No office rate
Use 25400 when only the radius or only the ulna requires repair; 25415 describes repair involving both bones.
On this page
CMS RVU26D · Effective 2026-10-01
25415 Forearm bone repair Medicare reimbursement rates in Missouri
Reports operative correction of a radius-and-ulna nonunion or malunion when both forearm bones require repair during the same surgical episode. Compare 25415 office and facility rates across CMS payment localities in Missouri.
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 25415 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$844.68–$878.87
3 of 3 localities have a supported rate.
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.
Where 25415 pays more and less in Missouri
Orthopedic surgery
About 25415: Repair of radius and ulna nonunion
Reports operative correction of a radius-and-ulna nonunion or malunion when both forearm bones require repair during the same surgical episode.
An orthopedic surgeon uses this code for operative correction of an established nonunion or malunion involving both the radius and ulna in one forearm. The procedure may address failed healing or a healed deformity after fracture, with repair directed at restoring alignment and stability. These cases are typically performed in an operating room rather than an office setting.
Choose this code when the operative report supports repair of both bones, not just one; a graft-specific sibling may be appropriate when grafting is performed. Document the affected bones, the nonunion or malunion, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25415
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.46 · 50%
- Practice expense (office) RVU10.48 · 39%
- Malpractice RVU2.87 · 11%
39
Medicare services in 2024 · #5514 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.
25415 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
This is the graft-specific counterpart for repair involving one forearm bone. Use 25415 for both bones when the repair does not fall under a graft-specific code.
No office rate
This is the graft-specific counterpart for repair involving both the radius and ulna; 25415 is the non-graft repair code.
Compare 25415 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$871.92
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$878.87
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$844.68
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25415 billing questions
When is 25415 appropriate instead of 25400?
Use 25415 when the repair addresses nonunion or malunion of both the radius and ulna. Code 25400 is for repair involving only one of those bones.
Does 25415 include bone grafting?
This code represents repair without the grafting distinction captured by graft-specific codes in the family. If the surgeon performs graft augmentation, review the applicable graft-specific code, such as 25420 for both bones.
Can the radius and ulna repairs be reported as separate units?
No. The code represents repair of both bones in the same forearm; do not report separate units for the radius and ulna.
How does the 90-day global period affect follow-up visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. Report a separate service only when it is independently reportable under the applicable coding rules.
How does Medicare handle an assistant or co-surgeon?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
2,44825394,,Repair carpal bone shorten,A,,10.58,9.19,NA,9.19,,2.25,22.02,22.02,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,44925400,,Repair radius or ulna,A,,11.00,8.91,NA,8.91,,2.16,22.07,22.07,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45025405,,Repair/graft radius or ulna,A,,14.63,10.62,NA,10.62,,2.87,28.12,28.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45125415,,Repair radius & ulna,A,,13.46,10.48,NA,10.48,,2.87,26.81,26.81,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45225420,,Repair/graft radius & ulna,A,,16.61,11.84,NA,11.84,,3.54,31.99,31.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45325425,,Repair/graft radius or ulna,A,,13.38,10.45,NA,10.45,,2.85,26.68,26.68,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45425426,,Repair/graft radius & ulna,A,,16.04,11.30,NA,11.30,,3.41,30.75,30.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00