CPT code 25676: Joint reduction, open treatment2026 Medicare rate & RVUs in Washington, DC area
Open treatment of an acute or chronic distal radioulnar joint dislocation restores alignment when the dislocation is managed surgically.
In Washington, DC area, Medicare pays $664.19 for 25676 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 25676 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 25676 covers
This service treats a dislocation between the distal radius and ulna through an open surgical approach. An orthopedic or hand surgeon typically performs it in an operating room when the dislocation requires open reduction or stabilization rather than closed manipulation. The code concerns the distal radioulnar joint, not a dislocation of the radiocarpal or intercarpal joints.
Report 25676 for the open treatment of the distal radioulnar dislocation; distinguish it from closed manipulation and percutaneous fixation based on the approach documented in the operative report. Documentation should identify the affected joint, dislocation, and open treatment performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 Washington, DC area compares for 25676
Across 109 of 109 payment localities, the facility rate for 25676 runs from $530.83 in Arkansas to $723.65 in Alaska. Washington, DC area pays $664.19. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$664.19
- Los Angeles, CA · California$637.89−$26.30
- Miami, FL · Florida$688.56+$24.37
- Chicago, IL · Illinois$668.09+$3.90
- Manhattan, NY · New York$687.98+$23.79
- Alaska · Alaska$723.65+$59.46
- Alabama · Alabama$537.92−$126.27
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $530.83 |
| ArizonaArizona | — | $579.04 |
| Bakersfield, CACalifornia | — | $605.37 |
| Chico, CACalifornia | — | $600.91 |
| El Centro, CACalifornia | — | $601.18 |
| Fresno, CACalifornia | — | $600.91 |
| Hanford, CACalifornia | — | $600.91 |
| Madera, CACalifornia | — | $600.91 |
| Merced, CACalifornia | — | $600.91 |
| Modesto, CACalifornia | — | $600.91 |
| Napa, CACalifornia | — | $672.10 |
| Oxnard, CACalifornia | — | $631.91 |
| Redding, CACalifornia | — | $600.91 |
| Rest of CaliforniaCalifornia | — | $600.91 |
| Riverside, CACalifornia | — | $618.23 |
| Sacramento, CACalifornia | — | $624.23 |
| Salinas, CACalifornia | — | $621.79 |
| San Diego, CACalifornia | — | $631.89 |
| Marin County, CACalifornia | — | $703.09 |
| San Francisco, CACalifornia | — | $701.26 |
| San Benito County, CACalifornia | — | $719.96 |
| Santa Clara County, CACalifornia | — | $712.49 |
| San Luis Obispo, CACalifornia | — | $612.59 |
| Santa Cruz, CACalifornia | — | $634.30 |
| Santa Maria, CACalifornia | — | $622.89 |
| Santa Rosa, CACalifornia | — | $640.26 |
| Stockton, CACalifornia | — | $600.91 |
| Vallejo, CACalifornia | — | $669.47 |
| Visalia, CACalifornia | — | $600.91 |
| Yuba City, CACalifornia | — | $600.91 |
| ColoradoColorado | — | $604.04 |
| ConnecticutConnecticut | — | $632.80 |
| DelawareDelaware | — | $587.86 |
| Fort Lauderdale, FLFlorida | — | $642.18 |
| Rest of FloridaFlorida | — | $610.30 |
| Atlanta, GAGeorgia | — | $611.17 |
| Rest of GeorgiaGeorgia | — | $576.20 |
| Hawaii, Guam, HIHawaii | — | $609.77 |
| IowaIowa | — | $539.70 |
| IdahoIdaho | — | $545.14 |
| East St. Louis, ILIllinois | — | $628.01 |
| Rest of IllinoisIllinois | — | $601.85 |
| Suburban Chicago, ILIllinois | — | $645.94 |
| IndianaIndiana | — | $547.74 |
| KansasKansas | — | $542.46 |
| KentuckyKentucky | — | $560.49 |
| New Orleans, LALouisiana | — | $586.50 |
| Rest of LouisianaLouisiana | — | $561.72 |
| Metropolitan Boston, MAMassachusetts | — | $653.03 |
| Rest of MassachusettsMassachusetts | — | $603.00 |
| Baltimore area, MDMaryland | — | $632.09 |
| Rest of MarylandMaryland | — | $596.75 |
| Rest of MaineMaine | — | $553.15 |
| Southern Maine, MEMaine | — | $572.92 |
| Detroit, MIMichigan | — | $622.59 |
| Rest of MichiganMichigan | — | $578.52 |
| MinnesotaMinnesota | — | $565.22 |
| Metropolitan Kansas City, MOMissouri | — | $577.40 |
| Metropolitan St. Louis, MOMissouri | — | $582.28 |
| Rest of MissouriMissouri | — | $556.33 |
| MississippiMississippi | — | $543.42 |
| MontanaMontana | — | $595.10 |
| North CarolinaNorth Carolina | — | $557.60 |
| North DakotaNorth Dakota | — | $563.26 |
| NebraskaNebraska | — | $540.85 |
| New HampshireNew Hampshire | — | $599.62 |
| Northern New JerseyNew Jersey | — | $659.31 |
| Rest of New JerseyNew Jersey | — | $636.20 |
| New MexicoNew Mexico | — | $583.47 |
| NevadaNevada | — | $586.50 |
| NYC suburbs and Long Island, NYNew York | — | $709.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $644.44 |
| Queens, NYNew York | — | $685.67 |
| Rest of New YorkNew York | — | $565.66 |
| OhioOhio | — | $572.01 |
| OklahomaOklahoma | — | $554.16 |
| Portland, OROregon | — | $615.90 |
| Rest of OregonOregon | — | $578.15 |
| Metropolitan Philadelphia, PAPennsylvania | — | $621.57 |
| Rest of PennsylvaniaPennsylvania | — | $569.98 |
| Puerto RicoPuerto Rico | — | $597.38 |
| Rhode IslandRhode Island | — | $603.49 |
| South CarolinaSouth Carolina | — | $566.50 |
| South DakotaSouth Dakota | — | $559.50 |
| TennesseeTennessee | — | $545.60 |
| Austin, TXTexas | — | $605.36 |
| Beaumont, TXTexas | — | $566.95 |
| Brazoria, TXTexas | — | $583.09 |
| Dallas, TXTexas | — | $588.91 |
| Fort Worth, TXTexas | — | $586.89 |
| Galveston, TXTexas | — | $586.21 |
| Houston, TXTexas | — | $615.68 |
| Rest of TexasTexas | — | $576.14 |
| UtahUtah | — | $573.43 |
| VirginiaVirginia | — | $574.78 |
| Virgin Islands, VIUnited States Virgin Islands | — | $597.38 |
| VermontVermont | — | $565.92 |
| Rest of WashingtonWashington | — | $600.25 |
| King County, WAWashington | — | $660.50 |
| WisconsinWisconsin | — | $546.59 |
| West VirginiaWest Virginia | — | $582.81 |
| WyomingWyoming | — | $581.22 |
25676 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 25676 rate is calculated
Each of 25676’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 · 25676
RVUs × geographic indexes × conversion factor
Work8.08
8.08 RVUs× 1.000 GPCI
Practice expense8.13
8.13 RVUs× 1.000 GPCI
Malpractice1.61
1.61 RVUs× 1.000 GPCI
Adjusted RVUs
17.8200
Conversion factor
$33.4009
Medicare rate
$595.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,504
- Code
- 25676
- Physician work
- 8.08
- Practice expense
- 8.13
- Malpractice
- 1.61
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.08 | × 1.054 | 8.5163 |
| Practice expense | 8.13 | × 1.178 | 9.5771 |
| Malpractice | 1.61 | × 1.113 | 1.7919 |
| Total RVUs | 19.8854 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$664.19
Facility: (8.08 × 1.054 + 8.13 × 1.178 + 1.61 × 1.113) × $33.4009 = $664.19
Payment rules and modifiers for 25676
25676 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25676
Joint reduction, 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) | 0 | Not permitted. |
| 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 · 25676
Joint reduction, 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
25676 without 50 · national facility
$595.20
Joint reduction, open treatment
25676-50 · Bilateral: 150%
$892.80
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).
How 25676 has changed in Washington, DC area
25676 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $664.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $664.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $664.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $664.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $711.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $711.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $711.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $711.75 | RVU25A |
| 2024-10-01 | Not available in this setting | $726.49 | RVU24D |
| 2024-07-01 | Not available in this setting | $726.49 | RVU24C |
| 2024-04-01 | Not available in this setting | $726.49 | RVU24B |
| 2024-03-09 | Not available in this setting | $726.49 | RVU24AR |
| 2024-01-01 | Not available in this setting | $714.63 | RVU24A |
| 2023-10-01 | Not available in this setting | $741.45 | RVU23D |
| 2023-07-01 | Not available in this setting | $741.45 | RVU23C |
| 2023-04-01 | Not available in this setting | $741.45 | RVU23B |
| 2023-01-01 | Not available in this setting | $741.45 | RVU23A |
| 2022-10-01 | Not available in this setting | $755.58 | RVU22D |
| 2022-07-01 | Not available in this setting | $755.58 | RVU22C |
| 2022-04-01 | Not available in this setting | $755.58 | RVU22B |
| 2022-01-01 | Not available in this setting | $755.58 | RVU22A |
| 2021-10-01 | Not available in this setting | $756.18 | RVU21D |
| 2021-07-01 | Not available in this setting | $756.18 | RVU21C |
| 2021-04-01 | Not available in this setting | $756.18 | RVU21B |
| 2021-01-01 | Not available in this setting | $756.18 | RVU21A |
| 2020-10-01 | Not available in this setting | $754.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $754.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $754.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $754.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $740.49 | RVU19D |
| 2019-07-01 | Not available in this setting | $740.49 | RVU19C |
| 2019-04-01 | Not available in this setting | $740.49 | RVU19B |
| 2019-01-01 | Not available in this setting | $740.49 | RVU19A |
| 2018-10-01 | Not available in this setting | $740.54 | RVU18D |
| 2018-07-01 | Not available in this setting | $740.54 | RVU18C |
| 2018-04-01 | Not available in this setting | $740.54 | RVU18B |
| 2018-01-01 | Not available in this setting | $740.54 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $735.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $735.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $735.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $735.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $733.38 | RVU16D |
| 2016-07-01 | Not available in this setting | $733.38 | RVU16C |
| 2016-04-01 | Not available in this setting | $733.38 | RVU16B |
| 2016-01-01 | Not available in this setting | $733.38 | RVU16A |
| 2015-10-01 | Not available in this setting | $741.65 | RVU15D |
| 2015-07-01 | Not available in this setting | $741.65 | RVU15C |
| 2015-04-01 | Not available in this setting | $737.96 | RVU15B |
| 2015-01-01 | Not available in this setting | $737.96 | RVU15A |
| 2014-10-01 | Not available in this setting | $723.62 | RVU14D |
| 2014-07-01 | Not available in this setting | $723.62 | RVU14C |
| 2014-04-01 | Not available in this setting | $723.62 | RVU14B |
| 2014-01-01 | Not available in this setting | $723.62 | RVU14A |
| 2013-10-01 | Not available in this setting | $716.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $716.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $716.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $716.21 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
25676 billing questions
How does 25676 differ from 25675?
25676 is for open treatment of a distal radioulnar joint dislocation. Use 25675 when the dislocation is treated closed with manipulation.
When is 25671 a better fit?
25671 describes percutaneous skeletal fixation of a distal radioulnar joint dislocation. Choose based on whether the documented treatment is percutaneous fixation or open treatment.
What should the operative report document?
Document the distal radioulnar joint dislocation and the open treatment performed. The report should make clear that the service was not closed manipulation or percutaneous fixation.
Does 25676 have a global period?
Yes. Its 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can 25676 be reported bilaterally?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%. Assistant-at-surgery payment may be made, but co-surgeons and team surgery are 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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