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See a sample rate comparisonCPT 25500 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Radial Sha, Closed Treatment Of Radial Shaft Fracture Withoutmanipulation Closed Treatment Of Radial Shaft Fracture Without
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25500 |
| Medicaid Fee Schedule | View Medicaid rates for 25500 |
National average reimbursement for CPT 25500 by major payers:
$371.59
$361.08
$386.61
$456.91
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CPT 25500
5 of 25 sample ratesHigher to lower in this preview
South Emerson Surgery Center, LLC
$3,146.00Published rateMidland Texas Surgical Center, LLC, Texas Surgical Center, An Affiliate Of Midland Memorial Hospital
$566.00Published rateThe Laser Surgery Center, LLC
The Laser Surgery Center LLC
$209.00Published rateBirmingham Surgery Center, LLC
Birmingham Surgery Center LLC
$115.00Published rateSurgicenter Of Baltimore LLC, Surgicenter Of Baltimore
Surgicenter Of Baltimore LLC
$58.00Published rate
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See a sample payer proposalCPT 25500 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25500 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 25500 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 25500-CPT | Moderate | Closed Treatment Of Radial Sha, Closed Treatment Of Radial Shaft Fracture Withoutmanipulation Closed Treatment Of Radial Shaft Fracture Without |
| 25505-CPT | Moderate | Closed Treatment Of Radial Sha, Closed Treatment Of Radial Shaft Fracture With Manipulationclosed Treatment Of Radial Shaft Fracture With Manipulation |
| 25520-CPT | Moderate | Closed Treatment Of Radial Sha, Closed Treatment Of Radial Shaft Fracture With Dislocation Of Distal Radio-Ulnar Joint (Galeazzi Fracturedislocation) Closed Treatment Of Radial Shaft Fracture With Dislocation |
| 25565-CPT | Moderate | Closed Treatment Of Radial And, Closed Treatment Of Radial And Ulnar Shaft Fractures Withmanipulation Closed Treatment Of Radial And Ulnar Shaft Fractures With |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25500 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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