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CPT code 25695: Lunate dislocation, open treatment2026 Medicare rate & RVUs

Reports open surgical reduction of a displaced lunate, with stabilization when needed, rather than closed treatment of the wrist injury.

CMS RVU26DEffective Oct 1, 2026109 payment localities49 Medicare services in 2024

Medicare pays $600.88 for 25695 nationally in a facility.

Medicare rate · 25695

Lunate dislocation, open treatment

Office or facility?

Work RVUs
8.3
Total RVUs
17.99
Global days
090

National rate · 2026

$600.88

Facility setting, before claim adjustments.

See every locality for 25695 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 25695 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 25695 covers

This service covers open surgery to restore a dislocated lunate to its position in the wrist. An orthopedic or hand surgeon typically performs it in an operating room for an acute traumatic injury, often after high-energy trauma. The surgeon exposes the joint, repositions the lunate, and may stabilize it with fixation when needed. The operative report should identify the dislocation and describe the open treatment performed.

Choose this code for open treatment of the lunate itself; closed treatment with manipulation is represented by 25690. A trans-scaphoid perilunate fracture-dislocation is a different injury pattern. The 90-day global period 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 others at 50%. Modifier 50 reports bilateral treatment and is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is 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 25695 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

25695 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$542.26
AlaskaUnavailable$730.32
ArizonaUnavailable$584.21
ArkansasUnavailable$535.02
Atlanta, GAUnavailable$617.77
Austin, TXUnavailable$610.10
Bakersfield, CAUnavailable$608.59
Baltimore area, MDUnavailable$638.59
Beaumont, TXUnavailable$572.87
Brazoria, TXUnavailable$587.78

25695 rates by state

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

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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
25695 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

How the 25695 rate is calculated

Each of 25695’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 · 25695

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.30

8.30 RVUs× 1.000 GPCI

Practice expense7.93

7.93 RVUs× 1.000 GPCI

Malpractice1.76

1.76 RVUs× 1.000 GPCI

Adjusted RVUs

17.9900

Conversion factor

$33.4009

Medicare rate

$600.88

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

Payment rules and modifiers for 25695

25695 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25695

Lunate dislocation, open treatment

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 25695

Lunate dislocation, 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.

  • 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

25695 without 50 · national facility

$600.88

Lunate dislocation, open treatment

25695-50 · Bilateral: 150%

$901.32

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

25695 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 25695

    Lunate dislocation, open treatment8.3 wRVU

    Not priced

  • 25690

    Lunate reduction, closed, with manipulation5.58 wRVU

    Not priced

  • 25670

    Carpal dislocation repair, open treatment7.89 wRVU

    Not priced

  • 25685

    Wrist fracture-dislocation, open treatment9.84 wRVU

    Not priced

How to choose

25690Lunate reductionClosed, with manipulation
Use 25690 for closed treatment with manipulation of a lunate dislocation. Use 25695 when the surgeon treats the dislocation through an open approach.
25670Carpal dislocation repairOpen treatment
This code addresses open treatment of radiocarpal or intercarpal dislocations more generally. Code 25695 identifies open treatment of a lunate dislocation.
25685Wrist fracture-dislocationOpen treatment
Use 25685 for the trans-scaphoid perilunate fracture-dislocation pattern; 25695 is for open treatment of a lunate dislocation.

Codes related to 25695

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

Codes related to 25695
CodeHow it relatesNational office range
Same family
25690Lunate reduction, closed, with manipulationClosed treatment with manipulation for a lunate dislocation.No office rate
Used instead
25670Carpal dislocation repair, open treatmentOpen treatment for radiocarpal or intercarpal dislocations other than the specifically coded lunate injury.No office rate
25685Wrist fracture-dislocation, open treatmentFor open treatment of a trans-scaphoid perilunate fracture-dislocation.No office rate

25695 billing questions

How does this differ from 25690?

25695 is for open surgical treatment of the lunate dislocation. Code 25690 is for closed treatment with manipulation.

Does this code include fixation?

Stabilization or internal fixation may be part of the open treatment when performed. The operative note should describe the reduction and any fixation used.

Should this be reported for a trans-scaphoid perilunate fracture-dislocation?

That fracture-dislocation pattern is distinct from an isolated lunate dislocation; consider 25685 when the documented injury and treatment match that code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are bilateral procedures and multiple same-session procedures paid?

Modifier 50 reports bilateral treatment and is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeons require supporting documentation; team surgery is 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 25695PPRRVU2026_Oct_nonQPP.csv, line 2,508 (RVU26D)

Open CMS sourceHow we calculate rates

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