Billing code 25515: Radius fracture repairMedicare rate & RVUs in Oklahoma
Reports operative treatment of a radial shaft fracture, typically with surgical reduction and fixation when needed, without coding a distal radioulnar joint dislocation.
CMS doesn’t publish an office rate for 25515 in Oklahoma.
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 25515 covers
An orthopedic or hand surgeon uses an operative approach to expose and reduce a fracture through the shaft of the radius. The fracture may be stabilized with internal fixation, such as a plate and screws. This code fits treatment of the radial shaft itself; a distal radioulnar joint dislocation requiring treatment changes the code choice. These repairs are commonly performed in a hospital operating room or ambulatory surgery setting after forearm trauma.
Choose the code based on the operative treatment and associated injury, not simply the presence of a fracture on imaging. The operative report should identify the radius shaft fracture and describe the open reduction and fixation performed. CMS 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 other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is paid at 150% for a bilateral procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. 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.
25515 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $590.04 |
How the 25515 rate is calculated
Each of 25515’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 · 25515
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.58Practice expense 8.66Malpractice 1.74
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25515
25515 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25515
Radius fracture repair
| 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 · 25515
Radius fracture repair
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
25515 without 50 · national facility
$633.95
Radius fracture repair
25515-50 · Bilateral: 150%
$950.93
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).
25515 compared with similar codes
Compare codes
25515 vs 25505 vs 25525 vs 25526 vs 25575: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25505Fracture treatment
- Use 25505 for closed treatment of a radial shaft fracture with manipulation. Use 25515 when the surgeon treats the fracture through an open approach.
- 25525Forearm fracture treatment
- 25525 includes open treatment of an associated distal radioulnar joint dislocation. 25515 describes radial shaft treatment without that additional open dislocation treatment.
- 25526Galeazzi fracture repair
- 25526 combines open radial shaft fracture treatment with closed treatment of an associated distal radioulnar joint dislocation.
- 25575Forearm fracture repair
- 25575 is for operative treatment of fractures of both the radius and ulna shafts. 25515 addresses the radial shaft fracture alone.
25515 billing questions
How does this differ from 25505?
25515 describes operative treatment through an open approach. 25505 is for closed treatment of a radial shaft fracture with manipulation.
Can 25515 be used when the fracture includes a distal radioulnar joint dislocation?
Use the code that matches how the dislocation is treated. 25525 includes open treatment of the dislocation, while 25526 includes closed treatment of it alongside open fracture treatment.
What documentation supports reporting 25515?
The operative report should identify the radial shaft fracture and document open surgical treatment, including reduction and any fixation performed.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to other procedures performed in that session.
What global period applies?
This major surgery has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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
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