CPT code 25670: Carpal dislocation repair, open treatment2026 Medicare rate & RVUs in Maryland
Report this service when a surgeon uses an open approach to reduce a dislocation of the radiocarpal or intercarpal joint involving one or more bones.
CMS doesn’t publish an office rate for 25670 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $616.71 |
| Rest of Maryland | Unavailable | $581.33 |
| Washington, DC area | Unavailable | $647.12 |
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.
How the rate is built · 25670
RVUs × geographic indexes × conversion factor
Work7.89
7.89 RVUs× 1.000 GPCI
Practice expense7.80
7.80 RVUs× 1.000 GPCI
Malpractice1.68
1.68 RVUs× 1.000 GPCI
Adjusted RVUs
17.3700
Conversion factor
$33.4009
Medicare rate
$580.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 25670
25670 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25670
Carpal dislocation repair, open treatment
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 25670
Carpal dislocation repair, open treatment
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
25670 without 50 · national facility
$580.17
Carpal dislocation repair, open treatment
25670-50 · Bilateral: 150%
$870.26
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).
25670 compared with similar codes
Compare codes · National
5 codes, side by side
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.
25670 billing questions
How does this differ from 25660?
25670 is for open treatment of a radiocarpal or intercarpal dislocation. CPT 25660 describes closed treatment of that dislocation.
When should a lunate dislocation be reported with 25695 instead?
Use 25695 when the procedure is open treatment of a lunate dislocation. The operative documentation should support that specific injury rather than a broader radiocarpal or intercarpal dislocation service.
What documentation supports 25670?
Document the radiocarpal or intercarpal dislocation, the involved bone or bones, and the open reduction performed. Include any stabilization described in the operative report.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and surgical assistance handled?
Bilateral treatment with modifier 50 is paid at 150%. An assistant at surgery may be paid, while co-surgeon payment requires supporting documentation; team surgery is not permitted.
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
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