$624.39
Use 25505 for closed treatment of a radial shaft fracture with manipulation. Use 25515 when the surgeon treats the fracture through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
25515 Radius fracture repair Medicare reimbursement rates in Hawaii
Reports operative treatment of a radial shaft fracture, typically with surgical reduction and fixation when needed, without coding a distal radioulnar joint dislocation. Compare 25515 office and facility rates across CMS payment localities in Hawaii.
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 25515 in Hawaii?
Hawaii 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
$649.11
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 25515: Open treatment of radial shaft fracture
Reports operative treatment of a radial shaft fracture, typically with surgical reduction and fixation when needed, without coding a distal radioulnar joint dislocation.
An orthopedic or hand surgeon uses an operative approach to expose and reduce a fracture through the shaft of the radius. The fracture may be stabilized with internal fixation, such as a plate and screws. This code fits treatment of the radial shaft itself; a distal radioulnar joint dislocation requiring treatment changes the code choice. These repairs are commonly performed in a hospital operating room or ambulatory surgery setting after forearm trauma.
Choose the code based on the operative treatment and associated injury, not simply the presence of a fracture on imaging. The operative report should identify the radius shaft fracture and describe the open reduction and fixation performed. 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 other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is paid at 150% for a bilateral procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 25515
- 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 RVU8.58 · 45%
- Practice expense (office) RVU8.66 · 46%
- Malpractice RVU1.74 · 9%
711
Medicare services in 2024 · #3247 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.
25515 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
25525 includes open treatment of an associated distal radioulnar joint dislocation. 25515 describes radial shaft treatment without that additional open dislocation treatment.
No office rate
25526 combines open radial shaft fracture treatment with closed treatment of an associated distal radioulnar joint dislocation.
No office rate
25575 is for operative treatment of fractures of both the radius and ulna shafts. 25515 addresses the radial shaft fracture alone.
Compare 25515 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$649.11
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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 25515 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
2,474
- Code
- 25515
- Physician work
- 8.58
- Practice expense
- 8.66
- Malpractice
- 1.74
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.58 | × 1.000 | 8.5800 |
| Practice expense | 8.66 | × 1.137 | 9.8464 |
| Malpractice | 1.74 | × 0.579 | 1.0075 |
| Total RVUs | 19.4339 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$649.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.58 | 1 |
| Practice expense | 8.66 | 1.137 |
| Malpractice | 1.74 | 0.579 |
(8.58 × 1 + 8.66 × 1.137 + 1.74 × 0.579) × $33.4009 = $649.11
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.
25515 billing questions
How does this differ from 25505?
25515 describes operative treatment through an open approach. 25505 is for closed treatment of a radial shaft fracture with manipulation.
Can 25515 be used when the fracture includes a distal radioulnar joint dislocation?
Use the code that matches how the dislocation is treated. 25525 includes open treatment of the dislocation, while 25526 includes closed treatment of it alongside open fracture treatment.
What documentation supports reporting 25515?
The operative report should identify the radial shaft fracture and document open surgical treatment, including reduction and any fixation performed.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to other procedures performed in that session.
What global period applies?
This major surgery has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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.
2,47125492,,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
2,47625525,,Optx rdl shft fx&cltx rad/ul,A,,10.29,9.71,NA,9.71,,2.06,22.06,22.06,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47725526,,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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014