No office rate
Both describe open carpal fracture treatment, but 25628 is for the scaphoid; 25645 is for another carpal bone.
On this page
CMS RVU26D · Effective 2026-10-01
25645 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$550.84
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.
Surgical orthopedics
About 25645: Open treatment of other carpal fracture
Report open treatment for a fractured carpal bone other than the scaphoid, with coding based on the bone treated and each bone counted separately.
A hand or orthopedic surgeon surgically exposes a fractured carpal bone other than the scaphoid, restores its alignment, and may stabilize the fragments. The code can apply to bones such as the lunate, triquetrum, hamate, or capitate. These operations are generally performed in an operating room for a fracture requiring open treatment rather than closed care.
Select 25645 when the operative report supports open treatment of a non-scaphoid carpal fracture, and identify the bone and each bone treated. The 90-day global period includes 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 at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25645
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.23 · 44%
- Practice expense (office) RVU7.59 · 46%
- Malpractice RVU1.53 · 9%
111
Medicare services in 2024 · #4791 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.
25645 compared with similar codes
Office rates for Redding, from the same CMS release.
$359.52
25630 describes closed treatment of a non-scaphoid carpal fracture without manipulation. Use 25645 when the fracture receives open treatment.
$540.91
25635 is closed treatment of a non-scaphoid carpal fracture with manipulation; 25645 describes open treatment.
No office rate
25685 addresses an open-treated trans-scaphoid perilunar fracture-dislocation, a combined fracture-dislocation pattern rather than an isolated non-scaphoid carpal fracture.
The same code, a different location
How does Redding compare?
25645 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Madera
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Merced
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Modesto
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Napa
California · 25645
Office
Unavailable
Facility
$616.79
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25645
Office
Unavailable
Facility
$579.74
No comparable office rate is available.
Rest Of California
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25645
Office
Unavailable
Facility
$567.28
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25645
Office
Unavailable
Facility
$572.41
No comparable office rate is available.
Salinas
California · 25645
Office
Unavailable
Facility
$570.19
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25645
Office
Unavailable
Facility
$579.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25645
Office
Unavailable
Facility
$645.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25645
Office
Unavailable
Facility
$643.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25645
Office
Unavailable
Facility
$661.01
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25645
Office
Unavailable
Facility
$653.91
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25645
Office
Unavailable
Facility
$561.74
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25645
Office
Unavailable
Facility
$581.97
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25645
Office
Unavailable
Facility
$571.24
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25645
Office
Unavailable
Facility
$587.44
No comparable office rate is available.
Stockton
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Vallejo
California · 25645
Office
Unavailable
Facility
$614.29
No comparable office rate is available.
Visalia
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Yuba City
California · 25645
Office
Unavailable
Facility
$550.84
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25645
Office
Unavailable
Facility
$610.05
No comparable office rate is available.
Miami
Florida · 25645
Office
Unavailable
Facility
$634.64
No comparable office rate is available.
Chicago
Illinois · 25645
Office
Unavailable
Facility
$615.24
No comparable office rate is available.
Manhattan
New York · 25645
Office
Unavailable
Facility
$632.58
No comparable office rate is available.
Alaska*
Alaska · 25645
Office
Unavailable
Facility
$660.38
No comparable office rate is available.
Alabama
Alabama · 25645
Office
Unavailable
Facility
$492.24
No comparable office rate is available.
Arkansas
Arkansas · 25645
Office
Unavailable
Facility
$485.57
No comparable office rate is available.
Arizona
Arizona · 25645
Office
Unavailable
Facility
$530.89
No comparable office rate is available.
Colorado
Colorado · 25645
Office
Unavailable
Facility
$554.04
No comparable office rate is available.
Connecticut
Connecticut · 25645
Office
Unavailable
Facility
$581.19
No comparable office rate is available.
Delaware
Delaware · 25645
Office
Unavailable
Facility
$539.11
No comparable office rate is available.
Fort Lauderdale
Florida · 25645
Office
Unavailable
Facility
$590.69
No comparable office rate is available.
Rest Of Florida
Florida · 25645
Office
Unavailable
Facility
$560.66
No comparable office rate is available.
Atlanta
Georgia · 25645
Office
Unavailable
Facility
$561.16
No comparable office rate is available.
Rest Of Georgia
Georgia · 25645
Office
Unavailable
Facility
$528.54
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25645
Office
Unavailable
Facility
$559.32
No comparable office rate is available.
Iowa
Iowa · 25645
Office
Unavailable
Facility
$493.74
No comparable office rate is available.
Idaho
Idaho · 25645
Office
Unavailable
Facility
$498.89
No comparable office rate is available.
East St. Louis
Illinois · 25645
Office
Unavailable
Facility
$577.64
No comparable office rate is available.
Rest Of Illinois
Illinois · 25645
Office
Unavailable
Facility
$552.82
No comparable office rate is available.
Suburban Chicago
Illinois · 25645
Office
Unavailable
Facility
$594.09
No comparable office rate is available.
Indiana
Indiana · 25645
Office
Unavailable
Facility
$501.33
No comparable office rate is available.
Kansas
Kansas · 25645
Office
Unavailable
Facility
$496.42
No comparable office rate is available.
Kentucky
Kentucky · 25645
Office
Unavailable
Facility
$513.62
No comparable office rate is available.
New Orleans
Louisiana · 25645
Office
Unavailable
Facility
$538.10
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25645
Office
Unavailable
Facility
$514.80
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25645
Office
Unavailable
Facility
$599.57
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25645
Office
Unavailable
Facility
$553.03
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25645
Office
Unavailable
Facility
$580.59
No comparable office rate is available.
Rest Of Maryland
Maryland · 25645
Office
Unavailable
Facility
$547.37
No comparable office rate is available.
Rest Of Maine
Maine · 25645
Office
Unavailable
Facility
$506.51
No comparable office rate is available.
Southern Maine
Maine · 25645
Office
Unavailable
Facility
$524.97
No comparable office rate is available.
Detroit
Michigan · 25645
Office
Unavailable
Facility
$572.29
No comparable office rate is available.
Rest Of Michigan
Michigan · 25645
Office
Unavailable
Facility
$530.64
No comparable office rate is available.
Minnesota
Minnesota · 25645
Office
Unavailable
Facility
$517.48
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25645
Office
Unavailable
Facility
$529.47
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25645
Office
Unavailable
Facility
$534.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 25645
Office
Unavailable
Facility
$509.79
No comparable office rate is available.
Mississippi
Mississippi · 25645
Office
Unavailable
Facility
$497.53
No comparable office rate is available.
Montana**
Montana · 25645
Office
Unavailable
Facility
$546.00
No comparable office rate is available.
North Carolina
North Carolina · 25645
Office
Unavailable
Facility
$510.67
No comparable office rate is available.
North Dakota**
North Dakota · 25645
Office
Unavailable
Facility
$515.75
No comparable office rate is available.
Nebraska
Nebraska · 25645
Office
Unavailable
Facility
$494.80
No comparable office rate is available.
New Hampshire
New Hampshire · 25645
Office
Unavailable
Facility
$550.11
No comparable office rate is available.
Northern Nj
New Jersey · 25645
Office
Unavailable
Facility
$605.36
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25645
Office
Unavailable
Facility
$584.04
No comparable office rate is available.
New Mexico
New Mexico · 25645
Office
Unavailable
Facility
$535.33
No comparable office rate is available.
Nevada**
Nevada · 25645
Office
Unavailable
Facility
$537.82
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25645
Office
Unavailable
Facility
$653.27
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25645
Office
Unavailable
Facility
$591.79
No comparable office rate is available.
Queens
New York · 25645
Office
Unavailable
Facility
$630.29
No comparable office rate is available.
Rest Of New York
New York · 25645
Office
Unavailable
Facility
$518.25
No comparable office rate is available.
Ohio
Ohio · 25645
Office
Unavailable
Facility
$524.46
No comparable office rate is available.
Oklahoma
Oklahoma · 25645
Office
Unavailable
Facility
$507.58
No comparable office rate is available.
Portland
Oregon · 25645
Office
Unavailable
Facility
$565.03
No comparable office rate is available.
Rest Of Oregon
Oregon · 25645
Office
Unavailable
Facility
$529.91
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25645
Office
Unavailable
Facility
$570.71
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25645
Office
Unavailable
Facility
$522.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25645
Office
Unavailable
Facility
$548.13
No comparable office rate is available.
Rhode Island
Rhode Island · 25645
Office
Unavailable
Facility
$553.54
No comparable office rate is available.
South Carolina
South Carolina · 25645
Office
Unavailable
Facility
$519.17
No comparable office rate is available.
South Dakota**
South Dakota · 25645
Office
Unavailable
Facility
$512.17
No comparable office rate is available.
Tennessee
Tennessee · 25645
Office
Unavailable
Facility
$499.37
No comparable office rate is available.
Austin
Texas · 25645
Office
Unavailable
Facility
$555.47
No comparable office rate is available.
Beaumont
Texas · 25645
Office
Unavailable
Facility
$519.66
No comparable office rate is available.
Brazoria
Texas · 25645
Office
Unavailable
Facility
$534.51
No comparable office rate is available.
Dallas
Texas · 25645
Office
Unavailable
Facility
$540.01
No comparable office rate is available.
Fort Worth
Texas · 25645
Office
Unavailable
Facility
$538.14
No comparable office rate is available.
Galveston
Texas · 25645
Office
Unavailable
Facility
$537.47
No comparable office rate is available.
Houston
Texas · 25645
Office
Unavailable
Facility
$565.48
No comparable office rate is available.
Rest Of Texas
Texas · 25645
Office
Unavailable
Facility
$528.22
No comparable office rate is available.
Utah
Utah · 25645
Office
Unavailable
Facility
$525.68
No comparable office rate is available.
Virginia
Virginia · 25645
Office
Unavailable
Facility
$526.77
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25645
Office
Unavailable
Facility
$548.13
No comparable office rate is available.
Vermont
Vermont · 25645
Office
Unavailable
Facility
$518.32
No comparable office rate is available.
Rest Of Washington
Washington · 25645
Office
Unavailable
Facility
$550.47
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25645
Office
Unavailable
Facility
$606.37
No comparable office rate is available.
Wisconsin
Wisconsin · 25645
Office
Unavailable
Facility
$500.09
No comparable office rate is available.
West Virginia
West Virginia · 25645
Office
Unavailable
Facility
$534.92
No comparable office rate is available.
Wyoming**
Wyoming · 25645
Office
Unavailable
Facility
$532.82
No comparable office rate is available.
See how rates vary across the country
25645 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 25645 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$605.92
$550.84 × 110% = $605.92
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 25645 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,496
- Code
- 25645
- Physician work
- 7.23
- Practice expense
- 7.59
- Malpractice
- 1.53
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.23 | × 1.017 | 7.3529 |
| Practice expense | 7.59 | × 1.096 | 8.3186 |
| Malpractice | 1.53 | × 0.536 | 0.8201 |
| Total RVUs | 16.4916 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$550.84
Open 25645 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.23 | 1.017 |
| Practice expense | 7.59 | 1.096 |
| Malpractice | 1.53 | 0.536 |
(7.23 × 1.017 + 7.59 × 1.096 + 1.53 × 0.536) × $33.4009 = $550.84
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
25645 · 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 | $550.84 | RVU26D |
| 2026-07-01 | Not available in this setting | $550.84 | RVU26C |
| 2026-04-01 | Not available in this setting | $550.84 | RVU26B |
| 2026-01-01 | Not available in this setting | $550.84 | RVU26A |
| 2025-10-01 | Not available in this setting | $578.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $578.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $578.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $578.84 | RVU25A |
25645 billing questions
When should 25645 be used instead of 25628?
Use 25645 for open treatment of a carpal fracture other than the scaphoid. Use 25628 when the fractured bone is the scaphoid.
Does the code count each fractured bone?
Yes. The code is reported for each carpal bone treated, so documentation should identify the specific bone or bones addressed.
Is fracture fixation separately reported?
Reduction and stabilization performed as part of the open treatment are captured in the fracture service. Do not report a separate code for fixation of that same fracture.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can 25645 be reported for both wrists?
For bilateral treatment, CMS payment uses modifier 50 and pays the procedure at 150%. Document the treated bone or bones on each side.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid for 25645. Co-surgeons and team surgery are 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.
2,49325628,,Optx carpl scphd fx int fixj,A,,9.43,8.80,NA,8.80,,1.80,20.03,20.03,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49425630,,Cltx carpl fx w/o mnpj ea b1,A,,2.95,6.80,,5.17,,0.58,10.33,8.70,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49525635,,Cltx carpl fx w/mnpj ea b1,A,,4.49,10.14,,7.22,,0.96,15.59,12.67,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49625645,,Optx crpl fx oth/thn scph ea,A,,7.23,7.59,NA,7.59,,1.53,16.35,16.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49725650,,Cltx ulnar styloid fracture,A,,3.15,7.54,,5.92,,0.66,11.35,9.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49825651,,Perq skel fix ulnar styld fx,A,,5.67,7.38,NA,7.38,,1.13,14.18,14.18,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49925652,,Optx ulnar styloid fracture,A,,7.86,8.26,NA,8.26,,1.57,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536