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See a sample rate comparisonCPT 25515 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.
Repair And Secure Arm Break, Surgery To Repair A Broken Lower Arm Bone (Radius). The Broken Bone May Be Stabilized With Wires Pins Plates Or Screws.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25515 |
| Medicaid Fee Schedule | View Medicaid rates for 25515 |
National average reimbursement for CPT 25515 by major payers:
$898.67
$906.05
$955.60
$1,107.43
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CPT 25515
5 of 25 sample ratesHigher to lower in this preview
Calloway Creek Surgery Center Lp
$8,207.00Published rateUrology Surgery Center Of Savannah, Lllp, Urology Surgery Center, LLP
Urology Surgery Center Of Savannah Lllp
$3,950.00Published rateSpokane Eye Clinic Inc, Ps, Spokane Eye Surgery Center
Spokane Eye Clinic Ps
$2,736.00Published rateSaint Charles Surgical Pavilion Inc
$1,859.00Published rateKeystone Kidney Associates, PC
Keystone Kidney Associates PC
$600.00Published rate
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See a sample payer proposalCPT 25515 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25515 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 25515 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 |
| 25515-CPT | Moderate | Repair And Secure Arm Break, Surgery To Repair A Broken Lower Arm Bone (Radius). The Broken Bone May Be Stabilized With Wires Pins Plates Or Screws. |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25515 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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