$370.88
Choose 25650 for closed treatment of the ulnar styloid fracture without percutaneous fixation; choose 25651 when percutaneous fixation is performed.
On this page
CMS RVU26D · Effective 2026-10-01
25651 Fracture fixation Medicare reimbursement rates in Minnesota
Reports percutaneous stabilization of an ulnar styloid fracture when the surgeon fixes the fracture without directly exposing it through an open approach. Compare 25651 office and facility rates across CMS payment localities in Minnesota.
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 25651 in Minnesota?
Minnesota 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
$454.20
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 25651: Percutaneous ulnar styloid fixation
Reports percutaneous stabilization of an ulnar styloid fracture when the surgeon fixes the fracture without directly exposing it through an open approach.
An orthopedic or hand surgeon uses fixation placed through the skin, such as pins or wires, to stabilize an ulnar styloid fracture without surgically exposing the fracture site. This approach may be selected when the fracture requires fixation but can be stabilized percutaneously. Ulnar styloid fractures may occur alongside distal radius fractures, so the record should identify the treated bone and fracture.
Report this code for the percutaneous fixation service, not for closed treatment with immobilization alone or fixation performed through an open exposure. The operative report should document the ulnar styloid fracture, the percutaneous technique, and the 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 others at 50%. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 25651
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.67 · 40%
- Practice expense (office) RVU7.38 · 52%
- Malpractice RVU1.13 · 8%
199
Medicare services in 2024 · #4332 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.
25651 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
25652 describes open treatment of the ulnar styloid fracture. This code is for fixation without direct open exposure of the fracture.
No office rate
25606 concerns percutaneous fixation of a distal radius fracture, not the ulnar styloid. Select by the bone treated and document each distinct fracture service.
Compare 25651 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$454.20
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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 25651 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
2,498
- Code
- 25651
- Physician work
- 5.67
- Practice expense
- 7.38
- Malpractice
- 1.13
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.67 | × 1.000 | 5.6700 |
| Practice expense | 7.38 | × 1.029 | 7.5940 |
| Malpractice | 1.13 | × 0.296 | 0.3345 |
| Total RVUs | 13.5985 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$454.20
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.67 | 1 |
| Practice expense | 7.38 | 1.029 |
| Malpractice | 1.13 | 0.296 |
(5.67 × 1 + 7.38 × 1.029 + 1.13 × 0.296) × $33.4009 = $454.20
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.
25651 billing questions
How does this differ from 25650?
Use 25651 when the ulnar styloid fracture is stabilized with percutaneous fixation. Code 25650 describes closed fracture treatment without that fixation approach.
When would 25652 be used instead?
25652 is for open treatment of an ulnar styloid fracture. This code describes fixation performed percutaneously without directly exposing the fracture site.
Can treatment of a distal radius fracture be reported in the same session?
A distinct distal radius fracture treated during the session may have its own applicable fracture-treatment code. Document the site and treatment performed for each fracture.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity.
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.
2,49525635,,Cltx carpl fx w/mnpj ea b1,A,,4.49,10.14,,7.22,,0.96,15.59,12.67,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49625645,,Optx crpl fx oth/thn scph ea,A,,7.23,7.59,NA,7.59,,1.53,16.35,16.35,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49725650,,Cltx ulnar styloid fracture,A,,3.15,7.54,,5.92,,0.66,11.35,9.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49825651,,Perq skel fix ulnar styld fx,A,,5.67,7.38,NA,7.38,,1.13,14.18,14.18,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49925652,,Optx ulnar styloid fracture,A,,7.86,8.26,NA,8.26,,1.57,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50025660,,Cltx rdcrpl/ntrcrpl dislc 1+,A,,4.86,7.44,NA,7.44,,1.05,13.35,13.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50125670,,Optx rdcrpl/ntrcrpl dislc 1+,A,,7.89,7.80,NA,7.80,,1.68,17.37,17.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002