25526 Optx rdl shft fracture & dstl radiation/ul
Also known as: ORIF radial shaft and distal fracture, extensive radial fracture repair
Open treatment (surgical repair) of radial shaft fracture combined with open treatment (surgical repair) of associated distal radial and/or ulnar fracture.
In Plain Language
major forearm fracture surgery at multiple levels; surgical repair of complex forearm breaks
Clinical Context
Used for complex polytrauma or high-energy injuries affecting multiple levels of the forearm requiring operative fixation at both radial shaft and distal radius or ulna sites.
RVU Breakdown
| Work RVU | 12.82 |
| Total RVU | 12.82 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 12.82, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25526?
CPT 25526 (Optx rdl shft fracture & dstl radiation/ul) is a Surgery code. Open treatment (surgical repair) of radial shaft fracture combined with open treatment (surgical repair) of associated distal radial and/or ulnar fracture.
What is the wRVU value for CPT 25526?
The work RVU for CPT 25526 is 12.82. This code is primarily used by Orthopedic Surgery, Hand Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 25526 used?
Used for complex polytrauma or high-energy injuries affecting multiple levels of the forearm requiring operative fixation at both radial shaft and distal radius or ulna sites.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.