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CMS RVU26D · Effective 2026-10-01

25600 in Wyoming**

Office / nonfacility

$380.67

Base rate per service

Facility setting

$337.25

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Orthopedic fracture care

About 25600: Closed distal radius fracture treatment without manipulation

Reports closed treatment of a distal radius fracture without manipulation, including treatment of an associated distal ulna fracture when performed.

This service covers nonoperative care of a distal radius fracture or separation at the growth plate when the provider treats it without manipulating the fracture. Treatment may include immobilization and follow-up by an orthopedic surgeon or another qualified clinician in an office, emergency department, or hospital setting. The code also includes treatment of an associated distal ulna fracture when performed; it is not limited to fractures involving both bones.

Choose this code when the documented treatment does not involve manipulating the fracture. Document the fracture site, the closed treatment plan, and whether manipulation occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the first 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 25600

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 RVU2.71 · 23%
  • Practice expense (office) RVU8.28 · 72%
  • Malpractice RVU0.55 · 5%

30.5K

Medicare services in 2024 · #972 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.

25600 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

25605

Wrist fracture treatment

With manipulation

$622.72

Both describe closed distal radius fracture treatment, but 25605 requires manipulation. Report 25600 when treatment is closed and no manipulation is performed.

25606

Distal radius fixation

Percutaneous skeletal fixation

No office rate

25606 describes percutaneous skeletal fixation. 25600 is for closed treatment without manipulation or percutaneous fixation.

25607

Distal radius repair

Extra-articular, open treatment

No office rate

25607 is open treatment for an extra-articular distal radius fracture; 25600 is closed treatment without manipulation.

25608

Distal radius repair

Intra-articular, two fragments

No office rate

25608 is open treatment of an intra-articular fracture involving two fragments. 25600 describes closed treatment without manipulation.

The same code, a different location

How does Wyoming** compare?

25600 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $380.67

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

    $433.60

    $52.93 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $441.64

    $60.97 higher than Wyoming**

  4. Miami

    $424.87

    $44.20 higher than Wyoming**

  5. Chicago

    $411.25

    $30.58 higher than Wyoming**

  6. Manhattan

    $446.81

    $66.14 higher than Wyoming**

  7. Alaska*

    $440.43

    $59.76 higher than Wyoming**

Other payment areas listed in Wyoming 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, 25600 ranges from $337.54 in Arkansas to $509.12 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 25600

    Office

    $342.90

    Facility

    $304.91

    $37.77 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 25600

    Office

    $337.54

    Facility

    $300.24

    $43.13 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 25600

    Office

    $374.23

    Facility

    $332.15

    $6.44 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 25600

    Office

    $406.53

    Facility

    $358.94

    $25.86 higher than Wyoming** for the office setting.

  • Chico

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • El Centro

    California · 25600

    Office

    $405.10

    Facility

    $357.51

    $24.43 higher than Wyoming** for the office setting.

  • Fresno

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Madera

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Merced

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Modesto

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Napa

    California · 25600

    Office

    $470.06

    Facility

    $412.83

    $89.39 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 25600

    Office

    $431.39

    Facility

    $380.07

    $50.72 higher than Wyoming** for the office setting.

  • Redding

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 25600

    Office

    $410.92

    Facility

    $363.34

    $30.25 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 25600

    Office

    $425.26

    Facility

    $374.76

    $44.59 higher than Wyoming** for the office setting.

  • Salinas

    California · 25600

    Office

    $423.70

    Facility

    $373.38

    $43.03 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 25600

    Office

    $433.95

    Facility

    $382.02

    $53.28 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 25600

    Office

    $497.50

    Facility

    $436.27

    $116.83 higher than Wyoming** for the office setting.

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

    California · 25600

    Office

    $496.87

    Facility

    $435.65

    $116.20 higher than Wyoming** for the office setting.

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

    California · 25600

    Office

    $509.12

    Facility

    $446.51

    $128.45 higher than Wyoming** for the office setting.

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

    California · 25600

    Office

    $506.57

    Facility

    $443.95

    $125.90 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 25600

    Office

    $416.90

    Facility

    $367.45

    $36.23 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 25600

    Office

    $438.28

    Facility

    $385.53

    $57.61 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 25600

    Office

    $425.37

    Facility

    $374.74

    $44.70 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 25600

    Office

    $442.69

    Facility

    $389.37

    $62.02 higher than Wyoming** for the office setting.

  • Stockton

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Vallejo

    California · 25600

    Office

    $469.16

    Facility

    $411.93

    $88.49 higher than Wyoming** for the office setting.

  • Visalia

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Yuba City

    California · 25600

    Office

    $405.01

    Facility

    $357.42

    $24.34 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 25600

    Office

    $400.21

    Facility

    $354.01

    $19.54 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 25600

    Office

    $412.41

    Facility

    $365.64

    $31.74 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 25600

    Office

    $380.72

    Facility

    $337.82

    $0.05 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 25600

    Office

    $403.89

    Facility

    $359.90

    $23.22 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 25600

    Office

    $382.52

    Facility

    $341.01

    $1.85 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 25600

    Office

    $393.84

    Facility

    $349.72

    $13.17 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 25600

    Office

    $359.11

    Facility

    $320.37

    $21.56 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 25600

    Office

    $415.60

    Facility

    $366.23

    $34.93 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 25600

    Office

    $350.86

    Facility

    $311.13

    $29.81 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 25600

    Office

    $353.64

    Facility

    $313.69

    $27.03 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 25600

    Office

    $381.95

    Facility

    $342.00

    $1.28 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 25600

    Office

    $371.73

    Facility

    $332.08

    $8.94 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 25600

    Office

    $407.73

    Facility

    $363.14

    $27.06 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 25600

    Office

    $355.82

    Facility

    $315.56

    $24.85 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 25600

    Office

    $349.78

    Facility

    $310.53

    $30.89 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 25600

    Office

    $353.19

    Facility

    $314.59

    $27.48 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 25600

    Office

    $371.63

    Facility

    $330.77

    $9.04 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 25600

    Office

    $352.87

    Facility

    $314.44

    $27.80 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 25600

    Office

    $440.79

    Facility

    $388.94

    $60.12 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 25600

    Office

    $397.82

    Facility

    $352.10

    $17.15 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 25600

    Office

    $411.44

    Facility

    $364.85

    $30.77 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 25600

    Office

    $388.16

    Facility

    $344.22

    $7.49 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 25600

    Office

    $356.38

    Facility

    $316.43

    $24.29 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 25600

    Office

    $376.18

    Facility

    $333.15

    $4.49 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 25600

    Office

    $388.37

    Facility

    $346.47

    $7.70 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 25600

    Office

    $363.76

    Facility

    $324.11

    $16.91 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 25600

    Office

    $380.53

    Facility

    $335.85

    $0.14 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 25600

    Office

    $368.15

    Facility

    $327.38

    $12.52 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 25600

    Office

    $372.21

    Facility

    $330.87

    $8.46 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 25600

    Office

    $346.80

    Facility

    $309.37

    $33.87 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 25600

    Office

    $342.21

    Facility

    $304.82

    $38.46 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 25600

    Office

    $385.41

    Facility

    $341.99

    $4.74 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 25600

    Office

    $360.29

    Facility

    $319.77

    $20.38 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 25600

    Office

    $374.53

    Facility

    $331.11

    $6.14 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 25600

    Office

    $352.72

    Facility

    $312.65

    $27.95 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 25600

    Office

    $394.49

    Facility

    $349.29

    $13.82 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 25600

    Office

    $436.65

    Facility

    $386.28

    $55.98 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 25600

    Office

    $416.29

    Facility

    $368.88

    $35.62 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 25600

    Office

    $366.18

    Facility

    $326.37

    $14.49 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 25600

    Office

    $382.66

    Facility

    $339.19

    $1.99 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 25600

    Office

    $459.25

    Facility

    $407.62

    $78.58 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 25600

    Office

    $419.65

    Facility

    $372.10

    $38.98 higher than Wyoming** for the office setting.

  • Queens

    New York · 25600

    Office

    $449.69

    Facility

    $398.37

    $69.02 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 25600

    Office

    $366.16

    Facility

    $324.91

    $14.51 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 25600

    Office

    $361.53

    Facility

    $321.89

    $19.14 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 25600

    Office

    $351.76

    Facility

    $312.98

    $28.91 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 25600

    Office

    $412.89

    Facility

    $364.65

    $32.22 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 25600

    Office

    $378.88

    Facility

    $335.64

    $1.79 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 25600

    Office

    $401.96

    Facility

    $356.76

    $21.29 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 25600

    Office

    $361.76

    Facility

    $321.90

    $18.91 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 25600

    Office

    $388.21

    Facility

    $344.31

    $7.54 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 25600

    Office

    $394.31

    Facility

    $349.45

    $13.64 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 25600

    Office

    $361.67

    Facility

    $321.55

    $19.00 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 25600

    Office

    $373.25

    Facility

    $329.83

    $7.42 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 25600

    Office

    $351.77

    Facility

    $312.30

    $28.90 lower than Wyoming** for the office setting.

  • Austin

    Texas · 25600

    Office

    $399.57

    Facility

    $353.63

    $18.90 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 25600

    Office

    $359.25

    Facility

    $319.74

    $21.42 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 25600

    Office

    $379.64

    Facility

    $336.61

    $1.03 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 25600

    Office

    $382.55

    Facility

    $339.30

    $1.88 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 25600

    Office

    $380.02

    Facility

    $337.21

    $0.65 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 25600

    Office

    $381.07

    Facility

    $337.96

    $0.40 higher than Wyoming** for the office setting.

  • Houston

    Texas · 25600

    Office

    $391.14

    Facility

    $348.02

    $10.47 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 25600

    Office

    $369.56

    Facility

    $328.35

    $11.11 lower than Wyoming** for the office setting.

  • Utah

    Utah · 25600

    Office

    $366.98

    Facility

    $326.16

    $13.69 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 25600

    Office

    $375.34

    Facility

    $332.66

    $5.33 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 25600

    Office

    $388.21

    Facility

    $344.31

    $7.54 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 25600

    Office

    $373.61

    Facility

    $330.62

    $7.06 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 25600

    Office

    $396.89

    Facility

    $351.17

    $16.22 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 25600

    Office

    $449.39

    Facility

    $396.11

    $68.72 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 25600

    Office

    $361.12

    Facility

    $319.52

    $19.55 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 25600

    Office

    $357.13

    Facility

    $319.40

    $23.54 lower than Wyoming** for the office setting.

See how rates vary across the country

25600 · 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.

$337.54

$457.07

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$440.431
AL$342.901
AR$337.541
AZ$374.231
CA$405.01–$509.1229
CO$400.211
CT$412.411
DC$441.641
DE$380.721
FL$382.52–$424.873
GA$359.11–$393.842
GU$415.601
HI$415.601
IA$350.861
ID$353.641
IL$371.73–$411.254
IN$355.821
KS$349.781
KY$353.191
LA$352.87–$371.632
MA$397.82–$440.792
MD$388.16–$441.643
ME$356.38–$376.182
MI$363.76–$388.372
MN$380.531
MO$346.80–$372.213
MS$342.211
MT$385.411
NC$360.291
ND$374.531
NE$352.721
NH$394.491
NJ$416.29–$436.652
NM$366.181
NV$382.661
NY$366.16–$459.255
OH$361.531
OK$351.761
OR$378.88–$412.892
PA$361.76–$401.962
PR$388.211
RI$394.311
SC$361.671
SD$373.251
TN$351.771
TX$359.25–$399.578
UT$366.981
VA$375.34–$441.642
VI$388.211
VT$373.611
WA$396.89–$449.392
WI$361.121
WV$357.131
WY$380.671

Explore 25600 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 25600 in Wyoming**, the physician’s office rate is $380.67 and the facility-setting rate is $337.25: a difference of $43.42.

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 25600 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$418.74

$380.67 × 110% = $418.74

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 25600 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

2,485

Code
25600
Physician work
2.71
Practice expense
8.28
Malpractice
0.55

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 25600 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.71× 1.0002.7100
Practice expense8.28× 1.0008.2800
Malpractice0.55× 0.7400.4070
Total RVUs11.3970
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$380.67

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

Open 25600 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.711
Practice expense8.281
Malpractice0.550.74

(2.71 × 1 + 8.28 × 1 + 0.55 × 0.74) × $33.4009 = $380.67

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.711
Practice expense6.981
Malpractice0.550.74

(2.71 × 1 + 6.98 × 1 + 0.55 × 0.74) × $33.4009 = $337.25

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

25600 · Office / nonfacility

$380.67

Effective 2026-10-01

The base rate is $36.86 higher than on 2025-10-01, moving from $343.81 to $380.67 (10.7%).

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

    $343.81changed to$380.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.78 changed to 2.71
    • Practice expense RVU 7.45 changed to 8.28
    • Malpractice RVU 0.54 changed to 0.55
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $343.81

    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$380.67$337.25RVU26D
2026-07-01$380.67$337.25RVU26C
2026-04-01$380.67$337.25RVU26B
2026-01-01$380.67$337.25RVU26A
2025-10-01$343.81$329.58RVU25D
2025-07-01$343.81$329.58RVU25C
2025-04-01$343.81$329.58RVU25B
2025-01-01$343.81$329.58RVU25A

25600 billing questions

When should 25600 be reported instead of 25605?

Use 25600 when the distal radius fracture is treated closed without manipulation. Use 25605 when the provider manipulates the fracture as part of closed treatment.

Can this code include treatment of a distal ulna fracture?

Yes. Treatment of an associated distal ulna fracture is included when performed as part of the distal radius fracture treatment.

Is fracture follow-up included in the service?

CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the first 90 days.

How is bilateral treatment paid?

CMS identifies this as a bilateral procedure. When both sides are treated and reported with modifier 50, payment is 150%.

What distinguishes 25600 from 25606?

25600 describes closed treatment without manipulation. 25606 is for percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation.

Can an assistant or co-surgeon be reported for this service?

CMS does not pay assistant-at-surgery services for this code, and 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.

RVUs for 25600PPRRVU2026_Oct_nonQPP.csv, line 2,485 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet