No office rate
Choose 25651 when the ulnar styloid fracture is treated with percutaneous skeletal fixation; 25650 describes closed treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
25650 Fracture treatment Medicare reimbursement rates in Colorado
Closed treatment of an ulnar styloid fracture without manipulation, reported when the fracture is managed nonoperatively with immobilization and fracture-care follow-up. Compare 25650 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 25650 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
$391.65
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$334.08
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 fracture care
About 25650: Closed ulnar styloid fracture treatment without manipulation
Closed treatment of an ulnar styloid fracture without manipulation, reported when the fracture is managed nonoperatively with immobilization and fracture-care follow-up.
This code covers nonoperative care of an ulnar styloid fracture when the provider treats the fracture without manipulating or reducing it. An orthopedic or hand surgeon may provide definitive fracture care in an office or facility; emergency clinicians may stabilize the wrist, but this code represents the provider’s fracture-treatment service. Routine immobilization and fracture-care follow-up are part of the treatment episode.
Report the code when documentation identifies the ulnar styloid fracture and supports treatment without manipulation. Record the affected side, treatment plan, and follow-up responsibility; distinguish the styloid injury from any separately treated distal radius fracture. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. With modifier 50, bilateral treatment is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 25650
- 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 RVU3.15 · 28%
- Practice expense (office) RVU7.54 · 66%
- Malpractice RVU0.66 · 6%
1.1K
Medicare services in 2024 · #2915 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.
25650 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Choose 25652 for open treatment of the ulnar styloid fracture. This code is for closed treatment without manipulation.
$400.21
25600 treats a distal radius fracture without manipulation, not an ulnar styloid fracture. A separate, treated fracture of each bone may support reporting both codes.
Compare 25650 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
$391.65
Facility
$334.08
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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 25650 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,497
- Code
- 25650
- Physician work
- 3.15
- Practice expense
- 7.54
- Malpractice
- 0.66
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.15 | × 1.012 | 3.1878 |
| Practice expense | 7.54 | × 1.064 | 8.0226 |
| Malpractice | 0.66 | × 0.781 | 0.5155 |
| Total RVUs | 11.7258 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$391.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.15 | 1.012 |
| Practice expense | 7.54 | 1.064 |
| Malpractice | 0.66 | 0.781 |
(3.15 × 1.012 + 7.54 × 1.064 + 0.66 × 0.781) × $33.4009 = $391.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.15 | 1.012 |
| Practice expense | 5.92 | 1.064 |
| Malpractice | 0.66 | 0.781 |
(3.15 × 1.012 + 5.92 × 1.064 + 0.66 × 0.781) × $33.4009 = $334.08
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.
25650 billing questions
When is this code appropriate instead of a manipulation code?
Use it when the ulnar styloid fracture is treated without manipulation. If the provider manipulates the fracture, this code does not describe the service.
Can this be reported with a distal radius fracture code?
It may be reported with a code for a separately treated distal radius fracture when both injuries receive distinct treatment. Document each fracture and its treatment.
Is routine casting or fracture follow-up separately reported?
Routine immobilization and related fracture-care follow-up are part of the fracture-treatment episode. Related postoperative care is included in the 90-day global period.
What modifier applies when both wrists are treated?
CMS identifies this as a bilateral procedure; report modifier 50 when appropriate. Bilateral payment is 150% under the stated CMS rule.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is statutorily restricted 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.
2,49425630,,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
2,50025660,,Cltx rdcrpl/ntrcrpl dislc 1+,A,,4.86,7.44,NA,7.44,,1.05,13.35,13.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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