No office rate
This code is a graft-associated repair option for a radius or ulna. Use 25400 when the documented procedure matches that code’s repair approach instead.
On this page
CMS RVU26D · Effective 2026-10-01
25425 Forearm bone repair Medicare reimbursement rates in Missouri
Reports operative repair of a radius or ulna nonunion or malunion using bone graft, when the reconstruction matches this code’s specific procedure. Compare 25425 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 25425 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
$840.49–$874.57
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 25425 pays more and less in Missouri
Orthopedic surgery
About 25425: Forearm bone nonunion repair with graft
Reports operative repair of a radius or ulna nonunion or malunion using bone graft, when the reconstruction matches this code’s specific procedure.
This code describes graft-assisted reconstruction of a nonunion or malunion in one forearm bone: the radius or the ulna. An orthopedic surgeon may use it when a prior fracture has failed to unite or has healed in a position requiring operative correction and grafting. The work takes place in the operating room and addresses the affected bone rather than a wrist joint or carpal bone. The operative report should identify the bone, the nonunion or malunion, the grafting performed, and the repair technique.
Select this code only when the documented operation matches its specific CPT descriptor; distinguish repair of one bone from procedures addressing both radius and ulna, and distinguish the applicable graft technique from other repair options. This is major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 25425
- 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 RVU13.38 · 50%
- Practice expense (office) RVU10.45 · 39%
- Malpractice RVU2.85 · 11%
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.
25425 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Both concern repair of a radius or ulna nonunion or malunion; determine the correct code from the graft and operative details specified in the full CPT descriptors.
No office rate
25420 concerns repair and grafting of both radius and ulna. This code addresses a radius or ulna rather than the pair.
No office rate
The key distinction is the number of bones treated: this code is associated with radius or ulna, while 25426 is associated with both.
Compare 25425 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
$867.66
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$874.57
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$840.49
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25425 billing questions
How does this differ from 25426?
25425 is for repair involving the radius or ulna; 25426 is the nearby option associated with both radius and ulna. Confirm that the operative report supports the number of bones treated.
Does the 90-day global include routine postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
How is bilateral surgery reported?
For a bilateral procedure, modifier 50 is paid at 150%. The operative documentation should support treatment on both sides.
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.
2,45025405,,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
2,45525430,,Vasc graft into carpal bone,A,,9.47,9.33,NA,9.33,,2.02,20.82,20.82,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,45625431,,Repair nonunion carpal bone,A,,10.62,9.24,NA,9.24,,2.26,22.12,22.12,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00