CPT code 25685: Wrist fracture-dislocation, open treatment2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $735.19 for 25685 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25685 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 25685 covers

This code represents open surgical treatment of a perilunate fracture-dislocation that passes through the scaphoid, a carpal bone on the thumb side of the wrist. The surgeon exposes the injury to restore carpal alignment and treat the scaphoid fracture; internal fixation is included when performed. Orthopedic and hand surgeons typically perform this operation in a hospital or ambulatory surgery setting for an unstable or displaced injury requiring open treatment.

Select the code when the operative record supports both the trans-scaphoid fracture and the perilunate dislocation, and documents open treatment. The CMS global period is 90 days, including 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 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; 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 Connecticut compares for 25685

Across 109 of 109 payment localities, the facility rate for 25685 runs from $616.24 in Arkansas to $843.43 in Alaska. Connecticut pays $735.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25685 rates by state

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

See 25685 in every payment locality

How the 25685 rate is calculated

Each of 25685’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.

Payment rules and modifiers for 25685

25685 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 25685

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

How 25685 has changed in Connecticut

Price 25685 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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

Open CMS sourceHow we calculate rates