CPT code 25660: Wrist dislocation, radiocarpal or intercarpal2026 Medicare rate & RVUs in South Dakota
Report closed manipulation to reduce one or more radiocarpal or intercarpal dislocations when the wrist is treated without open exposure.
In South Dakota, Medicare pays $422.61 for 25660 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 25660 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 25660 covers
This service treats a dislocation involving the radiocarpal or intercarpal joints by manipulating the wrist to restore alignment without surgically exposing the joint. An orthopedic or hand surgeon may perform the reduction in a hospital or other acute-care setting. The code covers one or more dislocations in the specified joint group; it is not selected by counting each dislocated joint as a separate service. A perilunate injury with an associated scaphoid fracture or a separately specified lunate dislocation may fall under a more specific code.
Document the joint or joints involved, the dislocation, the closed reduction maneuver, and the post-reduction findings. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How South Dakota compares for 25660
Across 109 of 109 payment localities, the facility rate for 25660 runs from $393.85 in Arkansas to $557.32 in San Benito County, CA. South Dakota pays $422.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$422.61
- Los Angeles, CA · California$486.25+$63.64
- Washington, DC area · District of Columbia$502.86+$80.25
- Miami, FL · Florida$509.71+$87.10
- Chicago, IL · Illinois$493.70+$71.09
- Manhattan, NY · New York$517.10+$94.49
- Alaska · Alaska$527.47+$104.86
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $399.62 |
| ArkansasArkansas | — | $393.85 |
| ArizonaArizona | — | $433.15 |
| Bakersfield, CACalifornia | — | $459.13 |
| Chico, CACalifornia | — | $456.24 |
| El Centro, CACalifornia | — | $456.42 |
| Fresno, CACalifornia | — | $456.24 |
| Hanford, CACalifornia | — | $456.24 |
| Madera, CACalifornia | — | $456.24 |
| Merced, CACalifornia | — | $456.24 |
| Modesto, CACalifornia | — | $456.24 |
| Napa, CACalifornia | — | $517.90 |
| Oxnard, CACalifornia | — | $482.45 |
| Redding, CACalifornia | — | $456.24 |
| Rest of CaliforniaCalifornia | — | $456.24 |
| Riverside, CACalifornia | — | $467.52 |
| Sacramento, CACalifornia | — | $475.98 |
| Salinas, CACalifornia | — | $474.17 |
| San Diego, CACalifornia | — | $483.42 |
| Marin County, CACalifornia | — | $544.24 |
| San Francisco, CACalifornia | — | $543.04 |
| San Benito County, CACalifornia | — | $557.32 |
| Santa Clara County, CACalifornia | — | $552.45 |
| San Luis Obispo, CACalifornia | — | $466.93 |
| Santa Cruz, CACalifornia | — | $486.47 |
| Santa Maria, CACalifornia | — | $475.43 |
| Santa Rosa, CACalifornia | — | $491.16 |
| Stockton, CACalifornia | — | $456.24 |
| Vallejo, CACalifornia | — | $516.18 |
| Visalia, CACalifornia | — | $456.24 |
| Yuba City, CACalifornia | — | $456.24 |
| ColoradoColorado | — | $456.07 |
| ConnecticutConnecticut | — | $475.65 |
| DelawareDelaware | — | $440.19 |
| Fort Lauderdale, FLFlorida | — | $477.47 |
| Rest of FloridaFlorida | — | $452.61 |
| Atlanta, GAGeorgia | — | $457.41 |
| Rest of GeorgiaGeorgia | — | $425.80 |
| Hawaii, Guam, HIHawaii | — | $465.18 |
| IowaIowa | — | $403.63 |
| IdahoIdaho | — | $407.54 |
| East St. Louis, ILIllinois | — | $461.58 |
| Rest of IllinoisIllinois | — | $444.03 |
| Suburban Chicago, ILIllinois | — | $480.82 |
| IndianaIndiana | — | $409.73 |
| KansasKansas | — | $404.65 |
| KentuckyKentucky | — | $415.34 |
| New Orleans, LALouisiana | — | $436.01 |
| Rest of LouisianaLouisiana | — | $415.85 |
| Metropolitan Boston, MAMassachusetts | — | $496.91 |
| Rest of MassachusettsMassachusetts | — | $454.55 |
| Baltimore area, MDMaryland | — | $474.95 |
| Rest of MarylandMaryland | — | $447.63 |
| Rest of MaineMaine | — | $412.76 |
| Southern Maine, MEMaine | — | $430.72 |
| Detroit, MIMichigan | — | $461.26 |
| Rest of MichiganMichigan | — | $428.81 |
| MinnesotaMinnesota | — | $428.42 |
| Metropolitan Kansas City, MOMissouri | — | $429.94 |
| Metropolitan St. Louis, MOMissouri | — | $434.04 |
| Rest of MissouriMissouri | — | $410.70 |
| MississippiMississippi | — | $402.21 |
| MontanaMontana | — | $445.83 |
| North CarolinaNorth Carolina | — | $416.59 |
| North DakotaNorth Dakota | — | $425.07 |
| NebraskaNebraska | — | $404.95 |
| New HampshireNew Hampshire | — | $451.71 |
| Northern New JerseyNew Jersey | — | $498.27 |
| Rest of New JerseyNew Jersey | — | $478.66 |
| New MexicoNew Mexico | — | $432.33 |
| NevadaNevada | — | $440.29 |
| NYC suburbs and Long Island, NYNew York | — | $533.31 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $484.18 |
| Queens, NYNew York | — | $517.02 |
| Rest of New YorkNew York | — | $423.06 |
| OhioOhio | — | $424.56 |
| OklahomaOklahoma | — | $411.49 |
| Portland, OROregon | — | $467.10 |
| Rest of OregonOregon | — | $434.49 |
| Metropolitan Philadelphia, PAPennsylvania | — | $465.78 |
| Rest of PennsylvaniaPennsylvania | — | $423.60 |
| Puerto RicoPuerto Rico | — | $448.11 |
| Rhode IslandRhode Island | — | $453.40 |
| South CarolinaSouth Carolina | — | $421.76 |
| TennesseeTennessee | — | $407.05 |
| Austin, TXTexas | — | $456.64 |
| Beaumont, TXTexas | — | $421.05 |
| Brazoria, TXTexas | — | $437.25 |
| Dallas, TXTexas | — | $441.39 |
| Fort Worth, TXTexas | — | $439.36 |
| Galveston, TXTexas | — | $439.43 |
| Houston, TXTexas | — | $458.65 |
| Rest of TexasTexas | — | $429.83 |
| UtahUtah | — | $427.41 |
| VirginiaVirginia | — | $431.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $448.11 |
| VermontVermont | — | $426.09 |
| Rest of WashingtonWashington | — | $452.80 |
| King County, WAWashington | — | $504.01 |
| WisconsinWisconsin | — | $411.20 |
| West VirginiaWest Virginia | — | $428.46 |
| WyomingWyoming | — | $436.78 |
25660 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 25660 rate is calculated
Each of 25660’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 25660
RVUs × geographic indexes × conversion factor
Work4.86
4.86 RVUs× 1.000 GPCI
Practice expense7.44
7.44 RVUs× 1.000 GPCI
Malpractice1.05
1.05 RVUs× 1.000 GPCI
Adjusted RVUs
13.3500
Conversion factor
$33.4009
Medicare rate
$445.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,500
- Code
- 25660
- Physician work
- 4.86
- Practice expense
- 7.44
- Malpractice
- 1.05
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.86 | × 1.000 | 4.8600 |
| Practice expense | 7.44 | × 1.000 | 7.4400 |
| Malpractice | 1.05 | × 0.336 | 0.3528 |
| Total RVUs | 12.6528 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$422.61
Facility: (4.86 × 1 + 7.44 × 1 + 1.05 × 0.336) × $33.4009 = $422.61
Payment rules and modifiers for 25660
25660 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25660
Wrist dislocation, radiocarpal or intercarpal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25660
Wrist dislocation, radiocarpal or intercarpal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25660 without 50 · national facility
$445.90
Wrist dislocation, radiocarpal or intercarpal
25660-50 · Bilateral: 150%
$668.85
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 25660 has changed in South Dakota
25660 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $422.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $422.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $422.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $422.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $434.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $434.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $434.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $434.85 | RVU25A |
| 2024-10-01 | Not available in this setting | $442.30 | RVU24D |
| 2024-07-01 | Not available in this setting | $442.30 | RVU24C |
| 2024-04-01 | Not available in this setting | $442.30 | RVU24B |
| 2024-03-09 | Not available in this setting | $442.30 | RVU24AR |
| 2024-01-01 | Not available in this setting | $435.08 | RVU24A |
| 2023-10-01 | Not available in this setting | $443.38 | RVU23D |
| 2023-07-01 | Not available in this setting | $443.38 | RVU23C |
| 2023-04-01 | Not available in this setting | $443.38 | RVU23B |
| 2023-01-01 | Not available in this setting | $443.38 | RVU23A |
| 2022-10-01 | Not available in this setting | $442.75 | RVU22D |
| 2022-07-01 | Not available in this setting | $442.75 | RVU22C |
| 2022-04-01 | Not available in this setting | $442.75 | RVU22B |
| 2022-01-01 | Not available in this setting | $442.75 | RVU22A |
| 2021-10-01 | Not available in this setting | $440.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $440.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $440.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $440.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $409.24 | RVU20D |
| 2020-07-01 | Not available in this setting | $409.24 | RVU20C |
| 2020-04-01 | Not available in this setting | $409.24 | RVU20B |
| 2020-01-01 | Not available in this setting | $409.24 | RVU20A |
| 2019-10-01 | Not available in this setting | $408.07 | RVU19D |
| 2019-07-01 | Not available in this setting | $408.07 | RVU19C |
| 2019-04-01 | Not available in this setting | $408.07 | RVU19B |
| 2019-01-01 | Not available in this setting | $408.07 | RVU19A |
| 2018-10-01 | Not available in this setting | $405.10 | RVU18D |
| 2018-07-01 | Not available in this setting | $405.10 | RVU18C |
| 2018-04-01 | Not available in this setting | $405.10 | RVU18B |
| 2018-01-01 | Not available in this setting | $405.10 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $403.39 | RVU17D |
| 2017-07-01 | Not available in this setting | $403.39 | RVU17C |
| 2017-04-01 | Not available in this setting | $403.39 | RVU17B |
| 2017-01-01 | Not available in this setting | $403.39 | RVU17A |
| 2016-10-01 | Not available in this setting | $398.50 | RVU16D |
| 2016-07-01 | Not available in this setting | $398.50 | RVU16C |
| 2016-04-01 | Not available in this setting | $398.50 | RVU16B |
| 2016-01-01 | Not available in this setting | $398.50 | RVU16A |
| 2015-10-01 | Not available in this setting | $401.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $401.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $399.95 | RVU15B |
| 2015-01-01 | Not available in this setting | $399.95 | RVU15A |
| 2014-10-01 | Not available in this setting | $392.90 | RVU14D |
| 2014-07-01 | Not available in this setting | $392.90 | RVU14C |
| 2014-04-01 | Not available in this setting | $392.90 | RVU14B |
| 2014-01-01 | Not available in this setting | $392.90 | RVU14A |
| 2013-10-01 | Not available in this setting | $399.39 | RVU13D |
| 2013-07-01 | Not available in this setting | $399.39 | RVU13C |
| 2013-04-01 | Not available in this setting | $399.39 | RVU13B |
| 2013-01-01 | Not available in this setting | $399.39 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
25660 billing questions
When is this code appropriate instead of the open-treatment code?
Use this code when the radiocarpal or intercarpal dislocation is reduced by manipulation without open surgical exposure. Open treatment of the same joint group is reported with 25670.
Does the code cover more than one dislocated joint?
Yes. The code covers one or more radiocarpal or intercarpal dislocations; do not report separate units solely because multiple joints are involved.
What documentation supports reporting the reduction?
Record the dislocated joint or joints, the closed manipulation performed, and the reduction outcome. Post-reduction examination or imaging findings can support the documented result.
How is a perilunate fracture-dislocation distinguished?
When the injury includes a scaphoid fracture with a perilunate dislocation and is treated closed with manipulation, compare 25680, which specifically describes that fracture-dislocation.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 25660 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet