$347.34
Use 25650 for closed treatment of the ulnar styloid fracture. Choose 25652 when the surgeon directly exposes and treats the fracture.
On this page
CMS RVU26D · Effective 2026-10-01
25652 Ulnar styloid fracture Medicare reimbursement rates in Idaho
Report open treatment when a surgeon directly exposes and treats an ulnar styloid fracture, often to address displacement or associated wrist instability. Compare 25652 office and facility rates across CMS payment localities in Idaho.
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 25652 in Idaho?
Idaho 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
$541.16
1 of 1 localities have a supported rate.
Payment area: Idaho
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 25652: Open treatment of ulnar styloid fracture
Report open treatment when a surgeon directly exposes and treats an ulnar styloid fracture, often to address displacement or associated wrist instability.
This service involves surgically exposing an ulnar styloid fracture and treating it directly; fixation may be used. Orthopedic or hand surgeons commonly perform it in an operating room, often when the fragment is displaced or the fracture is associated with distal radioulnar joint instability. Ulnar styloid fractures can occur with distal radius fractures, so the operative plan may address both injuries during the same session.
Choose this code when the documented treatment uses an open approach, rather than closed care or percutaneous skeletal fixation. The operative report should identify the fracture, describe the open approach and treatment, and document any 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 are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery services are not paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 25652
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.86 · 44%
- Practice expense (office) RVU8.26 · 47%
- Malpractice RVU1.57 · 9%
567
Medicare services in 2024 · #3447 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.
25652 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
25651 describes percutaneous skeletal fixation. 25652 describes open treatment, with fixation when performed.
No office rate
25607 is for open treatment of an extra-articular distal radius fracture, not an ulnar styloid fracture. A patient with both injuries may have treatment of each documented.
Compare 25652 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
Idaho →
Office / nonfacility
Unavailable
Facility
$541.16
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 25652 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
2,499
- Code
- 25652
- Physician work
- 7.86
- Practice expense
- 8.26
- Malpractice
- 1.57
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.86 | × 1.000 | 7.8600 |
| Practice expense | 8.26 | × 0.920 | 7.5992 |
| Malpractice | 1.57 | × 0.473 | 0.7426 |
| Total RVUs | 16.2018 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$541.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.86 | 1 |
| Practice expense | 8.26 | 0.92 |
| Malpractice | 1.57 | 0.473 |
(7.86 × 1 + 8.26 × 0.92 + 1.57 × 0.473) × $33.4009 = $541.16
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.
25652 billing questions
How does this differ from 25650?
25652 describes open treatment of the ulnar styloid fracture. 25650 is for closed treatment, without an open approach.
When would 25651 be more appropriate?
Use 25651 when the fracture is treated with percutaneous skeletal fixation. 25652 is for direct treatment through an open approach.
Can this be reported with distal radius fracture surgery?
An ulnar styloid fracture may be treated during the same session as a distal radius fracture. Document the distinct fracture and its treatment; same-session multiple-procedure payment rules may apply.
What documentation supports 25652?
The operative report should establish the ulnar styloid fracture, the open approach, and the treatment performed, including fixation if used.
Does the 90-day global include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for this procedure?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons are paid only with supporting documentation.
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.
2,49625645,,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
2,50125670,,Optx rdcrpl/ntrcrpl dislc 1+,A,,7.89,7.80,NA,7.80,,1.68,17.37,17.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50225671,,Perq skel fix rad/uln dislc,A,,6.30,8.02,NA,8.02,,1.33,15.65,15.65,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772