Distal Radius ORIF CPT and WRVU Guide
Last reviewed: June 2026
Distal radius ORIF coding depends on fixation method, fracture complexity, and associated distal ulna work.
Code Table
| CPT Code | CPT Description | wRVU | Dollar Value | Global Period |
|---|---|---|---|---|
| 25441 | Arthroplasty with prosthetic replacement, distal radius | 12.96 | $869.09 | 90 |
| 25446 | Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) | 16.87 | $1,051.79 | 90 |
| 25450 | Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna | 7.86 | $590.19 | 90 |
| 25455 | Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna | 9.47 | $691.40 | 90 |
| 25600 | Closed treatment, distal radius fracture | 2.71 | $385.45 | 90 |
| 25607 | Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation | 9.32 | $697.41 | 90 |
| 25608 | Open treatment, distal radius fracture, 3+ fragments | 10.79 | $771.89 | 90 |
| 25609 | Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments | 14.02 | $968.29 | 90 |
Documentation Notes
- Document laterality when applicable.
- For fracture work, document open versus closed treatment, fixation method, and fracture complexity.
- Displayed CPT descriptions are sourced from the master CPT database, not the ABOS source list.
Source and Verification References
The ABOS hand list is used only as source metadata for category membership. Displayed descriptions, wRVU, dollar value, and global period come from the site's master CPT database/CMS MPFS workflow.