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.

CMS RVU26DEffective Oct 1, 2026One payment locality44 Medicare services in 2024

In South Dakota, Medicare pays $422.61 for 25660 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$422.61Hospital or facility

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.

We’ll open 25660 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 25660 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

25660 in South Dakota vs other payment areas
  1. South Dakota · this page$422.61
  2. Los Angeles, CA · California$486.25+$63.64
  3. Washington, DC area · District of Columbia$502.86+$80.25
  4. Miami, FL · Florida$509.71+$87.10
  5. Chicago, IL · Illinois$493.70+$71.09
  6. Manhattan, NY · New York$517.10+$94.49
  7. Alaska · Alaska$527.47+$104.86

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

25660 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
25660 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 25660 in every payment locality

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

Office or facility?

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
Facility calculation for 25660 in South Dakota
ComponentRVULocality factorAdjusted
Physician work4.86× 1.0004.8600
Practice expense7.44× 1.0007.4400
Malpractice1.05× 0.3360.3528
Total RVUs12.6528
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

Open 25660 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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).

When to use modifier 50

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$422.61RVU26D
2026-07-01Not available in this setting$422.61RVU26C
2026-04-01Not available in this setting$422.61RVU26B
2026-01-01Not available in this setting$422.61RVU26A
2025-10-01Not available in this setting$434.85RVU25D
2025-07-01Not available in this setting$434.85RVU25C
2025-04-01Not available in this setting$434.85RVU25B
2025-01-01Not available in this setting$434.85RVU25A
2024-10-01Not available in this setting$442.30RVU24D
2024-07-01Not available in this setting$442.30RVU24C
2024-04-01Not available in this setting$442.30RVU24B
2024-03-09Not available in this setting$442.30RVU24AR
2024-01-01Not available in this setting$435.08RVU24A
2023-10-01Not available in this setting$443.38RVU23D
2023-07-01Not available in this setting$443.38RVU23C
2023-04-01Not available in this setting$443.38RVU23B
2023-01-01Not available in this setting$443.38RVU23A
2022-10-01Not available in this setting$442.75RVU22D
2022-07-01Not available in this setting$442.75RVU22C
2022-04-01Not available in this setting$442.75RVU22B
2022-01-01Not available in this setting$442.75RVU22A
2021-10-01Not available in this setting$440.25RVU21D
2021-07-01Not available in this setting$440.25RVU21C
2021-04-01Not available in this setting$440.25RVU21B
2021-01-01Not available in this setting$440.25RVU21A
2020-10-01Not available in this setting$409.24RVU20D
2020-07-01Not available in this setting$409.24RVU20C
2020-04-01Not available in this setting$409.24RVU20B
2020-01-01Not available in this setting$409.24RVU20A
2019-10-01Not available in this setting$408.07RVU19D
2019-07-01Not available in this setting$408.07RVU19C
2019-04-01Not available in this setting$408.07RVU19B
2019-01-01Not available in this setting$408.07RVU19A
2018-10-01Not available in this setting$405.10RVU18D
2018-07-01Not available in this setting$405.10RVU18C
2018-04-01Not available in this setting$405.10RVU18B
2018-01-01Not available in this setting$405.10RVU18AR1
2017-10-01Not available in this setting$403.39RVU17D
2017-07-01Not available in this setting$403.39RVU17C
2017-04-01Not available in this setting$403.39RVU17B
2017-01-01Not available in this setting$403.39RVU17A
2016-10-01Not available in this setting$398.50RVU16D
2016-07-01Not available in this setting$398.50RVU16C
2016-04-01Not available in this setting$398.50RVU16B
2016-01-01Not available in this setting$398.50RVU16A
2015-10-01Not available in this setting$401.95RVU15D
2015-07-01Not available in this setting$401.95RVU15C
2015-04-01Not available in this setting$399.95RVU15B
2015-01-01Not available in this setting$399.95RVU15A
2014-10-01Not available in this setting$392.90RVU14D
2014-07-01Not available in this setting$392.90RVU14C
2014-04-01Not available in this setting$392.90RVU14B
2014-01-01Not available in this setting$392.90RVU14A
2013-10-01Not available in this setting$399.39RVU13D
2013-07-01Not available in this setting$399.39RVU13C
2013-04-01Not available in this setting$399.39RVU13B
2013-01-01Not available in this setting$399.39RVU13AR

Price 25660 for an earlier date of service

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

Browse all communities in South Dakota

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
RVUs for 25660PPRRVU2026_Oct_nonQPP.csv, line 2,500 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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