    California · 25560

    Office

    $401.40

    Facility

    $324.36

    $53.65 higher than El Centro for the office setting.

  • Visalia

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Yuba City

    California · 25560

    Office

    $347.66

    Facility

    $283.60

    $0.09 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25560

    Office

    $379.52

    Facility

    $310.66

    $31.77 higher than El Centro for the office setting.

  • Miami

    Florida · 25560

    Office

    $367.50

    Facility

    $306.65

    $19.75 higher than El Centro for the office setting.

  • Chicago

    Illinois · 25560

    Office

    $355.81

    Facility

    $297.06

    $8.06 higher than El Centro for the office setting.

  • Manhattan

    New York · 25560

    Office

    $384.73

    Facility

    $316.81

    $36.98 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 25560

    Office

    $381.59

    Facility

    $319.34

    $33.84 higher than El Centro for the office setting.

  • Alabama

    Alabama · 25560

    Office

    $295.80

    Facility

    $244.66

    $51.95 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 25560

    Office

    $291.25

    Facility

    $241.04

    $56.50 lower than El Centro for the office setting.

  • Arizona

    Arizona · 25560

    Office

    $322.41

    Facility

    $265.77

    $25.34 lower than El Centro for the office setting.

  • Colorado

    Colorado · 25560

    Office

    $344.04

    Facility

    $281.85

    $3.71 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 25560

    Office

    $355.02

    Facility

    $292.07

    $7.27 higher than El Centro for the office setting.

  • Delaware

    Delaware · 25560

    Office

    $327.94

    Facility

    $270.19

    $19.81 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 25560

    Office

    $348.76

    Facility

    $289.55

    $1.01 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 25560

    Office

    $330.43

    Facility

    $274.55

    $17.32 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 25560

    Office

    $339.37

    Facility

    $279.98

    $8.38 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 25560

    Office

    $310.39

    Facility

    $258.25

    $37.36 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 25560

    Office

    $356.41

    Facility

    $289.95

    $8.66 higher than El Centro for the office setting.

  • Iowa

    Iowa · 25560

    Office

    $302.14

    Facility

    $248.66

    $45.61 lower than El Centro for the office setting.

  • Idaho

    Idaho · 25560

    Office

    $304.59

    Facility

    $250.82

    $43.16 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 25560

    Office

    $330.84

    Facility

    $277.07

    $16.91 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 25560

    Office

    $321.54

    Facility

    $268.18

    $26.21 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 25560

    Office

    $351.97

    Facility

    $291.94

    $4.22 higher than El Centro for the office setting.

  • Indiana

    Indiana · 25560

    Office

    $306.43

    Facility

    $252.24

    $41.32 lower than El Centro for the office setting.

  • Kansas

    Kansas · 25560

    Office

    $301.43

    Facility

    $248.59

    $46.32 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 25560

    Office

    $304.98

    Facility

    $253.01

    $42.77 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 25560

    Office

    $320.72

    Facility

    $265.72

    $27.03 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 25560

    Office

    $304.79

    Facility

    $253.06

    $42.96 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 25560

    Office

    $378.31

    Facility

    $308.52

    $30.56 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25560

    Office

    $342.11

    Facility

    $280.56

    $5.64 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25560

    Office

    $354.22

    Facility

    $291.50

    $6.47 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 25560

    Office

    $334.22

    Facility

    $275.07

    $13.53 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 25560

    Office

    $307.13

    Facility

    $253.35

    $40.62 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 25560

    Office

    $323.65

    Facility

    $265.72

    $24.10 lower than El Centro for the office setting.

  • Detroit

    Michigan · 25560

    Office

    $335.62

    Facility

    $279.22

    $12.13 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 25560

    Office

    $314.15

    Facility

    $260.79

    $33.60 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 25560

    Office

    $326.70

    Facility

    $266.55

    $21.05 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 25560

    Office

    $317.55

    Facility

    $262.67

    $30.20 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 25560

    Office

    $320.98

    Facility

    $265.33

    $26.77 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 25560

    Office

    $299.76

    Facility

    $249.37

    $47.99 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 25560

    Office

    $295.52

    Facility

    $245.20

    $52.23 lower than El Centro for the office setting.

  • Montana**

    Montana · 25560

    Office

    $331.97

    Facility

    $273.52

    $15.78 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 25560

    Office

    $310.41

    Facility

    $255.88

    $37.34 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 25560

    Office

    $321.89

    Facility

    $263.43

    $25.86 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 25560

    Office

    $303.66

    Facility

    $249.71

    $44.09 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 25560

    Office

    $339.32

    Facility

    $278.48

    $8.43 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 25560

    Office

    $375.36

    Facility

    $307.56

    $27.61 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 25560

    Office

    $358.24

    Facility

    $294.41

    $10.49 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 25560

    Office

    $316.30

    Facility

    $262.70

    $31.45 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 25560

    Office

    $329.39

    Facility

    $270.88

    $18.36 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25560

    Office

    $395.57

    Facility

    $326.07

    $47.82 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25560

    Office

    $361.28

    Facility

    $297.27

    $13.53 higher than El Centro for the office setting.

  • Queens

    New York · 25560

    Office

    $386.89

    Facility

    $317.80

    $39.14 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 25560

    Office

    $315.42

    Facility

    $259.89

    $32.33 lower than El Centro for the office setting.

  • Ohio

    Ohio · 25560

    Office

    $312.09

    Facility

    $258.72

    $35.66 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 25560

    Office

    $303.55

    Facility

    $251.35

    $44.20 lower than El Centro for the office setting.

  • Portland

    Oregon · 25560

    Office

    $354.58

    Facility

    $289.64

    $6.83 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 25560

    Office

    $326.02

    Facility

    $267.81

    $21.73 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25560

    Office

    $346.26

    Facility

    $285.41

    $1.49 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25560

    Office

    $312.17

    Facility

    $258.51

    $35.58 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 25560

    Office

    $334.28

    Facility

    $275.19

    $13.47 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 25560

    Office

    $339.38

    Facility

    $279.00

    $8.37 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 25560

    Office

    $311.93

    Facility

    $257.93

    $35.82 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 25560

    Office

    $320.69

    Facility

    $262.24

    $27.06 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 25560

    Office

    $303.15

    Facility

    $250.01

    $44.60 lower than El Centro for the office setting.

  • Austin

    Texas · 25560

    Office

    $343.60

    Facility

    $281.76

    $4.15 lower than El Centro for the office setting.

  • Beaumont

    Texas · 25560

    Office

    $310.05

    Facility

    $256.86

    $37.70 lower than El Centro for the office setting.

  • Brazoria

    Texas · 25560

    Office

    $326.86

    Facility

    $268.93

    $20.89 lower than El Centro for the office setting.

  • Dallas

    Texas · 25560

    Office

    $329.42

    Facility

    $271.21

    $18.33 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 25560

    Office

    $327.34

    Facility

    $269.71

    $20.41 lower than El Centro for the office setting.

  • Galveston

    Texas · 25560

    Office

    $328.14

    Facility

    $270.10

    $19.61 lower than El Centro for the office setting.

  • Houston

    Texas · 25560

    Office

    $337.47

    Facility

    $279.43

    $10.28 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 25560

    Office

    $318.60

    Facility

    $263.13

    $29.15 lower than El Centro for the office setting.

  • Utah

    Utah · 25560

    Office

    $316.44

    Facility

    $261.49

    $31.31 lower than El Centro for the office setting.

  • Virginia

    Virginia · 25560

    Office

    $323.08

    Facility

    $265.62

    $24.67 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25560

    Office

    $334.28

    Facility

    $275.19

    $13.47 lower than El Centro for the office setting.

  • Vermont

    Vermont · 25560

    Office

    $321.29

    Facility

    $263.42

    $26.46 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 25560

    Office

    $341.25

    Facility

    $279.70

    $6.50 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 25560

    Office

    $385.43

    Facility

    $313.71

    $37.68 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 25560

    Office

    $310.54

    Facility

    $254.54

    $37.21 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 25560

    Office

    $309.16

    Facility

    $258.36

    $38.59 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 25560

    Office

    $327.58

    Facility

    $269.12

    $20.17 lower than El Centro for the office setting.

See how rates vary across the country

25560 · 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.

$291.25

$391.46

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$381.591
AL$295.801
AR$291.251
AZ$322.411
CA$347.66–$435.2629
CO$344.041
CT$355.021
DC$379.521
DE$327.941
FL$330.43–$367.503
GA$310.39–$339.372
GU$356.411
HI$356.411
IA$302.141
ID$304.591
IL$321.54–$355.814
IN$306.431
KS$301.431
KY$304.981
LA$304.79–$320.722
MA$342.11–$378.312
MD$334.22–$379.523
ME$307.13–$323.652
MI$314.15–$335.622
MN$326.701
MO$299.76–$320.983
MS$295.521
MT$331.971
NC$310.411
ND$321.891
NE$303.661
NH$339.321
NJ$358.24–$375.362
NM$316.301
NV$329.391
NY$315.42–$395.575
OH$312.091
OK$303.551
OR$326.02–$354.582
PA$312.17–$346.262
PR$334.281
RI$339.381
SC$311.931
SD$320.691
TN$303.151
TX$310.05–$343.608
UT$316.441
VA$323.08–$379.522
VI$334.281
VT$321.291
WA$341.25–$385.432
WI$310.541
WV$309.161
WY$327.581

Explore 25560 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.

Why are the office and facility amounts different?

For 25560 in El Centro, the physician’s office rate is $347.75 and the facility-setting rate is $283.68: a difference of $64.07.

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 25560 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$382.53

$347.75 × 110% = $382.53

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.

Compare your contract offer →

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 25560 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

2,481

Code
25560
Physician work
2.53
Practice expense
6.90
Malpractice
0.51

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 25560 in El Centro
ComponentRVULocality factorAdjusted
Physician work2.53× 1.0172.5730
Practice expense6.90× 1.0967.5624
Malpractice0.51× 0.5410.2759
Total RVUs10.4113
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$347.75

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

Open 25560 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.531.017
Practice expense6.91.096
Malpractice0.510.541

(2.53 × 1.017 + 6.9 × 1.096 + 0.51 × 0.541) × $33.4009 = $347.75

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.531.017
Practice expense5.151.096
Malpractice0.510.541

(2.53 × 1.017 + 5.15 × 1.096 + 0.51 × 0.541) × $33.4009 = $283.68

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

25560 · Office / nonfacility

$347.75

Effective 2026-10-01

The base rate is $36.32 higher than on 2025-10-01, moving from $311.43 to $347.75 (11.7%).

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

    $311.43changed to$347.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.59 changed to 2.53
    • Practice expense RVU 6.14 changed to 6.90
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $311.43

    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$347.75$283.68RVU26D
2026-07-01$347.75$283.68RVU26C
2026-04-01$347.75$283.68RVU26B
2026-01-01$347.75$283.68RVU26A
2025-10-01$311.43$276.78RVU25D
2025-07-01$311.43$276.78RVU25C
2025-04-01$311.43$276.78RVU25B
2025-01-01$311.43$276.78RVU25A

25560 billing questions

How does this differ from 25565?

Use 25560 when both shaft fractures are treated without manipulation. Use 25565 when the provider manipulates the fractures as part of closed treatment.

Can I also report 25500 or 25530 for the same forearm?

No. This code represents treatment of both shaft fractures in that forearm; do not separately report a single-bone treatment code for the same fractures.

Is the cast or splint reported separately?

Routine immobilization associated with the fracture treatment is part of the treatment service. The code includes related postoperative care within its 90-day global period.

How is treatment on both forearms reported?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.

What documentation supports choosing this code?

Document that both the radius and ulna shaft fractures are being treated closed, identify the treated side, and show that no manipulation was performed.

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 25560PPRRVU2026_Oct_nonQPP.csv, line 2,481 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)