CPT 25607 · Trauma / Fracture · Medicare (Palmetto GBA MAC)
ORIF Distal Radius Fracture — Extra-articular at Medicare (Palmetto GBA MAC).
How Medicare (Palmetto GBA MAC) approaches CPT 25607 (ORIF Distal Radius Fracture — Extra-articular) for prior-authorization review: at last review on 2026-05-02, the policy covers this code without prior authorization.
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Criteria summary
High-level themes from the Medicare (Palmetto GBA MAC) policy of record for CPT 25607. Verbatim policy text and per-criterion analysis are available after sign-in.
- Imaging concordance documentation required.
Source: Medicare (Palmetto GBA MAC) LCD / Local Coverage Article
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