CPT code 25600: Fracture treatment2026 Medicare rate & RVUs in Virginia
Reports closed treatment of a distal radius fracture without manipulation, including treatment of an associated distal ulna fracture when performed.
Medicare pays $375.34–$441.64 for 25600 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. Which amount applies depends on the service address.
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 25600 covers
This service covers nonoperative care of a distal radius fracture or separation at the growth plate when the provider treats it without manipulating the fracture. Treatment may include immobilization and follow-up by an orthopedic surgeon or another qualified clinician in an office, emergency department, or hospital setting. The code also includes treatment of an associated distal ulna fracture when performed; it is not limited to fractures involving both bones.
Choose this code when the documented treatment does not involve manipulating the fracture. Document the fracture site, the closed treatment plan, and whether manipulation occurred. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the first 90 days. When multiple procedures occur 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.
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.
Where 25600 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $441.64 | $390.49 |
| Virginia | $375.34 | $332.66 |
How the 25600 rate is calculated
Each of 25600’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 · 25600
RVUs × geographic indexes × conversion factor
Work2.71
2.71 RVUs× 1.000 GPCI
Practice expense8.28
8.28 RVUs× 1.000 GPCI
Malpractice0.55
0.55 RVUs× 1.000 GPCI
Adjusted RVUs
11.5400
Conversion factor
$33.4009
Medicare rate
$385.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25600
25600 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25600
Fracture treatment
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 25600
Fracture treatment
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
25600 without 50 · national office
$385.45
Fracture treatment
25600-50 · Bilateral: 150%
$578.18
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).
25600 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 25605Wrist fracture treatment
- Both describe closed distal radius fracture treatment, but 25605 requires manipulation. Report 25600 when treatment is closed and no manipulation is performed.
- 25606Distal radius fixation
- 25606 describes percutaneous skeletal fixation. 25600 is for closed treatment without manipulation or percutaneous fixation.
- 25607Distal radius repair
- 25607 is open treatment for an extra-articular distal radius fracture; 25600 is closed treatment without manipulation.
- 25608Distal radius repair
- 25608 is open treatment of an intra-articular fracture involving two fragments. 25600 describes closed treatment without manipulation.
25600 billing questions
When should 25600 be reported instead of 25605?
Use 25600 when the distal radius fracture is treated closed without manipulation. Use 25605 when the provider manipulates the fracture as part of closed treatment.
Can this code include treatment of a distal ulna fracture?
Yes. Treatment of an associated distal ulna fracture is included when performed as part of the distal radius fracture treatment.
Is fracture follow-up included in the service?
CMS assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the first 90 days.
How is bilateral treatment paid?
CMS identifies this as a bilateral procedure. When both sides are treated and reported with modifier 50, payment is 150%.
What distinguishes 25600 from 25606?
25600 describes closed treatment without manipulation. 25606 is for percutaneous skeletal fixation of a distal radius fracture or epiphyseal separation.
Can an assistant or co-surgeon be reported for this service?
CMS does not pay assistant-at-surgery services 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 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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