Billing code 25652: Ulnar styloid fractureMedicare rate & RVUs in Massachusetts
Report open treatment when a surgeon directly exposes and treats an ulnar styloid fracture, often to address displacement or associated wrist instability.
CMS doesn’t publish an office rate for 25652 in Massachusetts.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25652 covers
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.
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.
Where 25652 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston | Unavailable | $649.38 |
| Rest Of Massachusetts | Unavailable | $599.04 |
How the 25652 rate is calculated
Each of 25652’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25652
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.86Practice expense 8.26Malpractice 1.57
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25652
25652 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25652
Ulnar styloid fracture
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25652
Ulnar styloid fracture
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25652 without 50 · national facility
$590.86
Ulnar styloid fracture
25652-50 · Bilateral: 150%
$886.29
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25652 compared with similar codes
Compare codes
25652 vs 25650 vs 25651 vs 25607: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25650Fracture treatment
- Use 25650 for closed treatment of the ulnar styloid fracture. Choose 25652 when the surgeon directly exposes and treats the fracture.
- 25651Fracture fixation
- 25651 describes percutaneous skeletal fixation. 25652 describes open treatment, with fixation when performed.
- 25607Distal radius repair
- 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.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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