CPT code 25690: Lunate reduction, closed, with manipulation2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $542.44 for 25690 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 25690 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 25690 covers

This service involves manipulating a dislocated lunate back into position without surgically exposing the joint. An orthopedic or hand surgeon may perform the reduction in an emergency department or surgical setting, often with anesthesia or sedation. The injury is a lunate dislocation, not simply a carpal fracture or a dislocation of the distal radioulnar joint.

Report the service when documentation supports a lunate dislocation and a closed reduction performed by manipulation. Record the affected wrist, reduction method, and relevant findings; distinguish an associated fracture-dislocation from an isolated lunate dislocation. The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 identifies bilateral treatment and 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 Washington, DC area compares for 25690

Across 109 of 109 payment localities, the facility rate for 25690 runs from $426.79 in Arkansas to $597.30 in San Benito County, CA. Washington, DC area pays $542.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

25690 rates by state

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

See 25690 in every payment locality

How the 25690 rate is calculated

Each of 25690’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 25690

25690 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 25690

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

How 25690 has changed in Washington, DC area

Price 25690 for an earlier date of service

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

Browse all communities in District of Columbia

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