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See a sample rate comparisonCPT 25606 Fee Schedule
CPT 25606 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Stabilize A Broken Wrist, Immobilization Of A Broken Wrist Using Wire Inserted Through The Skin To Hold The Bone In Place. A Cast Is Applied.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600450Sign up to view all 9 |
| Medicare Fee Schedule | View Medicare rates for 25606 |
| Medicaid Fee Schedule | $509.06 median of the 8 states in the free previewView Medicaid rates for 25606 |
National average reimbursement for CPT 25606 by major payers:
$916.75
BCBS / Anthem
$892.01
UnitedHealthcare
$939.18
Aetna
$1,112.39
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25606.
CPT 25606
5 of 25 sample ratesHigher to lower in this preview
Center For Ambulatory Surgery, LLC, The Center For Ambulatory Surgery
The Center For Ambulatory Surgery LLC
$4,697.00Published rateLinden Surgical Center, LLC
Linden Surgical Center LLC
$2,500.00Published rateGolden State Eye Center
$1,738.00Published rateHead And Neck Surgical Partners LLC
$1,075.00Published rateAds Healthcare LLC, Ads Ambulatory Surgery Center
Ads Healthcare LLC
$672.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25606 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25606. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 25600-CPT | Treat Fracture Radius Ulna, Closed Treatment Of Distal Radial Fracture Eg Colles Or Smith Type Or Epiphyseal Separation Includes Closed Treatment Of Fracture Of Ulnar Styloid When Performed Without Manipulation |
| 25605-CPT | Treat Fracture Radius Ulna, Closed Treatment Of Distal Radial Fracture Eg Colles Or Smith Type Or Epiphyseal Separation Includes Closed Treatment Of Fracture Of Ulnar Styloid When Performed With Manipulation |
| 25606-CPT | Stabilize A Broken Wrist, Immobilization Of A Broken Wrist Using Wire Inserted Through The Skin To Hold The Bone In Place. A Cast Is Applied. |
| 25607-CPT | Open Treatmn Of Distal Radial Xtra-Articular Fract Or Epiphyseal, Open Treatment Of Distal Radial Extra-Articular Fracture Or Epiphyseal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25606 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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Frequently Asked Questions
What APC is CPT 25606 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25606 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 25606 in an ambulatory surgery center?
CMS lists CPT 25606 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 25606?
Hospital price transparency files list CPT 25606 under these revenue codes: including 0360, 0450, 0960, 0975 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.