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

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 South Dakota, Medicare pays $554.78 for 25675 in the office and $464.26 when it’s performed in a hospital or facility.

$554.78Office (non-facility)
$464.26Hospital or facility
−4.3%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 South Dakota
  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 South Dakota 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. South Dakota pays $554.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

25675 in South Dakota vs other payment areas
  1. South Dakota · this page$554.78
  2. Los Angeles, CA · California$643.74+$88.96
  3. Washington, DC area · District of Columbia$660.84+$106.06
  4. Miami, FL · Florida$653.24+$98.46
  5. Chicago, IL · Illinois$631.75+$76.97
  6. Manhattan, NY · New York$674.16+$119.38
  7. Alaska · Alaska$667.43+$112.65

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 25675 in South Dakota
ComponentRVULocality factorAdjusted
Physician work4.77× 1.0004.7700
Practice expense11.46× 1.00011.4600
Malpractice1.13× 0.3360.3797
Total RVUs16.6097
Conversion factor× 33.4009

Office rate, South Dakota$554.78

Office: (4.77 × 1 + 11.46 × 1 + 1.13 × 0.336) × $33.4009 = $554.78

Facility: (4.77 × 1 + 8.75 × 1 + 1.13 × 0.336) × $33.4009 = $464.26

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

How 25675 has changed in South Dakota

25675 · Office / nonfacility

$554.78

Effective 2026-10-01

The base rate is $108.41 higher than on 2025-10-01, moving from $446.37 to $554.78 (24.3%).

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

    $446.37changed to$554.78

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $453.16changed to$446.37

    • 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

    $445.76changed to$453.16

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $453.98changed to$445.76

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $445.50changed to$453.98

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $440.11changed to$445.50

    • 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

    $437.75changed to$440.11

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $434.91changed to$437.75

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.74 changed to 0.95
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $430.04changed to$434.91

    • 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

    $424.79changed to$430.04

    • 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
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $425.07changed to$424.79

    • 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
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $429.91changed to$425.07

    • 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

    $427.77changed to$429.91

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $425.05changed to$427.77

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $435.69changed to$425.05

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $435.69

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$554.78$464.26RVU26D
2026-07-01$554.78$464.26RVU26C
2026-04-01$554.78$464.26RVU26B
2026-01-01$554.78$464.26RVU26A
2025-10-01$446.37$400.44RVU25D
2025-07-01$446.37$400.44RVU25C
2025-04-01$446.37$400.44RVU25B
2025-01-01$446.37$400.44RVU25A
2024-10-01$453.16$406.56RVU24D
2024-07-01$453.16$406.56RVU24C
2024-04-01$453.16$406.56RVU24B
2024-03-09$453.16$406.56RVU24AR
2024-01-01$445.76$399.92RVU24A
2023-10-01$453.98$406.87RVU23D
2023-07-01$453.98$406.87RVU23C
2023-04-01$453.98$406.87RVU23B
2023-01-01$453.98$406.87RVU23A
2022-10-01$445.50$400.17RVU22D
2022-07-01$445.50$400.17RVU22C
2022-04-01$445.50$400.17RVU22B
2022-01-01$445.50$400.17RVU22A
2021-10-01$440.11$395.10RVU21D
2021-07-01$440.11$395.10RVU21C
2021-04-01$440.11$395.10RVU21B
2021-01-01$440.11$395.10RVU21A
2020-10-01$437.75$394.81RVU20D
2020-07-01$437.75$394.81RVU20C
2020-04-01$437.75$394.81RVU20B
2020-01-01$437.75$394.81RVU20A
2019-10-01$434.91$392.75RVU19D
2019-07-01$434.91$392.75RVU19C
2019-04-01$434.91$392.75RVU19B
2019-01-01$434.91$392.75RVU19A
2018-10-01$430.04$388.64RVU18D
2018-07-01$430.04$388.64RVU18C
2018-04-01$430.04$388.64RVU18B
2018-01-01$430.04$388.64RVU18AR1
2017-10-01$424.79$386.03RVU17D
2017-07-01$424.79$386.03RVU17C
2017-04-01$424.79$386.03RVU17B
2017-01-01$424.79$386.03RVU17A
2016-10-01$425.07$386.76RVU16D
2016-07-01$425.07$386.76RVU16C
2016-04-01$425.07$386.76RVU16B
2016-01-01$425.07$386.76RVU16A
2015-10-01$429.91$390.38RVU15D
2015-07-01$429.91$390.38RVU15C
2015-04-01$427.77$388.44RVU15B
2015-01-01$427.77$388.44RVU15A
2014-10-01$425.05$387.43RVU14D
2014-07-01$425.05$387.43RVU14C
2014-04-01$425.05$387.43RVU14B
2014-01-01$425.05$387.43RVU14A
2013-10-01$435.69$395.55RVU13D
2013-07-01$435.69$395.55RVU13C
2013-04-01$435.69$395.55RVU13B
2013-01-01$435.69$395.55RVU13AR

Price 25675 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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