Billing code 25660: Wrist dislocationMedicare rate & RVUs

Medicare pays $445.90 for 25660 nationally in a facility.

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

What 25660 covers

This service treats a dislocation involving the radiocarpal or intercarpal joints by manipulating the wrist to restore alignment without surgically exposing the joint. An orthopedic or hand surgeon may perform the reduction in a hospital or other acute-care setting. The code covers one or more dislocations in the specified joint group; it is not selected by counting each dislocated joint as a separate service. A perilunate injury with an associated scaphoid fracture or a separately specified lunate dislocation may fall under a more specific code.

Document the joint or joints involved, the dislocation, the closed reduction maneuver, and the post-reduction findings. The service has a 90-day global period, 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 at 50%. Bilateral reporting with modifier 50 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.

Where 25660 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

25660 rates by state

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

How the 25660 rate is calculated

Each of 25660’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 25660

25660 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

25660 compared with similar codes

How to choose

25670Carpal dislocation repair

Both address radiocarpal or intercarpal dislocation, but 25670 is for open treatment; 25660 is for closed reduction by manipulation.

25675Joint reduction

25675 applies to a distal radioulnar dislocation treated closed with manipulation. This code applies to radiocarpal or intercarpal dislocation.

25680Wrist fracture care

Use 25680 for closed treatment of a trans-scaphoid perilunate fracture-dislocation; this code addresses radiocarpal or intercarpal dislocation without that specifically described fracture pattern.

25690Lunate reduction

25690 specifically describes closed treatment of a lunate dislocation with manipulation. This code covers radiocarpal or intercarpal dislocations not represented by that more specific code.

Codes related to 25660

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

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