$574.26
25605 is closed treatment with manipulation. Choose 25607 when the surgeon treats the fracture through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
25607 Distal radius repair Medicare reimbursement rates in Iowa
Reports open operative treatment of an extra-articular distal radius fracture or epiphyseal separation, with internal fixation when performed. Compare 25607 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 25607 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
$632.06
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 25607: Open treatment of extra-articular distal radius fracture
Reports open operative treatment of an extra-articular distal radius fracture or epiphyseal separation, with internal fixation when performed.
CPT 25607 represents operative treatment of a distal radius fracture that is extra-articular, or an epiphyseal separation, through an open approach. The surgeon exposes the fracture, restores alignment, and may stabilize it with internal fixation, such as a plate and screws. Orthopedic and hand surgeons commonly perform this procedure in an operating room for injuries requiring direct surgical reduction. The defining distinction is that the fracture does not extend into the joint surface.
Select the code based on the fracture’s extra-articular status, not the number of fragments; intra-articular fractures are coded by fragment count. The operative report should identify the fracture pattern, its extra-articular or epiphyseal status, the open approach, and any fixation performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25607
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.32 · 45%
- Practice expense (office) RVU9.68 · 46%
- Malpractice RVU1.88 · 9%
10.7K
Medicare services in 2024 · #1440 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.
25607 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
25606 is percutaneous skeletal fixation. 25607 is for open treatment of an extra-articular distal radius fracture or epiphyseal separation.
No office rate
25608 is for an intra-articular distal radius fracture with two fragments; 25607 is for an extra-articular fracture or epiphyseal separation.
No office rate
25609 is for an intra-articular distal radius fracture with three or more fragments; 25607 is for an extra-articular fracture or epiphyseal separation.
Compare 25607 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
$632.06
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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 25607 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
2,488
- Code
- 25607
- Physician work
- 9.32
- Practice expense
- 9.68
- Malpractice
- 1.88
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.32 | × 1.000 | 9.3200 |
| Practice expense | 9.68 | × 0.915 | 8.8572 |
| Malpractice | 1.88 | × 0.397 | 0.7464 |
| Total RVUs | 18.9236 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$632.06
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.32 | 1 |
| Practice expense | 9.68 | 0.915 |
| Malpractice | 1.88 | 0.397 |
(9.32 × 1 + 9.68 × 0.915 + 1.88 × 0.397) × $33.4009 = $632.06
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.
25607 billing questions
How does 25607 differ from 25608 and 25609?
Use 25607 for an extra-articular distal radius fracture or epiphyseal separation. For an intra-articular fracture, 25608 describes two fragments and 25609 describes three or more.
Can internal fixation be reported separately?
Internal fixation, such as plate-and-screw stabilization, is included in the open treatment when performed. Do not separately report the fixation as a separate fracture-treatment service.
When is 25606 a better choice?
25606 describes percutaneous skeletal fixation of a distal radius fracture. Use 25607 when the fracture is treated through an open approach.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
May an assistant or co-surgeon be billed?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
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.
2,48525600,,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
2,49125622,,Cltx carpl scphd fx w/o mnpj,A,,2.72,7.24,,5.60,,0.54,10.50,8.86,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,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