CPT code 25676: Joint reduction, open treatment2026 Medicare rate & RVUs in Florida
Open treatment of an acute or chronic distal radioulnar joint dislocation restores alignment when the dislocation is managed surgically.
CMS doesn’t publish an office rate for 25676 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 25676 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $642.18 |
| Miami, FL | Unavailable | $688.56 |
| Rest of Florida | Unavailable | $610.30 |
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.
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).
25676 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 25675Joint reductionDistal radioulnar, with manipulation
- Use 25675 for closed treatment of a distal radioulnar joint dislocation with manipulation; 25676 describes open treatment.
- 25671Joint fixationDistal radioulnar dislocation
- 25671 is for percutaneous skeletal fixation of a distal radioulnar joint dislocation, not open treatment.
- 25670Carpal dislocation repairOpen treatment
- 25670 concerns open treatment of a radiocarpal or intercarpal dislocation. 25676 concerns the distal radioulnar joint.
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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