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See a sample rate comparisonCPT 25505 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 With Manipulationclosed Treatment Of Radial Shaft Fracture With Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25505 |
| Medicaid Fee Schedule | View Medicaid rates for 25505 |
National average reimbursement for CPT 25505 by major payers:
$671.71
$668.33
$711.78
$822.13
Compare published rates across providers.
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CPT 25505
5 of 25 sample ratesHigher to lower in this preview
Henry Ford Medical Center Fairlane, Henry Ford Health System
Henry Ford Health System
$4,237.00Published rateBrentwood Surgery Center, LLC, Brentwood Surgery Center
$636.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$445.00Published rateHillside Endoscopy Center, LLC
Hillside Endoscopy Center LLC
$331.00Published rateThibodaux Endoscopy LLC
Thibodaux Endoscopy, L.L.C.
$227.00Published rate
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See a sample payer proposalCPT 25505 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25505 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 25505 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 25505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25505 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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