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CMS RVU26D · Effective 2026-10-01

25622 in Madera

Office / nonfacility

$367.10

Base rate per service

Facility setting

$307.06

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 25622: Closed scaphoid fracture treatment without manipulation

Closed treatment of a scaphoid fracture without manipulation, typically using immobilization and follow-up for a wrist fracture managed nonoperatively.

An orthopedic or hand surgeon reports this service when treating a carpal scaphoid (navicular) fracture nonoperatively without manipulating the fracture. The treatment commonly includes immobilizing the wrist, often in a thumb-spica cast or splint, and monitoring healing. It may be furnished in an office or a facility after clinical assessment and imaging establish the fracture and the treatment plan.

Select this code when the provider performs closed fracture treatment without a reduction maneuver; document the affected wrist, scaphoid fracture, treatment decision, and immobilization plan. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

CMS billing rules for 25622

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 RVU2.72 · 26%
  • Practice expense (office) RVU7.24 · 69%
  • Malpractice RVU0.54 · 5%

1.3K

Medicare services in 2024 · #2750 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.

25622 compared with similar codes

Office rates for Madera, from the same CMS release.

25624

Scaphoid fracture care

With manipulation

$570.85

Both codes address closed treatment of a scaphoid fracture. Report 25622 when treatment does not include manipulation; report 25624 when manipulation is performed.

25628

Scaphoid fixation

Open treatment with fixation

No office rate

25628 is for open reduction and internal fixation of a scaphoid fracture. 25622 is for closed treatment without manipulation.

25630

Carpal fracture care

Without manipulation, each bone

$359.52

25630 applies to a carpal fracture other than the scaphoid treated without manipulation. 25622 identifies the scaphoid specifically.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 25622 is $368.60—$1.50 higher than the $367.10 rate in Madera. Both use the same code, release and participation basis.

25622 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $367.10

  2. Bakersfield

    $368.60

    $1.50 higher than Madera

  3. Chico

    $367.10

    The same base rate than Madera

  4. El Centro

    $367.19

    $0.09 higher than Madera

  5. Fresno

    $367.10

    The same base rate than Madera

  6. Hanford-Corcoran

    $367.10

    The same base rate than Madera

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

    $392.63

    $25.53 higher than Madera

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, 25622 ranges from $307.86 in Arkansas to $459.22 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 · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Modesto

    California · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Napa

    California · 25622

    Office

    $424.46

    Facility

    $352.26

    $57.36 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25622

    Office

    $390.47

    Facility

    $325.72

    $23.37 higher than Madera for the office setting.

  • Redding

    California · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25622

    Office

    $372.91

    Facility

    $312.87

    $5.81 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25622

    Office

    $385.03

    Facility

    $321.32

    $17.93 higher than Madera for the office setting.

  • Salinas

    California · 25622

    Office

    $383.61

    Facility

    $320.12

    $16.51 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25622

    Office

    $392.57

    Facility

    $327.06

    $25.47 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25622

    Office

    $448.73

    Facility

    $371.49

    $81.63 higher than Madera for the office setting.

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

    California · 25622

    Office

    $448.12

    Facility

    $370.88

    $81.02 higher than Madera for the office setting.

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

    California · 25622

    Office

    $459.22

    Facility

    $380.23

    $92.12 higher than Madera for the office setting.

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

    California · 25622

    Office

    $456.71

    Facility

    $377.72

    $89.61 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25622

    Office

    $377.50

    Facility

    $315.11

    $10.40 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 25622

    Office

    $396.24

    Facility

    $329.69

    $29.14 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 25622

    Office

    $385.03

    Facility

    $321.16

    $17.93 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 25622

    Office

    $400.20

    Facility

    $332.93

    $33.10 higher than Madera for the office setting.

  • Stockton

    California · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 25622

    Office

    $423.57

    Facility

    $351.38

    $56.47 higher than Madera for the office setting.

  • Visalia

    California · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 25622

    Office

    $367.10

    Facility

    $307.06

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 25622

    Office

    $400.70

    Facility

    $336.17

    $33.60 higher than Madera for the office setting.

  • Miami

    Florida · 25622

    Office

    $388.20

    Facility

    $331.18

    $21.10 higher than Madera for the office setting.

  • Chicago

    Illinois · 25622

    Office

    $375.91

    Facility

    $320.86

    $8.81 higher than Madera for the office setting.

  • Manhattan

    New York · 25622

    Office

    $406.27

    Facility

    $342.62

    $39.17 higher than Madera for the office setting.

  • Alaska*

    Alaska · 25622

    Office

    $403.75

    Facility

    $345.42

    $36.65 higher than Madera for the office setting.

  • Alabama

    Alabama · 25622

    Office

    $312.65

    Facility

    $264.72

    $54.45 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 25622

    Office

    $307.86

    Facility

    $260.81

    $59.24 lower than Madera for the office setting.

  • Arizona

    Arizona · 25622

    Office

    $340.62

    Facility

    $287.54

    $26.48 lower than Madera for the office setting.

  • Colorado

    Colorado · 25622

    Office

    $363.33

    Facility

    $305.04

    $3.77 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 25622

    Office

    $374.93

    Facility

    $315.94

    $7.83 higher than Madera for the office setting.

  • Delaware

    Delaware · 25622

    Office

    $346.44

    Facility

    $292.32

    $20.66 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 25622

    Office

    $368.43

    Facility

    $312.94

    $1.33 higher than Madera for the office setting.

  • Rest Of Florida

    Florida · 25622

    Office

    $349.14

    Facility

    $296.77

    $17.96 lower than Madera for the office setting.

  • Atlanta

    Georgia · 25622

    Office

    $358.48

    Facility

    $302.82

    $8.62 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 25622

    Office

    $328.06

    Facility

    $279.19

    $39.04 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 25622

    Office

    $376.25

    Facility

    $313.96

    $9.15 higher than Madera for the office setting.

  • Iowa

    Iowa · 25622

    Office

    $319.28

    Facility

    $269.16

    $47.82 lower than Madera for the office setting.

  • Idaho

    Idaho · 25622

    Office

    $321.86

    Facility

    $271.46

    $45.24 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 25622

    Office

    $349.65

    Facility

    $299.26

    $17.45 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 25622

    Office

    $339.83

    Facility

    $289.81

    $27.27 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 25622

    Office

    $371.80

    Facility

    $315.54

    $4.70 higher than Madera for the office setting.

  • Indiana

    Indiana · 25622

    Office

    $323.79

    Facility

    $273.01

    $43.31 lower than Madera for the office setting.

  • Kansas

    Kansas · 25622

    Office

    $318.55

    Facility

    $269.03

    $48.55 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 25622

    Office

    $322.33

    Facility

    $273.64

    $44.77 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 25622

    Office

    $338.89

    Facility

    $287.35

    $28.21 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 25622

    Office

    $322.14

    Facility

    $273.66

    $44.96 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 25622

    Office

    $399.36

    Facility

    $333.96

    $32.26 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25622

    Office

    $361.32

    Facility

    $303.64

    $5.78 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25622

    Office

    $374.09

    Facility

    $315.31

    $6.99 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 25622

    Office

    $353.04

    Facility

    $297.61

    $14.06 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 25622

    Office

    $324.55

    Facility

    $274.15

    $42.55 lower than Madera for the office setting.

  • Southern Maine

    Maine · 25622

    Office

    $341.88

    Facility

    $287.59

    $25.22 lower than Madera for the office setting.

  • Detroit

    Michigan · 25622

    Office

    $354.62

    Facility

    $301.76

    $12.48 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 25622

    Office

    $332.00

    Facility

    $281.99

    $35.10 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 25622

    Office

    $345.02

    Facility

    $288.66

    $22.08 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 25622

    Office

    $335.54

    Facility

    $284.11

    $31.56 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 25622

    Office

    $339.14

    Facility

    $286.99

    $27.96 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 25622

    Office

    $316.87

    Facility

    $269.65

    $50.23 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 25622

    Office

    $312.39

    Facility

    $265.23

    $54.71 lower than Madera for the office setting.

  • Montana**

    Montana · 25622

    Office

    $350.67

    Facility

    $295.90

    $16.43 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 25622

    Office

    $328.00

    Facility

    $276.89

    $39.10 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 25622

    Office

    $340.00

    Facility

    $285.22

    $27.10 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 25622

    Office

    $320.87

    Facility

    $270.31

    $46.23 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 25622

    Office

    $358.37

    Facility

    $301.35

    $8.73 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 25622

    Office

    $396.35

    Facility

    $332.81

    $29.25 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 25622

    Office

    $378.34

    Facility

    $318.52

    $11.24 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 25622

    Office

    $334.26

    Facility

    $284.03

    $32.84 lower than Madera for the office setting.

  • Nevada**

    Nevada · 25622

    Office

    $347.94

    Facility

    $293.11

    $19.16 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25622

    Office

    $417.69

    Facility

    $352.56

    $50.59 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25622

    Office

    $381.56

    Facility

    $321.58

    $14.46 higher than Madera for the office setting.

  • Queens

    New York · 25622

    Office

    $408.51

    Facility

    $343.76

    $41.41 higher than Madera for the office setting.

  • Rest Of New York

    New York · 25622

    Office

    $333.26

    Facility

    $281.22

    $33.84 lower than Madera for the office setting.

  • Ohio

    Ohio · 25622

    Office

    $329.82

    Facility

    $279.80

    $37.28 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 25622

    Office

    $320.81

    Facility

    $271.90

    $46.29 lower than Madera for the office setting.

  • Portland

    Oregon · 25622

    Office

    $374.39

    Facility

    $313.53

    $7.29 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 25622

    Office

    $344.39

    Facility

    $289.83

    $22.71 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25622

    Office

    $365.74

    Facility

    $308.72

    $1.36 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25622

    Office

    $329.89

    Facility

    $279.60

    $37.21 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 25622

    Office

    $353.10

    Facility

    $297.72

    $14.00 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 25622

    Office

    $358.47

    Facility

    $301.88

    $8.63 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 25622

    Office

    $329.63

    Facility

    $279.01

    $37.47 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 25622

    Office

    $338.73

    Facility

    $283.96

    $28.37 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 25622

    Office

    $320.35

    Facility

    $270.56

    $46.75 lower than Madera for the office setting.

  • Austin

    Texas · 25622

    Office

    $362.86

    Facility

    $304.91

    $4.24 lower than Madera for the office setting.

  • Beaumont

    Texas · 25622

    Office

    $327.66

    Facility

    $277.82

    $39.44 lower than Madera for the office setting.

  • Brazoria

    Texas · 25622

    Office

    $345.29

    Facility

    $291.01

    $21.81 lower than Madera for the office setting.

  • Dallas

    Texas · 25622

    Office

    $348.00

    Facility

    $293.44

    $19.10 lower than Madera for the office setting.

  • Fort Worth

    Texas · 25622

    Office

    $345.81

    Facility

    $291.80

    $21.29 lower than Madera for the office setting.

  • Galveston

    Texas · 25622

    Office

    $346.64

    Facility

    $292.25

    $20.46 lower than Madera for the office setting.

  • Houston

    Texas · 25622

    Office

    $356.53

    Facility

    $302.13

    $10.57 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 25622

    Office

    $336.63

    Facility

    $284.64

    $30.47 lower than Madera for the office setting.

  • Utah

    Utah · 25622

    Office

    $334.36

    Facility

    $282.87

    $32.74 lower than Madera for the office setting.

  • Virginia

    Virginia · 25622

    Office

    $341.30

    Facility

    $287.45

    $25.80 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25622

    Office

    $353.10

    Facility

    $297.72

    $14.00 lower than Madera for the office setting.

  • Vermont

    Vermont · 25622

    Office

    $339.38

    Facility

    $285.15

    $27.72 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 25622

    Office

    $360.40

    Facility

    $302.72

    $6.70 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 25622

    Office

    $406.85

    Facility

    $339.63

    $39.75 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 25622

    Office

    $328.07

    Facility

    $275.59

    $39.03 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 25622

    Office

    $326.80

    Facility

    $279.20

    $40.30 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 25622

    Office

    $346.02

    Facility

    $291.24

    $21.08 lower than Madera for the office setting.

See how rates vary across the country

25622 · 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.

$307.86

$413.16

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$403.751
AL$312.651
AR$307.861
AZ$340.621
CA$367.10–$459.2229
CO$363.331
CT$374.931
DC$400.701
DE$346.441
FL$349.14–$388.203
GA$328.06–$358.482
GU$376.251
HI$376.251
IA$319.281
ID$321.861
IL$339.83–$375.914
IN$323.791
KS$318.551
KY$322.331
LA$322.14–$338.892
MA$361.32–$399.362
MD$353.04–$400.703
ME$324.55–$341.882
MI$332.00–$354.622
MN$345.021
MO$316.87–$339.143
MS$312.391
MT$350.671
NC$328.001
ND$340.001
NE$320.871
NH$358.371
NJ$378.34–$396.352
NM$334.261
NV$347.941
NY$333.26–$417.695
OH$329.821
OK$320.811
OR$344.39–$374.392
PA$329.89–$365.742
PR$353.101
RI$358.471
SC$329.631
SD$338.731
TN$320.351
TX$327.66–$362.868
UT$334.361
VA$341.30–$400.702
VI$353.101
VT$339.381
WA$360.40–$406.852
WI$328.071
WV$326.801
WY$346.021

Explore 25622 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 25622 in Madera, the physician’s office rate is $367.10 and the facility-setting rate is $307.06: a difference of $60.04.

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 25622 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$403.81

$367.10 × 110% = $403.81

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 25622 in Madera.

PPRRVU2026_Oct_nonQPP.csv

2,491

Code
25622
Physician work
2.72
Practice expense
7.24
Malpractice
0.54

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 25622 in Madera
ComponentRVULocality factorAdjusted
Physician work2.72× 1.0172.7662
Practice expense7.24× 1.0967.9350
Malpractice0.54× 0.5360.2894
Total RVUs10.9907
Conversion factor× 33.4009

Office / nonfacility rate, Madera$367.10

Open 25622 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.721.017
Practice expense7.241.096
Malpractice0.540.536

(2.72 × 1.017 + 7.24 × 1.096 + 0.54 × 0.536) × $33.4009 = $367.10

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.721.017
Practice expense5.61.096
Malpractice0.540.536

(2.72 × 1.017 + 5.6 × 1.096 + 0.54 × 0.536) × $33.4009 = $307.06

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

25622 · Office / nonfacility

$367.10

Effective 2026-10-01

The base rate is $37.24 higher than on 2025-10-01, moving from $329.86 to $367.10 (11.3%).

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

    $329.86changed to$367.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.79 changed to 2.72
    • Practice expense RVU 6.47 changed to 7.24
    • Malpractice RVU 0.53 changed to 0.54
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $329.86

    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$367.10$307.06RVU26D
2026-07-01$367.10$307.06RVU26C
2026-04-01$367.10$307.06RVU26B
2026-01-01$367.10$307.06RVU26A
2025-10-01$329.86$302.99RVU25D
2025-07-01$329.86$302.99RVU25C
2025-04-01$329.86$302.99RVU25B
2025-01-01$329.86$302.99RVU25A

25622 billing questions

When should 25622 be selected instead of 25624?

Use 25622 when the scaphoid fracture is treated without manipulation. Use 25624 when the provider performs manipulation as part of closed treatment.

How does 25622 differ from 25628?

25622 represents closed treatment without manipulation. Choose 25628 when the scaphoid fracture is treated with open reduction and internal fixation.

Can routine fracture follow-up be billed separately?

Related care during the 90-day global period is included, including routine follow-up for this fracture treatment. A separately identifiable service unrelated to the fracture requires its own support.

What documentation supports reporting 25622?

Document the scaphoid fracture, the affected wrist, the decision for closed treatment, and that treatment did not include manipulation. Include the immobilization and follow-up plan.

How is bilateral treatment handled?

For bilateral treatment reported with modifier 50, CMS pays 150% under the stated bilateral rule. Document treatment of both wrists.

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 25622PPRRVU2026_Oct_nonQPP.csv, line 2,491 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet