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

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 RVU26DEffective Oct 1, 2026One payment locality111 Medicare services in 2024

In Virginia, Medicare pays $559.25 for 25670 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$559.25Hospital or facility

Check a contract rate as a % of Medicare · 25670 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 25670 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 25670 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 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.

How Virginia compares for 25670

Across 109 of 109 payment localities, the facility rate for 25670 runs from $516.22 in Arkansas to $703.68 in Alaska. Virginia pays $559.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

25670 in Virginia vs other payment areas
  1. Virginia · this page$559.25
  2. Los Angeles, CA · California$619.80+$60.55
  3. Washington, DC area · District of Columbia$647.12+$87.87
  4. Miami, FL · Florida$676.65+$117.40
  5. Chicago, IL · Illinois$655.99+$96.74
  6. Manhattan, NY · New York$672.13+$112.88
  7. Alaska · Alaska$703.68+$144.43

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

Every other payment area

25670 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$523.25
ArkansasArkansas—$516.22
ArizonaArizona—$564.02
Bakersfield, CACalifornia—$588.25
Chico, CACalifornia—$583.63
El Centro, CACalifornia—$583.91
Fresno, CACalifornia—$583.63
Hanford, CACalifornia—$583.63

25670 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
25670 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 25670 in every payment locality

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

Office or facility?

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.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,501

Code
25670
Physician work
7.89
Practice expense
7.80
Malpractice
1.68

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Facility calculation for 25670 in Virginia
ComponentRVULocality factorAdjusted
Physician work7.89× 1.0007.8900
Practice expense7.80× 0.9837.6674
Malpractice1.68× 0.7061.1861
Total RVUs16.7435
Conversion factor× 33.4009

Facility rate, Virginia$559.25

Facility: (7.89 × 1 + 7.8 × 0.983 + 1.68 × 0.706) × $33.4009 = $559.25

Open 25670 in the RVU calculator

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

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 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.

  • 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

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).

When to use modifier 50

How 25670 has changed in Virginia

25670 · 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$559.25RVU26D
2026-07-01Not available in this setting$559.25RVU26C
2026-04-01Not available in this setting$559.25RVU26B
2026-01-01Not available in this setting$559.25RVU26A
2025-10-01Not available in this setting$587.72RVU25D
2025-07-01Not available in this setting$587.72RVU25C
2025-04-01Not available in this setting$587.72RVU25B
2025-01-01Not available in this setting$587.72RVU25A
2024-10-01Not available in this setting$600.66RVU24D
2024-07-01Not available in this setting$600.66RVU24C
2024-04-01Not available in this setting$600.66RVU24B
2024-03-09Not available in this setting$600.66RVU24AR
2024-01-01Not available in this setting$590.85RVU24A
2023-10-01Not available in this setting$611.64RVU23D
2023-07-01Not available in this setting$611.64RVU23C
2023-04-01Not available in this setting$611.64RVU23B
2023-01-01Not available in this setting$611.64RVU23A
2022-10-01Not available in this setting$621.56RVU22D
2022-07-01Not available in this setting$621.56RVU22C
2022-04-01Not available in this setting$621.56RVU22B
2022-01-01Not available in this setting$621.56RVU22A
2021-10-01Not available in this setting$622.37RVU21D
2021-07-01Not available in this setting$622.37RVU21C
2021-04-01Not available in this setting$622.37RVU21B
2021-01-01Not available in this setting$622.37RVU21A
2020-10-01Not available in this setting$624.63RVU20D
2020-07-01Not available in this setting$624.63RVU20C
2020-04-01Not available in this setting$624.63RVU20B
2020-01-01Not available in this setting$624.63RVU20A
2019-10-01Not available in this setting$618.19RVU19D
2019-07-01Not available in this setting$618.19RVU19C
2019-04-01Not available in this setting$618.19RVU19B
2019-01-01Not available in this setting$618.19RVU19A
2018-10-01Not available in this setting$615.80RVU18D
2018-07-01Not available in this setting$615.80RVU18C
2018-04-01Not available in this setting$615.80RVU18B
2018-01-01Not available in this setting$615.80RVU18AR1
2017-10-01Not available in this setting$611.90RVU17D
2017-07-01Not available in this setting$611.90RVU17C
2017-04-01Not available in this setting$611.90RVU17B
2017-01-01Not available in this setting$611.90RVU17A
2016-10-01Not available in this setting$607.56RVU16D
2016-07-01Not available in this setting$607.56RVU16C
2016-04-01Not available in this setting$607.56RVU16B
2016-01-01Not available in this setting$607.56RVU16A
2015-10-01Not available in this setting$608.81RVU15D
2015-07-01Not available in this setting$608.81RVU15C
2015-04-01Not available in this setting$605.78RVU15B
2015-01-01Not available in this setting$605.78RVU15A
2014-10-01Not available in this setting$599.63RVU14D
2014-07-01Not available in this setting$599.63RVU14C
2014-04-01Not available in this setting$599.63RVU14B
2014-01-01Not available in this setting$599.63RVU14A
2013-10-01Not available in this setting$588.45RVU13D
2013-07-01Not available in this setting$588.45RVU13C
2013-04-01Not available in this setting$588.45RVU13B
2013-01-01Not available in this setting$588.45RVU13AR

Price 25670 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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
RVUs for 25670PPRRVU2026_Oct_nonQPP.csv, line 2,501 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 25670 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 25670 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet