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

Reports closed reduction of a distal radioulnar joint dislocation when the physician manipulates the joint to restore alignment without open surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality350 Medicare services in 2024

In Delaware, Medicare pays $572.23 for 25675 in the office and $482.80 when it’s performed in a hospital or facility.

$572.23Office (non-facility)
$482.80Hospital or facility
−1.3%vs the national office rate ($579.84)

Check a contract rate as a % of Medicare · 25675 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 25675 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 25675 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 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.

How Delaware compares for 25675

Across 109 of 109 payment localities, the office rate for 25675 runs from $507.56 in Arkansas to $749.04 in San Benito County, CA. Delaware pays $572.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

25675 in Delaware vs other payment areas
  1. Delaware · this page$572.23
  2. Los Angeles, CA · California$643.74+$71.51
  3. Washington, DC area · District of Columbia$660.84+$88.61
  4. Miami, FL · Florida$653.24+$81.01
  5. Chicago, IL · Illinois$631.75+$59.52
  6. Manhattan, NY · New York$674.16+$101.93
  7. Alaska · Alaska$667.43+$95.20

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

Every other payment area

25675 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$515.61$436.41
ArkansasArkansas$507.56$429.81
ArizonaArizona$562.54$474.83
Bakersfield, CACalifornia$604.86$505.65
Chico, CACalifornia$601.78$502.58
El Centro, CACalifornia$601.97$502.76
Fresno, CACalifornia$601.78$502.58
Hanford, CACalifornia$601.78$502.58

25675 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$507.56

$675.41

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
25675 office rate range by state
State / territoryOffice rate rangeLocalities
AK$667.431
AL$515.611
AR$507.561
AZ$562.541
CA$601.78–$749.0429
CO$597.981
CT$620.431
DC$660.841
DE$572.231
FL$581.98–$653.243
GA$545.75–$594.032
GU$616.391
HI$616.391
IA$524.541
ID$529.331
IL$567.79–$631.754
IN$532.501
KS$524.371
KY$534.141
LA$534.24–$562.392
MA$595.01–$656.482
MD$582.93–$660.843
ME$534.95–$562.472
MI$551.41–$592.332
MN$564.371
MO$526.04–$561.543
MS$516.781
MT$579.761
NC$540.571
ND$557.421
NE$526.891
NH$590.821
NJ$625.09–$653.692
NM$555.661
NV$573.921
NY$549.49–$694.735
OH$546.841
OK$530.471
OR$567.10–$615.212
PA$546.38–$605.692
PR$583.481
RI$591.421
SC$545.091
SD$554.781
TN$527.531
TX$542.71–$598.068
UT$553.021
VA$562.24–$660.842
VI$583.481
VT$557.371
WA$593.18–$667.792
WI$537.641
WV$545.961
WY$570.031

See 25675 in every payment locality

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.

How the rate is built · 25675

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.77

4.77 RVUs× 1.000 GPCI

Practice expense11.46

11.46 RVUs× 1.000 GPCI

Malpractice1.13

1.13 RVUs× 1.000 GPCI

Adjusted RVUs

17.3600

Conversion factor

$33.4009

Medicare rate

$579.84

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,503

Code
25675
Physician work
4.77
Practice expense
11.46
Malpractice
1.13

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 25675 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.77× 1.0054.7938
Practice expense11.46× 0.98811.3225
Malpractice1.13× 0.8991.0159
Total RVUs17.1322
Conversion factor× 33.4009

Office rate, Delaware$572.23

Office: (4.77 × 1.005 + 11.46 × 0.988 + 1.13 × 0.899) × $33.4009 = $572.23

Facility: (4.77 × 1.005 + 8.75 × 0.988 + 1.13 × 0.899) × $33.4009 = $482.80

Open 25675 in the RVU calculator

Payment rules and modifiers for 25675

25675 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25675

Joint reduction, distal radioulnar, with manipulation

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 · 25675

Joint reduction, distal radioulnar, with manipulation

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

25675 without 50 · national office

$579.84

Joint reduction, distal radioulnar, with manipulation

25675-50 · Bilateral: 150%

$869.76

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

Codes related to 25675

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

Codes related to 25675
CodeHow it relatesOffice range, Delaware
Used instead
25660Wrist dislocation, radiocarpal or intercarpalClosed treatment of a distal radioulnar dislocation without manipulation.No office rate
25671Joint fixation, distal radioulnar dislocationUses percutaneous skeletal fixation for a distal radioulnar dislocation.No office rate
25676Joint reduction, open treatmentTreats a distal radioulnar dislocation through an open approach.No office rate

How 25675 has changed in Delaware

25675 · Office / nonfacility

$572.23

Effective 2026-10-01

The base rate is $107.93 higher than on 2025-10-01, moving from $464.30 to $572.23 (23.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $464.30changed to$572.23

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.89 changed to 4.77
    • Practice expense RVU 8.52 changed to 11.46
    • Malpractice RVU 1.02 changed to 1.13
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $471.84changed to$464.30

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.33 changed to 8.52
    • Malpractice RVU 1.03 changed to 1.02

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $464.14changed to$471.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $476.13changed to$464.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.15 changed to 8.33
    • Malpractice RVU 0.98 changed to 1.03
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $472.04changed to$476.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.64 changed to 8.15
    • Malpractice RVU 0.99 changed to 0.98
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $466.07changed to$472.04

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.39 changed to 7.64
    • Malpractice RVU 0.96 changed to 0.99

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $466.49changed to$466.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.89 changed to 7.39
    • Malpractice RVU 0.95 changed to 0.96
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $460.33changed to$466.49

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.74 changed to 0.95
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $455.87changed to$460.33

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.76 changed to 6.89
    • Malpractice RVU 0.76 changed to 0.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $451.51changed to$455.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.65 changed to 6.76
    • Malpractice RVU 0.75 changed to 0.76
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $453.65changed to$451.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.67 changed to 6.65
    • Malpractice RVU 0.78 changed to 0.75
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $459.42changed to$453.65

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.75 changed to 6.67
    • Malpractice RVU 0.81 changed to 0.78

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $457.13changed to$459.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $449.91changed to$457.13

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.63 changed to 6.75
    • Malpractice RVU 0.83 changed to 0.81
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $456.08changed to$449.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.54 changed to 6.63
    • Malpractice RVU 0.87 changed to 0.83
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $456.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$572.23$482.80RVU26D
2026-07-01$572.23$482.80RVU26C
2026-04-01$572.23$482.80RVU26B
2026-01-01$572.23$482.80RVU26A
2025-10-01$464.30$418.73RVU25D
2025-07-01$464.30$418.73RVU25C
2025-04-01$464.30$418.73RVU25B
2025-01-01$464.30$418.73RVU25A
2024-10-01$471.84$425.62RVU24D
2024-07-01$471.84$425.62RVU24C
2024-04-01$471.84$425.62RVU24B
2024-03-09$471.84$425.62RVU24AR
2024-01-01$464.14$418.67RVU24A
2023-10-01$476.13$428.70RVU23D
2023-07-01$476.13$428.70RVU23C
2023-04-01$476.13$428.70RVU23B
2023-01-01$476.13$428.70RVU23A
2022-10-01$472.04$425.71RVU22D
2022-07-01$472.04$425.71RVU22C
2022-04-01$472.04$425.71RVU22B
2022-01-01$472.04$425.71RVU22A
2021-10-01$466.07$420.06RVU21D
2021-07-01$466.07$420.06RVU21C
2021-04-01$466.07$420.06RVU21B
2021-01-01$466.07$420.06RVU21A
2020-10-01$466.49$422.64RVU20D
2020-07-01$466.49$422.64RVU20C
2020-04-01$466.49$422.64RVU20B
2020-01-01$466.49$422.64RVU20A
2019-10-01$460.33$417.37RVU19D
2019-07-01$460.33$417.37RVU19C
2019-04-01$460.33$417.37RVU19B
2019-01-01$460.33$417.37RVU19A
2018-10-01$455.87$413.68RVU18D
2018-07-01$455.87$413.68RVU18C
2018-04-01$455.87$413.68RVU18B
2018-01-01$455.87$413.68RVU18AR1
2017-10-01$451.51$411.78RVU17D
2017-07-01$451.51$411.78RVU17C
2017-04-01$451.51$411.78RVU17B
2017-01-01$451.51$411.78RVU17A
2016-10-01$453.65$414.15RVU16D
2016-07-01$453.65$414.15RVU16C
2016-04-01$453.65$414.15RVU16B
2016-01-01$453.65$414.15RVU16A
2015-10-01$459.42$418.66RVU15D
2015-07-01$459.42$418.66RVU15C
2015-04-01$457.13$416.58RVU15B
2015-01-01$457.13$416.58RVU15A
2014-10-01$449.91$410.87RVU14D
2014-07-01$449.91$410.87RVU14C
2014-04-01$449.91$410.87RVU14B
2014-01-01$449.91$410.87RVU14A
2013-10-01$456.08$414.17RVU13D
2013-07-01$456.08$414.17RVU13C
2013-04-01$456.08$414.17RVU13B
2013-01-01$456.08$414.17RVU13AR

Price 25675 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

25675 billing questions

How does this differ from 25660?

Use 25675 when the physician manipulates the distal radioulnar dislocation to restore alignment. Code 25660 describes closed treatment of that dislocation without manipulation.

Can the reduction be reported with a fracture treatment code?

A distal radioulnar dislocation and a distal radius fracture are different conditions. Report a fracture treatment code only when the fracture is separately treated and the documentation supports that service.

How is bilateral treatment reported?

For treatment of both sides, modifier 50 applies; CMS pays the bilateral procedure at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

When is assistant-at-surgery payment allowed?

Only when medical necessity for the assistant 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 25675PPRRVU2026_Oct_nonQPP.csv, line 2,503 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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