$685.11
Both concern a radial shaft fracture treated closed. Choose 25500 when no manipulation is performed; choose 25505 when treatment includes manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
25500 Radial fracture care Medicare reimbursement rates in Alaska
Reports closed treatment of a radius shaft fracture when the physician manages the fracture without manipulating the bone into alignment. Compare 25500 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for 25500 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$376.04
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
Facility setting
$318.77
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic fracture care
About 25500: Closed treatment of radial shaft fracture without manipulation
Reports closed treatment of a radius shaft fracture when the physician manages the fracture without manipulating the bone into alignment.
This service is for closed management of a fracture through the shaft of the radius when the physician treats it without manipulating the fracture. Orthopedic surgeons and other physicians who manage fractures may provide this care in an office, emergency department, or hospital setting. The treatment plan may include immobilization and follow-up for healing; the defining distinction is that the fracture is not manipulated. A radial shaft fracture associated with distal radioulnar joint dislocation follows a different code pathway.
Choose the code when the record supports a radial shaft fracture and closed treatment without manipulation. Document the fracture site, the treatment provided, and whether manipulation or operative fixation occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 reports bilateral treatment and is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25500
- 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 RVU2.54 · 26%
- Practice expense (office) RVU6.73 · 69%
- Malpractice RVU0.51 · 5%
537
Medicare services in 2024 · #3492 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.
25500 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
25500 describes closed treatment without manipulation. Use 25515 when the radial shaft fracture is treated with open surgery.
$747.11
25520 is for a radial shaft fracture with associated distal radioulnar joint dislocation; 25500 is for closed treatment without that fracture-dislocation pattern.
$381.59
25560 applies when both the radius and ulna shafts are fractured and treated closed without manipulation. Code 25500 is for the radial shaft fracture alone.
Compare 25500 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
$376.04
Facility
$318.77
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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 25500 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
2,472
- Code
- 25500
- Physician work
- 2.54
- Practice expense
- 6.73
- Malpractice
- 0.51
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.54 | × 1.500 | 3.8100 |
| Practice expense | 6.73 | × 1.065 | 7.1674 |
| Malpractice | 0.51 | × 0.551 | 0.2810 |
| Total RVUs | 11.2585 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$376.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.54 | 1.5 |
| Practice expense | 6.73 | 1.065 |
| Malpractice | 0.51 | 0.551 |
(2.54 × 1.5 + 6.73 × 1.065 + 0.51 × 0.551) × $33.4009 = $376.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.54 | 1.5 |
| Practice expense | 5.12 | 1.065 |
| Malpractice | 0.51 | 0.551 |
(2.54 × 1.5 + 5.12 × 1.065 + 0.51 × 0.551) × $33.4009 = $318.77
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.
25500 billing questions
How does this differ from 25505?
Use 25500 when the radial shaft fracture is treated without manipulation. Code 25505 is for closed treatment that includes manipulation.
When does a radial shaft fracture require a different code?
A radial shaft fracture with associated distal radioulnar joint dislocation is represented by 25520. Open treatment of a radial shaft fracture follows a different code, such as 25515.
What documentation supports 25500?
Document the radial shaft fracture, the closed treatment provided, and that no manipulation was performed. The record should also identify any associated dislocation or additional forearm fracture that could change code selection.
How does the global period affect follow-up billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Related follow-up during that period is included in the global service.
How is bilateral treatment reported?
For bilateral procedures, modifier 50 is paid at 150% under the CMS rule supplied for this code. Document treatment of both sides.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. 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.
2,46925490,,Prophylactic tx radius,A,,9.49,8.81,NA,8.81,,2.02,20.32,20.32,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47025491,,Prophylactic tx ulna,A,,9.90,8.79,NA,8.79,,2.11,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47125492,,Prophylactic tx radius&ulna,A,,12.34,10.29,NA,10.29,,2.62,25.25,25.25,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47225500,,Cltx rdl shft fx w/o mnpj,A,,2.54,6.73,,5.12,,0.51,9.78,8.17,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47325505,,Cltx rdl shft fx w/mnpj,A,,5.31,11.16,,8.18,,1.20,17.67,14.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47425515,,Optx radial shaft fracture,A,,8.58,8.66,NA,8.66,,1.74,18.98,18.98,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47525520,,Cltx rdl shft fx&dislc,A,,6.34,11.38,,8.25,,1.34,19.06,15.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609