Billing code 25545: Fracture fixationMedicare rate & RVUs in Ohio
Reports operative treatment of an ulnar shaft fracture, with internal fixation when performed, rather than closed fracture management.
CMS doesn’t publish an office rate for 25545 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 25545 covers
This service treats a fracture through the shaft of the ulna by surgically exposing the fracture and restoring alignment. The surgeon may stabilize the bone with hardware such as a plate and screws; internal fixation is included when performed. Orthopedic and hand surgeons commonly perform the operation in a hospital or ambulatory surgery setting. The code describes treatment of the ulna, not an isolated radial shaft fracture or a fracture involving both forearm bones treated operatively.
Report the code when the operative record supports open treatment of an ulnar shaft fracture. Documentation should identify the fracture site and describe the operative reduction and stabilization; do not separately report internal fixation as a distinct service. The 90-day global period includes 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%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
25545 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $570.56 |
How the 25545 rate is calculated
Each of 25545’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25545
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.74Practice expense 8.51Malpractice 1.56
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25545
25545 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25545
Fracture fixation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25545
Fracture fixation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25545 without 50 · national facility
$594.87
Fracture fixation
25545-50 · Bilateral: 150%
$892.31
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
25545 compared with similar codes
Compare codes
25545 vs 25515 vs 25530 vs 25535 vs 25575: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25515Radius fracture repair
- Use 25515 for open treatment of a radial shaft fracture. This code is for the ulnar shaft.
- 25530Fracture treatment
- 25530 describes closed treatment of an ulnar shaft fracture without manipulation; this code describes open operative treatment.
- 25535Fracture treatment
- 25535 describes closed treatment of an ulnar shaft fracture with manipulation, not open treatment.
- 25575Forearm fracture repair
- Use 25575 when open treatment addresses fractures of both the radius and ulna shafts; this code addresses the ulna shaft.
25545 billing questions
When should this be reported instead of a closed-treatment code?
Use this code when the surgeon treats the ulnar shaft fracture through open operative exposure. Closed management, with or without manipulation, is represented by a different code.
Can internal fixation be reported separately?
No. Internal fixation, such as plate-and-screw stabilization when performed, is part of the open fracture treatment.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral treatment handled?
For bilateral ulnar shaft fracture treatment reported with modifier 50, CMS pays 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 25545 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →