CPT code 25675: Joint reduction, distal radioulnar, with manipulation2026 Medicare rate & RVUs

Medicare pays $579.84 for 25675 nationally in the office and $489.32 in a hospital or facility. Local office rates run $507.56–$749.04.

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

What 25675 covers

This service treats a dislocation at the distal radioulnar joint, where the radius and ulna meet near the wrist. The physician manipulates the joint through the skin to restore alignment, without an incision or open repair. It is typically performed by a physician managing a traumatic wrist or forearm injury, often in an emergency department or procedural setting.

Report the code when the documented treatment includes manipulation of the dislocated distal radioulnar joint; closed treatment without manipulation is a different service. The record should identify the affected side, the dislocation, and the reduction performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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.

Where 25675 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

25675 rates by state

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

How the 25675 rate is calculated

Each of 25675’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 25675

25675 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

25675 compared with similar codes

How to choose

25660Wrist dislocationRadiocarpal or intercarpal

Both address a distal radioulnar dislocation by closed treatment. Choose 25675 when manipulation is performed; 25660 is for treatment without manipulation.

25671Joint fixationDistal radioulnar dislocation

25671 involves percutaneous skeletal fixation. This code describes closed manipulation without that fixation method.

25676Joint reductionOpen treatment

25676 is open treatment of a distal radioulnar dislocation. Choose this code for a closed reduction performed without an open approach.

25605Wrist fracture treatmentWith manipulation

25605 treats a distal radius fracture with manipulation, not a distal radioulnar joint dislocation.

Codes related to 25675

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