$295.20–$315.91
Both describe closed treatment of a radial shaft fracture; 25505 includes manipulation to reduce the fracture, while 25500 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
25505 Fracture treatment Medicare reimbursement rates in Missouri
Closed treatment of a radial shaft fracture with manipulation to restore alignment, reported when the fracture is reduced without open surgical fixation. Compare 25505 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 25505 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
$537.71–$572.38
3 of 3 localities have a supported rate.
Facility setting
$451.91–$477.62
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 25505 pays more and less in Missouri
3 payment localities
$537.71 to $572.38
Orthopedic fracture care
About 25505: Closed radial shaft fracture reduction
Closed treatment of a radial shaft fracture with manipulation to restore alignment, reported when the fracture is reduced without open surgical fixation.
This service covers closed management of a fracture through the shaft of the radius when the clinician manipulates the bone fragments to improve alignment. An orthopedic surgeon or other qualified physician may perform the reduction in an emergency department, operating room, or other appropriate setting, then immobilize the forearm. The defining feature is a reduction maneuver—not simply applying a splint or cast to a fracture that is left unreduced. A fracture associated with distal radioulnar joint dislocation or a fracture of both forearm bones may call for a different code.
Report 25505 when documentation supports a radial shaft fracture and closed reduction by manipulation; imaging and the treatment record should support the fracture site and reduction 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 at 50%. For bilateral reporting with modifier 50, payment is 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 25505
- 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 RVU5.31 · 30%
- Practice expense (office) RVU11.16 · 63%
- Malpractice RVU1.20 · 7%
221
Medicare services in 2024 · #4230 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.
25505 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
25515 describes open treatment of a radial shaft fracture. Choose 25505 when the fracture is reduced and treated without open surgical treatment.
$583.00–$618.47
25520 is for a radial shaft fracture with an associated dislocation. 25505 describes closed reduction of the radial shaft fracture without that dislocation circumstance.
$568.71–$604.99
25565 applies when both the radius and ulna shafts are fractured and treated closed with manipulation; 25505 is for the radial shaft fracture.
Compare 25505 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
$566.53
Facility
$473.07
Metropolitan St. Louis →
Office / nonfacility
$572.38
Facility
$477.62
Rest Of Missouri →
Office / nonfacility
$537.71
Facility
$451.91
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
25505 billing questions
How does 25505 differ from 25500?
25505 is for a radial shaft fracture treated with manipulation to reduce it. Use 25500 when the fracture is treated closed without manipulation.
Does applying a cast or splint alone support 25505?
No. The treatment must include manipulation to reduce the fracture; immobilization without a reduction maneuver points away from 25505.
Is routine fracture follow-up separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
What if the radial shaft fracture is treated with open fixation?
Use the open-treatment pathway, such as 25515 for open treatment of a radial shaft fracture, rather than 25505.
Can an assistant or co-surgeon be reported for 25505?
CMS does not pay an assistant at surgery 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.
2,47025491,,Prophylactic tx ulna,A,,9.90,8.79,NA,8.79,,2.11,20.80,20.80,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47125492,,Prophylactic tx radius&ulna,A,,12.34,10.29,NA,10.29,,2.62,25.25,25.25,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47225500,,Cltx rdl shft fx w/o mnpj,A,,2.54,6.73,,5.12,,0.51,9.78,8.17,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47325505,,Cltx rdl shft fx w/mnpj,A,,5.31,11.16,,8.18,,1.20,17.67,14.69,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47425515,,Optx radial shaft fracture,A,,8.58,8.66,NA,8.66,,1.74,18.98,18.98,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47525520,,Cltx rdl shft fx&dislc,A,,6.34,11.38,,8.25,,1.34,19.06,15.93,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47625525,,Optx rdl shft fx&cltx rad/ul,A,,10.29,9.71,NA,9.71,,2.06,22.06,22.06,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00