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See a sample rate comparisonCPT 25607 Fee Schedule
Medicare rates as of October 2026
CPT 25607 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Open Treatmn Of Distal Radial Xtra-Articular Fract Or Epiphyseal, Open Treatment Of Distal Radial Extra-Articular Fracture Or Epiphyseal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 03600975Sign up to view all 10 |
| Medicare Fee Schedule | $697.41 national non-facility rate (2026)View Medicare rates for 25607 |
| Medicaid Fee Schedule | $551.255 median of the 8 states in the free previewView Medicaid rates for 25607 |
National average reimbursement for CPT 25607 by major payers:
$1,016.60
BCBS / Anthem
$974.86
UnitedHealthcare
$1,052.62
Aetna
$1,219.09
Cigna
Compare published rates across providers.
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CPT 25607
5 of 25 sample ratesHigher to lower in this preview
Valley Baptist Medical Center
$35,728.00Published rateGeorgia Interventional Pain LLC
$4,500.00Published rateApex Medical Surgery Center, LLC
Apex Medical Surgery Center LLC
$3,139.00Published rateLittleton Day Surgery Center LLC
Littleton Day Surgery Center
$2,223.00Published rateChristopher Thomas
Deaconess Hospital Inc
$588.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25607 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25607. 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 25607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25607 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 25607 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25607 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 25607 in an ambulatory surgery center?
CMS lists CPT 25607 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 25607?
Hospital price transparency files list CPT 25607 under these revenue codes: including 0360, 0975, 0960, 0490 and 0983. A revenue code names the hospital department or charge category for the line; it does not change what the service is.