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CMS RVU26D · Effective 2026-10-01

25608 Distal radius repair Medicare reimbursement rates in Iowa

Reports open reduction and internal fixation of an intra-articular distal radius fracture when the surgeon treats two fragments. Compare 25608 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 25608 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

$699.37

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.

Find 25608 in your payment locality →

Orthopedic surgery

About 25608: Open fixation of two-fragment distal radius fracture

Reports open reduction and internal fixation of an intra-articular distal radius fracture when the surgeon treats two fragments.

An orthopedic or hand surgeon exposes the wrist fracture, restores the joint surface and stabilizes the distal radius, commonly with a plate and screws. This code applies when the fracture extends into the wrist joint and two fragments are treated. The operation is usually performed in an operating room for a displaced or unstable fracture that needs direct surgical reduction and fixation.

Select the code from the operative findings and report: documentation should establish intra-articular involvement, the two-fragment count, and the open reduction and fixation performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral procedures reported with modifier 50, CMS payment is 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 25608

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 RVU10.79 · 47%
  • Practice expense (office) RVU10.15 · 44%
  • Malpractice RVU2.17 · 9%

9.5K

Medicare services in 2024 · #1504 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.

25608 compared with similar codes

Office rates for Iowa, from the same CMS release.

25609

Distal radius fixation

Intra-articular, three or more fragments

No office rate

Both describe open treatment of an intra-articular distal radius fracture; choose 25608 for two treated fragments and 25609 for three or more.

25607

Distal radius repair

Extra-articular, open treatment

No office rate

Code 25607 is for an extra-articular distal radius fracture treated openly. Code 25608 requires intra-articular involvement and two treated fragments.

25606

Distal radius fixation

Percutaneous skeletal fixation

No office rate

Code 25606 describes percutaneous skeletal fixation. Use 25608 when the surgeon performs open treatment of the intra-articular fracture.

25605

Wrist fracture treatment

With manipulation

$574.26

Code 25605 is closed treatment with manipulation; 25608 is open treatment with fixation for an intra-articular fracture involving two fragments.

Compare 25608 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

Office and facility base rates · shared scale starting at $0

  • Iowa →

    Office / nonfacility

    Unavailable

    Facility

    $699.37

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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 25608 in Iowa.

PPRRVU2026_Oct_nonQPP.csv

2,489

Code
25608
Physician work
10.79
Practice expense
10.15
Malpractice
2.17

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Facility calculation for 25608 in Iowa
ComponentRVULocality factorAdjusted
Physician work10.79× 1.00010.7900
Practice expense10.15× 0.9159.2873
Malpractice2.17× 0.3970.8615
Total RVUs20.9387
Conversion factor× 33.4009

Facility rate, Iowa$699.37

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work10.791
Practice expense10.150.915
Malpractice2.170.397

(10.79 × 1 + 10.15 × 0.915 + 2.17 × 0.397) × $33.4009 = $699.37

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.

25608 billing questions

How is this distinguished from code 25609?

Use 25608 when the intra-articular distal radius fracture involves two treated fragments. Code 25609 is for three or more fragments.

When should code 25607 be used instead?

Code 25607 describes open treatment of an extra-articular distal radius fracture. This code is for an intra-articular fracture with two treated fragments.

Can this be reported for percutaneous fixation?

No. Code 25608 describes open treatment; code 25606 is the percutaneous skeletal-fixation alternative for a distal radius fracture.

What documentation supports the fragment count?

The operative report should describe the fracture’s joint involvement, the number of fragments treated, and the open reduction and fixation performed.

What is included in the global period?

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 reported with modifier 50, CMS pays 150%. An assistant at surgery may be paid, but 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.

RVUs for 25608PPRRVU2026_Oct_nonQPP.csv, line 2,489 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet