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See a sample rate comparisonCPT 25535 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 Ulnar Shaf, Closed Treatment Of Ulnar Shaft Fracture With Manipulation Closed Treatment Of Ulnar Shaft Fracture With Manipulation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25535 |
| Medicaid Fee Schedule | View Medicaid rates for 25535 |
National average reimbursement for CPT 25535 by major payers:
$657.66
$649.27
$693.31
$749.33
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CPT 25535
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$2,965.00Published rateAdvanced Surgery Center Of Tampa, LLC
$531.00Published rateSurgery Center Of Oakland Lp
Surgery Center Of Oakland, Lp
$206.00Published rateSpokane Digestive Disease Center, P.S., South Asc
Spokane Digestive Disease Center P.S.
$140.00Published rateGi Asc LLC
$52.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25535 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25535 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 25535 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 |
|---|---|---|
| 25530-CPT | Moderate | Closed Treatment Of Ulnar Shaf, Closed Treatment Of Ulnar Shaft Fracture Withoutmanipulation Closed Treatment Of Ulnar Shaft Fracture Without |
| 25535-CPT | Moderate | Closed Treatment Of Ulnar Shaf, Closed Treatment Of Ulnar Shaft Fracture With Manipulation Closed Treatment Of Ulnar Shaft Fracture With Manipulation |
| 25545-CPT | Moderate | Surgery To Repair Broken Arm, Surgery To Repair A Lower Arm Bone (Ulna). The Repair May Include Holding The Bone In Place With Pins Wires Or Screws. |
| 25560-CPT | Moderate | Closed Treatment Of Radial And, Closed Treatment Of Radial And Ulnar Shaft Fractureswithout Manipulation Closed Treatment Of Radial And Ulnar Shaft Fractures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25535 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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