# CPT 25609

> Medicare paid $1,092.07 for CPT 25609 in the office (non-facility) setting and $1,092.07 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 0.4%.

## What it is

Surgical repair of a broken wrist at the far end of the radius, where the fracture runs into the joint surface and has shattered into three or more pieces. The bone is exposed, the fragments are lifted back into alignment, and plates, screws, or pins hold them there. It sits at the top of a graded family: simpler breaks that stay outside the joint, or that split the joint into just two pieces, are reported with neighboring codes.

## Selected release

- Release: Q4 2020 (2020 D)
- Effective: October 1 – December 31, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $1092.07
- Facility national allowed amount: $1092.07
- Sequestration: not applied

## RVUs and formula

- Work RVU: 14.38
- Office (non-facility) practice expense RVU: 13.19
- Facility practice expense RVU: 13.19
- Malpractice RVU: 2.69
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip
- Parsed file: PPRRVU20_OCT.csv, row 6,998
- Canonical page: https://localishealth.com/cpt/25609/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/25609/2020/D
- Last significant update: 2026-08-04T03:10:00+00:00