No office rate
Use 25515 for open treatment of a radial shaft fracture. This code is for the ulnar shaft.
On this page
CMS RVU26D · Effective 2026-10-01
25545 Fracture fixation Medicare reimbursement rates in Arizona
Reports operative treatment of an ulnar shaft fracture, with internal fixation when performed, rather than closed fracture management. Compare 25545 office and facility rates across CMS payment localities in Arizona.
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 25545 in Arizona?
Arizona 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
No supported rate
Facility setting
$578.56
1 of 1 localities have a supported rate.
Payment area: Arizona
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 surgery
About 25545: Open treatment of ulnar shaft fracture
Reports operative treatment of an ulnar shaft fracture, with internal fixation when performed, rather than closed fracture management.
This service treats a fracture through the shaft of the ulna by surgically exposing the fracture and restoring alignment. The surgeon may stabilize the bone with hardware such as a plate and screws; internal fixation is included when performed. Orthopedic and hand surgeons commonly perform the operation in a hospital or ambulatory surgery setting. The code describes treatment of the ulna, not an isolated radial shaft fracture or a fracture involving both forearm bones treated operatively.
Report the code when the operative record supports open treatment of an ulnar shaft fracture. Documentation should identify the fracture site and describe the operative reduction and stabilization; do not separately report internal fixation as a distinct service. 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25545
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.74 · 43%
- Practice expense (office) RVU8.51 · 48%
- Malpractice RVU1.56 · 9%
2.3K
Medicare services in 2024 · #2374 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.
25545 compared with similar codes
Office rates for Arizona, from the same CMS release.
$293.18
25530 describes closed treatment of an ulnar shaft fracture without manipulation; this code describes open operative treatment.
$532.46
25535 describes closed treatment of an ulnar shaft fracture with manipulation, not open treatment.
No office rate
Use 25575 when open treatment addresses fractures of both the radius and ulna shafts; this code addresses the ulna shaft.
Compare 25545 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
Arizona →
Office / nonfacility
Unavailable
Facility
$578.56
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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 25545 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
2,480
- Code
- 25545
- Physician work
- 7.74
- Practice expense
- 8.51
- Malpractice
- 1.56
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.74 | × 1.000 | 7.7400 |
| Practice expense | 8.51 | × 0.969 | 8.2462 |
| Malpractice | 1.56 | × 0.856 | 1.3354 |
| Total RVUs | 17.3216 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$578.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.74 | 1 |
| Practice expense | 8.51 | 0.969 |
| Malpractice | 1.56 | 0.856 |
(7.74 × 1 + 8.51 × 0.969 + 1.56 × 0.856) × $33.4009 = $578.56
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.
25545 billing questions
When should this be reported instead of a closed-treatment code?
Use this code when the surgeon treats the ulnar shaft fracture through open operative exposure. Closed management, with or without manipulation, is represented by a different code.
Can internal fixation be reported separately?
No. Internal fixation, such as plate-and-screw stabilization when performed, is part of the open fracture treatment.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment handled?
For bilateral ulnar shaft fracture treatment reported with modifier 50, CMS pays 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,47725526,,Optx rdl shft fx&dstl rad/ul,A,,12.82,11.25,NA,11.25,,2.73,26.80,26.80,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47825530,,Cltx ulnar shft fx w/o mnpj,A,,2.18,6.42,,4.99,,0.44,9.04,7.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47925535,,Cltx ulnar shft fx w/mnpj,A,,5.23,10.10,,7.26,,1.08,16.41,13.57,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48025545,,Optx ulnar shft fx int fixj,A,,7.74,8.51,NA,8.51,,1.56,17.81,17.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48125560,,Cltx rdl&uln shft fx wo mnpj,A,,2.53,6.90,,5.15,,0.51,9.94,8.19,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48225565,,Cltx rdl&uln shft fx w/mnpj,A,,5.70,11.66,,8.25,,1.31,18.67,15.26,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48325574,,Optx rdl&uln shft fx rds/uln,A,,8.58,8.86,NA,8.86,,1.75,19.19,19.19,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
901112,CA,55,CHICO,1.017,1.096,0.536