$651.71
25605 describes closed treatment with manipulation and no percutaneous skeletal fixation. Choose 25606 when the surgeon stabilizes the distal radius injury with fixation placed through the skin.
On this page
CMS RVU26D · Effective 2026-10-01
25606 Distal radius fixation Medicare reimbursement rates in Colorado
Reports percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation when the surgeon stabilizes the injury with fixation placed through the skin. Compare 25606 office and facility rates across CMS payment localities in Colorado.
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 25606 in Colorado?
Colorado 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
$652.65
1 of 1 localities have a supported rate.
Payment area: Colorado
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 25606: Percutaneous distal radius fracture fixation
Reports percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation when the surgeon stabilizes the injury with fixation placed through the skin.
An orthopedic or hand surgeon uses percutaneous skeletal fixation to stabilize a distal radius fracture or epiphyseal separation, typically after reducing the fracture and placing fixation through the skin rather than exposing the fracture for open treatment. These procedures are commonly performed in an operating room or ambulatory surgery setting. The record should support the distal radius injury and document the reduction and percutaneous fixation performed.
Report this code for the percutaneous fixation service, not closed treatment that uses manipulation without skeletal fixation. Medicare 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 other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 25606
- 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 RVU8.10 · 42%
- Practice expense (office) RVU9.42 · 49%
- Malpractice RVU1.69 · 9%
840
Medicare services in 2024 · #3102 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.
25606 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
25607 is for open treatment of an extra-articular distal radius fracture. 25606 describes percutaneous skeletal fixation rather than open treatment.
No office rate
25608 describes open treatment of an intra-articular distal radius fracture with two fragments. For 25606, the defining distinction is percutaneous fixation, not this open-treatment fragment-count category.
Compare 25606 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
Colorado →
Office / nonfacility
Unavailable
Facility
$652.65
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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 25606 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,487
- Code
- 25606
- Physician work
- 8.10
- Practice expense
- 9.42
- Malpractice
- 1.69
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.10 | × 1.012 | 8.1972 |
| Practice expense | 9.42 | × 1.064 | 10.0229 |
| Malpractice | 1.69 | × 0.781 | 1.3199 |
| Total RVUs | 19.5400 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$652.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.1 | 1.012 |
| Practice expense | 9.42 | 1.064 |
| Malpractice | 1.69 | 0.781 |
(8.1 × 1.012 + 9.42 × 1.064 + 1.69 × 0.781) × $33.4009 = $652.65
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.
25606 billing questions
How does 25606 differ from closed treatment with manipulation?
Use 25606 when the distal radius fracture or epiphyseal separation is stabilized with percutaneous skeletal fixation. Closed treatment codes 25600 and 25605 describe treatment without that fixation.
How does 25606 differ from 25607, 25608, and 25609?
Those codes describe open treatment of distal radius fractures. Code 25607 is for an extra-articular fracture, while 25608 and 25609 distinguish intra-articular fractures by fragment count.
What documentation supports reporting 25606?
Document the distal radius fracture or epiphyseal separation and the percutaneous skeletal fixation performed. The operative record should make clear that fixation was placed through the skin.
Can 25606 be reported bilaterally?
CMS identifies this as a bilateral procedure. When performed on both sides, modifier 50 is paid at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
2,48425575,,Optx rdl&uln shft fx rds&uln,A,,11.98,10.86,NA,10.86,,2.48,25.32,25.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48525600,,Cltx dst rdl fx/ephys sep wo,A,,2.71,8.28,,6.98,,0.55,11.54,10.24,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48625605,,Cltx dst rdl fx/ephys sep w/,A,,6.09,11.54,,8.99,,1.37,19.00,16.45,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48725606,,Perq skel fixj dstl rdl fx,A,,8.10,9.42,NA,9.42,,1.69,19.21,19.21,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48825607,,Optx dst rd xartc fx/epi sep,A,,9.32,9.68,NA,9.68,,1.88,20.88,20.88,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,48925608,,Optx dst rd xart fx/epi sep2,A,,10.79,10.15,NA,10.15,,2.17,23.11,23.11,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49025609,,Optx dst rd xart fx/ep sep3+,A,,14.02,12.22,NA,12.22,,2.75,28.99,28.99,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899