$587.94
Both describe closed distal radius fracture treatment, but 25605 requires manipulation. Report 25600 when treatment is closed and no manipulation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
25600 Fracture treatment Medicare reimbursement rates in Kentucky
Reports closed treatment of a distal radius fracture without manipulation, including treatment of an associated distal ulna fracture when performed. Compare 25600 office and facility rates across CMS payment localities in Kentucky.
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 25600 in Kentucky?
Kentucky 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
$353.19
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$314.59
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 fracture care
About 25600: Closed distal radius fracture treatment without manipulation
Reports closed treatment of a distal radius fracture without manipulation, including treatment of an associated distal ulna fracture when performed.
This service covers nonoperative care of a distal radius fracture or separation at the growth plate when the provider treats it without manipulating the fracture. Treatment may include immobilization and follow-up by an orthopedic surgeon or another qualified clinician in an office, emergency department, or hospital setting. The code also includes treatment of an associated distal ulna fracture when performed; it is not limited to fractures involving both bones.
Choose this code when the documented treatment does not involve manipulating the fracture. Document the fracture site, the closed treatment plan, and whether manipulation occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the first 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25600
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.71 · 23%
- Practice expense (office) RVU8.28 · 72%
- Malpractice RVU0.55 · 5%
30.5K
Medicare services in 2024 · #972 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.
25600 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
25606 describes percutaneous skeletal fixation. 25600 is for closed treatment without manipulation or percutaneous fixation.
No office rate
25607 is open treatment for an extra-articular distal radius fracture; 25600 is closed treatment without manipulation.
No office rate
25608 is open treatment of an intra-articular fracture involving two fragments. 25600 describes closed treatment without manipulation.
Compare 25600 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
Kentucky →
Office / nonfacility
$353.19
Facility
$314.59
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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 25600 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,485
- Code
- 25600
- Physician work
- 2.71
- Practice expense
- 8.28
- Malpractice
- 0.55
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.71 | × 1.000 | 2.7100 |
| Practice expense | 8.28 | × 0.889 | 7.3609 |
| Malpractice | 0.55 | × 0.915 | 0.5033 |
| Total RVUs | 10.5742 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$353.19
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.71 | 1 |
| Practice expense | 8.28 | 0.889 |
| Malpractice | 0.55 | 0.915 |
(2.71 × 1 + 8.28 × 0.889 + 0.55 × 0.915) × $33.4009 = $353.19
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.71 | 1 |
| Practice expense | 6.98 | 0.889 |
| Malpractice | 0.55 | 0.915 |
(2.71 × 1 + 6.98 × 0.889 + 0.55 × 0.915) × $33.4009 = $314.59
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.
25600 billing questions
When should 25600 be reported instead of 25605?
Use 25600 when the distal radius fracture is treated closed without manipulation. Use 25605 when the provider manipulates the fracture as part of closed treatment.
Can this code include treatment of a distal ulna fracture?
Yes. Treatment of an associated distal ulna fracture is included when performed as part of the distal radius fracture treatment.
Is fracture follow-up included in the service?
CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the first 90 days.
How is bilateral treatment paid?
CMS identifies this as a bilateral procedure. When both sides are treated and reported with modifier 50, payment is 150%.
What distinguishes 25600 from 25606?
25600 describes closed treatment without manipulation. 25606 is for percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation.
Can an assistant or co-surgeon be reported for this service?
CMS does not pay assistant-at-surgery services for this code, and 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.
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
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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631