No office rate
Use 25575 when both radial and ulnar shaft fractures are fixed internally. This code is for internal fixation of the radius with closed treatment of the ulna.
On this page
CMS RVU26D · Effective 2026-10-01
25574 Forearm fracture repair Medicare reimbursement rates in Iowa
Reports operative fixation of a radial shaft fracture when the accompanying ulnar shaft fracture is treated without open fixation. Compare 25574 office and facility rates across CMS payment localities in Iowa.
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 25574 in Iowa?
Iowa 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
$580.56
1 of 1 localities have a supported rate.
Payment area: Iowa
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 25574: Radius fixation with closed ulna treatment
Reports operative fixation of a radial shaft fracture when the accompanying ulnar shaft fracture is treated without open fixation.
This code describes operative care for fractures through both forearm shafts when the surgeon internally fixes the radius and treats the ulna by a closed method. Orthopedic surgeons commonly perform this repair in an operating room for a both-bone forearm fracture when the chosen treatment differs between the two bones. The operative report should make clear that both shaft fractures were treated and identify the fixation performed on the radius and the closed treatment provided for the ulna.
Report the code only when the radius is fixed internally and the ulna receives closed treatment; fixation of both bones points to a different code. 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 others at 50%. For bilateral procedures reported with modifier 50, payment is at 150%. Assistant-at-surgery payment may be made, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 25574
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.58 · 45%
- Practice expense (office) RVU8.86 · 46%
- Malpractice RVU1.75 · 9%
204
Medicare services in 2024 · #4312 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.
25574 compared with similar codes
Office rates for Iowa, from the same CMS release.
$564.11
Use 25565 for closed treatment with manipulation of both shaft fractures. This code includes operative fixation of the radius.
No office rate
Use 25515 for operative treatment of an isolated radial shaft fracture. This code applies when both shaft fractures are treated, with the ulna managed closed.
Compare 25574 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
Iowa →
Office / nonfacility
Unavailable
Facility
$580.56
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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 25574 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,483
- Code
- 25574
- Physician work
- 8.58
- Practice expense
- 8.86
- Malpractice
- 1.75
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.58 | × 1.000 | 8.5800 |
| Practice expense | 8.86 | × 0.915 | 8.1069 |
| Malpractice | 1.75 | × 0.397 | 0.6947 |
| Total RVUs | 17.3817 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$580.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.58 | 1 |
| Practice expense | 8.86 | 0.915 |
| Malpractice | 1.75 | 0.397 |
(8.58 × 1 + 8.86 × 0.915 + 1.75 × 0.397) × $33.4009 = $580.56
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.
25574 billing questions
When should this be reported instead of 25575?
Report 25574 when the radius receives internal fixation and the ulna is treated closed. Use 25575 when both shaft fractures receive internal fixation.
How does this differ from closed treatment of both shafts?
Codes 25560 and 25565 describe closed treatment of both radial and ulnar shaft fractures. This code describes a mixed approach: internal fixation of the radius and closed treatment of the ulna.
What should the operative note document?
Document the shaft fracture of each bone, the internal fixation performed on the radius, and the closed treatment chosen for the ulna.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon participate?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted.
How is this code handled with other same-session procedures?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
2,48025545,,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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136