CPT code 25680: Wrist fracture care, trans-scaphoid perilunate injury2026 Medicare rate & RVUs in Minnesota

Reports closed reduction by manipulation of a perilunate wrist fracture-dislocation that passes through the scaphoid, with related fracture care included in the global period.

CMS RVU26DEffective Oct 1, 2026One payment locality37 Medicare services in 2024

In Minnesota, Medicare pays $496.40 for 25680 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$496.40Hospital or facility

Check a contract rate as a % of Medicare · 25680 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 25680 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 25680 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 25680 covers

This service treats a carpal fracture-dislocation in which the scaphoid is fractured and the carpal bones are displaced around the lunate. The physician manipulates the wrist to restore alignment without surgically exposing the fracture, then immobilizes it. Orthopedic and hand surgeons commonly perform the reduction in a hospital or other procedural setting, often with imaging guidance.

Report this code when the documented injury pattern is a trans-scaphoid perilunate fracture-dislocation and the physician performs closed treatment with manipulation. The record should identify the fracture-dislocation, side, reduction performed, and resulting alignment; imaging and the treatment plan support the service. This major surgery code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 applies to bilateral performance, with payment 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 Minnesota compares for 25680

Across 109 of 109 payment localities, the facility rate for 25680 runs from $459.51 in Arkansas to $641.82 in San Benito County, CA. Minnesota pays $496.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

25680 in Minnesota vs other payment areas
  1. Minnesota · this page$496.40
  2. Los Angeles, CA · California$562.71+$66.31
  3. Washington, DC area · District of Columbia$583.48+$87.08
  4. Miami, FL · Florida$596.63+$100.23
  5. Chicago, IL · Illinois$578.06+$81.66
  6. Manhattan, NY · New York$601.68+$105.28
  7. Alaska · Alaska$618.66+$122.26

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

Every other payment area

25680 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$466.09
ArkansasArkansas—$459.51
ArizonaArizona—$504.34
Bakersfield, CACalifornia—$532.12
Chico, CACalifornia—$528.55
El Centro, CACalifornia—$528.76
Fresno, CACalifornia—$528.55
Hanford, CACalifornia—$528.55

25680 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
25680 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 25680 in every payment locality

How the 25680 rate is calculated

Each of 25680’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 · 25680

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.07

6.07 RVUs× 1.000 GPCI

Practice expense8.17

8.17 RVUs× 1.000 GPCI

Malpractice1.30

1.30 RVUs× 1.000 GPCI

Adjusted RVUs

15.5400

Conversion factor

$33.4009

Medicare rate

$519.05

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,505

Code
25680
Physician work
6.07
Practice expense
8.17
Malpractice
1.30

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 25680 in Minnesota
ComponentRVULocality factorAdjusted
Physician work6.07× 1.0006.0700
Practice expense8.17× 1.0298.4069
Malpractice1.30× 0.2960.3848
Total RVUs14.8617
Conversion factor× 33.4009

Facility rate, Minnesota$496.40

Facility: (6.07 × 1 + 8.17 × 1.029 + 1.3 × 0.296) × $33.4009 = $496.40

Open 25680 in the RVU calculator

Payment rules and modifiers for 25680

25680 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25680

Wrist fracture care, trans-scaphoid perilunate injury

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 · 25680

Wrist fracture care, trans-scaphoid perilunate injury

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

25680 without 50 · national facility

$519.05

Wrist fracture care, trans-scaphoid perilunate injury

25680-50 · Bilateral: 150%

$778.58

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 25680 has changed in Minnesota

25680 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$496.40RVU26D
2026-07-01Not available in this setting$496.40RVU26C
2026-04-01Not available in this setting$496.40RVU26B
2026-01-01Not available in this setting$496.40RVU26A
2025-10-01Not available in this setting$513.66RVU25D
2025-07-01Not available in this setting$513.66RVU25C
2025-04-01Not available in this setting$513.66RVU25B
2025-01-01Not available in this setting$513.66RVU25A
2024-10-01Not available in this setting$522.46RVU24D
2024-07-01Not available in this setting$522.46RVU24C
2024-04-01Not available in this setting$522.46RVU24B
2024-03-09Not available in this setting$522.46RVU24AR
2024-01-01Not available in this setting$513.94RVU24A
2023-10-01Not available in this setting$524.42RVU23D
2023-07-01Not available in this setting$524.42RVU23C
2023-04-01Not available in this setting$524.42RVU23B
2023-01-01Not available in this setting$524.42RVU23A
2022-10-01Not available in this setting$524.77RVU22D
2022-07-01Not available in this setting$524.77RVU22C
2022-04-01Not available in this setting$524.77RVU22B
2022-01-01Not available in this setting$524.77RVU22A
2021-10-01Not available in this setting$522.27RVU21D
2021-07-01Not available in this setting$522.27RVU21C
2021-04-01Not available in this setting$522.27RVU21B
2021-01-01Not available in this setting$522.27RVU21A
2020-10-01Not available in this setting$519.61RVU20D
2020-07-01Not available in this setting$519.61RVU20C
2020-04-01Not available in this setting$519.61RVU20B
2020-01-01Not available in this setting$519.61RVU20A
2019-10-01Not available in this setting$515.09RVU19D
2019-07-01Not available in this setting$515.09RVU19C
2019-04-01Not available in this setting$513.91RVU19B
2019-01-01Not available in this setting$513.91RVU19A
2018-10-01Not available in this setting$512.11RVU18D
2018-07-01Not available in this setting$512.11RVU18C
2018-04-01Not available in this setting$512.11RVU18B
2018-01-01Not available in this setting$512.11RVU18AR1
2017-10-01Not available in this setting$471.26RVU17D
2017-07-01Not available in this setting$471.26RVU17C
2017-04-01Not available in this setting$471.26RVU17B
2017-01-01Not available in this setting$471.26RVU17A
2016-10-01Not available in this setting$463.83RVU16D
2016-07-01Not available in this setting$463.83RVU16C
2016-04-01Not available in this setting$463.83RVU16B
2016-01-01Not available in this setting$463.83RVU16A
2015-10-01Not available in this setting$460.37RVU15D
2015-07-01Not available in this setting$460.37RVU15C
2015-04-01Not available in this setting$458.08RVU15B
2015-01-01Not available in this setting$458.08RVU15A
2014-10-01Not available in this setting$458.12RVU14D
2014-07-01Not available in this setting$458.12RVU14C
2014-04-01Not available in this setting$458.12RVU14B
2014-01-01Not available in this setting$458.12RVU14A
2013-10-01Not available in this setting$462.31RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 25680 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

25680 billing questions

How is this different from code 25685?

Code 25680 is for closed treatment with manipulation. Code 25685 is for open treatment of the trans-scaphoid perilunate fracture-dislocation.

Can this code be used for an isolated scaphoid fracture?

No. It describes the combined fracture-dislocation pattern involving the scaphoid and perilunate alignment. An isolated scaphoid fracture may fit a different treatment code, such as 25624 when closed treatment with manipulation is performed.

Is the reduction reported separately from the fracture treatment?

The manipulation is part of the closed fracture-dislocation treatment represented by this code. Related postoperative care falls within its 90-day global period.

What documentation supports reporting this code?

Document the trans-scaphoid perilunate fracture-dislocation, the affected side, the closed manipulation performed, and the reduction result. Imaging and the immobilization and follow-up plan can support the record.

How are bilateral cases and multiple procedures handled?

For bilateral performance, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. 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
RVUs for 25680PPRRVU2026_Oct_nonQPP.csv, line 2,505 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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