CPT code 25670: Carpal dislocation repair, open treatment2026 Medicare rate & RVUs

Medicare pays $580.17 for 25670 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25670 covers

An orthopedic or hand surgeon uses an open approach to expose and reduce a dislocated radiocarpal or intercarpal joint involving one or more carpal bones. The service is generally performed in an operating room after wrist trauma when surgical exposure is needed to restore joint alignment. The operative report should identify the dislocated joint and bones, describe the open reduction, and document any stabilization performed.

This is a major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.

Where 25670 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25670 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 25670 rate is calculated

Each of 25670’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.

Payment rules and modifiers for 25670

25670 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

25670 compared with similar codes

How to choose

25660Wrist dislocationRadiocarpal or intercarpal

Choose 25660 for closed treatment of a radiocarpal or intercarpal dislocation. Choose 25670 when the surgeon performs open treatment.

25671Joint fixationDistal radioulnar dislocation

25671 concerns percutaneous skeletal fixation of a distal radioulnar dislocation; 25670 concerns an open radiocarpal or intercarpal dislocation.

25676Joint reductionOpen treatment

25676 is open treatment of a distal radioulnar joint dislocation. Use 25670 for a radiocarpal or intercarpal dislocation.

25695Lunate dislocationOpen treatment

25695 is specific to open treatment of a lunate dislocation. Use 25670 for the broader radiocarpal or intercarpal dislocation service when the specific lunate code does not describe the procedure.

Codes related to 25670

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates