$536.56
Both involve closed treatment with manipulation of a radial shaft fracture. Use 25520 when the fracture is accompanied by a DRUJ dislocation; use 25505 for the fracture without that associated dislocation.
On this page
CMS RVU26D · Effective 2026-10-01
25520 Forearm fracture care Medicare reimbursement rates in Nebraska
Reports closed treatment with manipulation of a radial shaft fracture accompanied by distal radioulnar joint dislocation, a Galeazzi fracture-dislocation. Compare 25520 office and facility rates across CMS payment localities in Nebraska.
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 25520 in Nebraska?
Nebraska 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
$579.51
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$483.02
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Fracture treatment
About 25520: Closed Galeazzi fracture-dislocation treatment
Reports closed treatment with manipulation of a radial shaft fracture accompanied by distal radioulnar joint dislocation, a Galeazzi fracture-dislocation.
This code describes closed treatment with manipulation of a radial shaft fracture and its associated distal radioulnar joint dislocation, known as a Galeazzi fracture-dislocation. The clinician reduces and manages both parts of the injury without open fracture treatment. Orthopedic or trauma clinicians may provide this service in an emergency department, outpatient setting, or hospital. The record should identify the radial shaft fracture and DRUJ dislocation and describe the closed manipulation and treatment performed.
Select this code when the injury includes both the radial shaft fracture and DRUJ dislocation; an isolated radial shaft fracture or open treatment belongs to a different code. The CMS 90-day global period includes 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 treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25520
- 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 RVU6.34 · 33%
- Practice expense (office) RVU11.38 · 60%
- Malpractice RVU1.34 · 7%
29
Medicare services in 2024 · #5682 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.
25520 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Both address a radial shaft fracture with DRUJ dislocation, but 25525 is for open treatment rather than closed treatment with manipulation.
No office rate
Use 25526 when the radial shaft is treated with open internal fixation and the DRUJ is treated closed; 25520 describes closed treatment with manipulation.
No office rate
Code 25515 describes open treatment of a radial shaft fracture without the associated DRUJ dislocation covered by 25520.
Compare 25520 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
Nebraska →
Office / nonfacility
$579.51
Facility
$483.02
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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 25520 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
2,475
- Code
- 25520
- Physician work
- 6.34
- Practice expense
- 11.38
- Malpractice
- 1.34
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.34 | × 1.000 | 6.3400 |
| Practice expense | 11.38 | × 0.923 | 10.5037 |
| Malpractice | 1.34 | × 0.378 | 0.5065 |
| Total RVUs | 17.3503 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$579.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.34 | 1 |
| Practice expense | 11.38 | 0.923 |
| Malpractice | 1.34 | 0.378 |
(6.34 × 1 + 11.38 × 0.923 + 1.34 × 0.378) × $33.4009 = $579.51
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.34 | 1 |
| Practice expense | 8.25 | 0.923 |
| Malpractice | 1.34 | 0.378 |
(6.34 × 1 + 8.25 × 0.923 + 1.34 × 0.378) × $33.4009 = $483.02
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.
25520 billing questions
When is 25520 appropriate instead of 25505?
Use 25520 for closed treatment with manipulation when the radial shaft fracture is accompanied by a distal radioulnar joint dislocation. Code 25505 describes a radial shaft fracture treated with manipulation without that associated dislocation.
Does 25520 include treatment of the DRUJ dislocation?
Yes. The code represents closed treatment with manipulation of the radial shaft fracture and associated DRUJ dislocation as a Galeazzi fracture-dislocation.
What documentation supports reporting 25520?
Document both the radial shaft fracture and DRUJ dislocation, the closed manipulation and treatment performed, and the affected side.
How does the global period affect related follow-up?
CMS assigns a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How is bilateral treatment handled?
For bilateral treatment reported with modifier 50, CMS pays at 150%.
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.
2,47225500,,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
2,47725526,,Optx rdl shft fx&dstl rad/ul,A,,12.82,11.25,NA,11.25,,2.73,26.80,26.80,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,47825530,,Cltx ulnar shft fx w/o mnpj,A,,2.18,6.42,,4.99,,0.44,9.04,7.61,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068