No office rate
Choose 25660 for closed treatment of a radiocarpal or intercarpal dislocation. Choose 25670 when the surgeon performs open treatment.
On this page
CMS RVU26D · Effective 2026-10-01
25670 Carpal dislocation repair Medicare reimbursement rates
Report this service when a surgeon uses an open approach to reduce a dislocation of the radiocarpal or intercarpal joint involving one or more bones. Compare 25670 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 25670?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 25670 pays more and less
Orthopedic surgery
About 25670: Open reduction of carpal dislocation
Report this service when a surgeon uses an open approach to reduce a dislocation of the radiocarpal or intercarpal joint involving one or more bones.
An orthopedic or hand surgeon uses an open approach to expose and reduce a dislocated radiocarpal or intercarpal joint involving one or more carpal bones. The service is generally performed in an operating room after wrist trauma when surgical exposure is needed to restore joint alignment. The operative report should identify the dislocated joint and bones, describe the open reduction, and document any stabilization performed.
This is a major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 25670
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.89 · 45%
- Practice expense (office) RVU7.80 · 45%
- Malpractice RVU1.68 · 10%
111
Medicare services in 2024 · #4792 by national volume
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.
25670 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
25671 concerns percutaneous skeletal fixation of a distal radioulnar dislocation; 25670 concerns an open radiocarpal or intercarpal dislocation.
No office rate
25676 is open treatment of a distal radioulnar joint dislocation. Use 25670 for a radiocarpal or intercarpal dislocation.
No office rate
25695 is specific to open treatment of a lunate dislocation. Use 25670 for the broader radiocarpal or intercarpal dislocation service when the specific lunate code does not describe the procedure.
See how rates vary across the country
25670 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 25670 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $523.25 |
| Alaska* | Office Unavailable | Facility $703.68 |
| Arizona | Office Unavailable | Facility $564.02 |
| Arkansas | Office Unavailable | Facility $516.22 |
| Atlanta | Office Unavailable | Facility $596.41 |
| Austin | Office Unavailable | Facility $589.41 |
| Bakersfield | Office Unavailable | Facility $588.25 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $616.71 |
| Beaumont | Office Unavailable | Facility $552.74 |
| Brazoria | Office Unavailable | Facility $567.59 |
| Chicago | Office Unavailable | Facility $655.99 |
| Chico | Office Unavailable | Facility $583.63 |
| Colorado | Office Unavailable | Facility $587.72 |
| Connecticut | Office Unavailable | Facility $617.29 |
| Dallas | Office Unavailable | Facility $573.54 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $647.12 |
| Delaware | Office Unavailable | Facility $572.70 |
| Detroit | Office Unavailable | Facility $609.55 |
| East St. Louis | Office Unavailable | Facility $616.23 |
| El Centro | Office Unavailable | Facility $583.91 |
| Fort Lauderdale | Office Unavailable | Facility $628.90 |
| Fort Worth | Office Unavailable | Facility $571.66 |
| Fresno | Office Unavailable | Facility $583.63 |
| Galveston | Office Unavailable | Facility $570.81 |
| Hanford-Corcoran | Office Unavailable | Facility $583.63 |
| Hawaii, Guam | Office Unavailable | Facility $592.24 |
| Houston | Office Unavailable | Facility $601.56 |
| Idaho | Office Unavailable | Facility $529.76 |
| Indiana | Office Unavailable | Facility $532.31 |
| Iowa | Office Unavailable | Facility $524.19 |
| Kansas | Office Unavailable | Facility $527.33 |
| Kentucky | Office Unavailable | Facility $546.49 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $619.80 |
| Madera | Office Unavailable | Facility $583.63 |
| Manhattan | Office Unavailable | Facility $672.13 |
| Merced | Office Unavailable | Facility $583.63 |
| Metropolitan Boston | Office Unavailable | Facility $635.35 |
| Metropolitan Kansas City | Office Unavailable | Facility $562.99 |
| Metropolitan Philadelphia | Office Unavailable | Facility $606.43 |
| Metropolitan St. Louis | Office Unavailable | Facility $567.78 |
| Miami | Office Unavailable | Facility $676.65 |
| Minnesota | Office Unavailable | Facility $548.23 |
| Mississippi | Office Unavailable | Facility $529.31 |
| Modesto | Office Unavailable | Facility $583.63 |
| Montana** | Office Unavailable | Facility $580.06 |
| Napa | Office Unavailable | Facility $652.02 |
| Nebraska | Office Unavailable | Facility $525.21 |
| Nevada** | Office Unavailable | Facility $571.06 |
| New Hampshire | Office Unavailable | Facility $583.84 |
| New Mexico | Office Unavailable | Facility $569.83 |
| New Orleans | Office Unavailable | Facility $572.43 |
| North Carolina | Office Unavailable | Facility $542.46 |
| North Dakota** | Office Unavailable | Facility $546.84 |
| Northern Nj | Office Unavailable | Facility $642.28 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $694.37 |
| Ohio | Office Unavailable | Facility $557.96 |
| Oklahoma | Office Unavailable | Facility $539.78 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $613.81 |
| Portland | Office Unavailable | Facility $598.94 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $628.57 |
| Puerto Rico | Office Unavailable | Facility $582.20 |
| Queens | Office Unavailable | Facility $669.26 |
| Redding | Office Unavailable | Facility $583.63 |
| Rest Of California | Office Unavailable | Facility $583.63 |
| Rest Of Florida | Office Unavailable | Facility $596.94 |
| Rest Of Georgia | Office Unavailable | Facility $562.81 |
| Rest Of Illinois | Office Unavailable | Facility $589.10 |
| Rest Of Louisiana | Office Unavailable | Facility $547.86 |
| Rest Of Maine | Office Unavailable | Facility $538.12 |
| Rest Of Maryland | Office Unavailable | Facility $581.33 |
| Rest Of Massachusetts | Office Unavailable | Facility $586.81 |
| Rest Of Michigan | Office Unavailable | Facility $564.75 |
| Rest Of Missouri | Office Unavailable | Facility $542.76 |
| Rest Of New Jersey | Office Unavailable | Facility $620.13 |
| Rest Of New York | Office Unavailable | Facility $550.48 |
| Rest Of Oregon | Office Unavailable | Facility $562.47 |
| Rest Of Pennsylvania | Office Unavailable | Facility $555.72 |
| Rest Of Texas | Office Unavailable | Facility $561.44 |
| Rest Of Washington | Office Unavailable | Facility $584.00 |
| Rhode Island | Office Unavailable | Facility $587.72 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $601.68 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $606.09 |
| Salinas | Office Unavailable | Facility $603.73 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $613.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $681.67 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $679.76 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $698.28 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $690.48 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $594.83 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $615.68 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $604.76 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $621.44 |
| Seattle (King Cnty) | Office Unavailable | Facility $642.22 |
| South Carolina | Office Unavailable | Facility $551.96 |
| South Dakota** | Office Unavailable | Facility $542.91 |
| Southern Maine | Office Unavailable | Facility $557.12 |
| Stockton | Office Unavailable | Facility $583.63 |
| Suburban Chicago | Office Unavailable | Facility $632.37 |
| Tennessee | Office Unavailable | Facility $530.49 |
| Utah | Office Unavailable | Facility $558.82 |
| Vallejo | Office Unavailable | Facility $649.27 |
| Vermont | Office Unavailable | Facility $549.85 |
| Virgin Islands | Office Unavailable | Facility $582.20 |
| Virginia | Office Unavailable | Facility $559.25 |
| Visalia | Office Unavailable | Facility $583.63 |
| West Virginia | Office Unavailable | Facility $570.23 |
| Wisconsin | Office Unavailable | Facility $530.40 |
| Wyoming** | Office Unavailable | Facility $565.58 |
| Yuba City | Office Unavailable | Facility $583.63 |
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25670 billing questions
How does this differ from 25660?
25670 is for open treatment of a radiocarpal or intercarpal dislocation. CPT 25660 describes closed treatment of that dislocation.
When should a lunate dislocation be reported with 25695 instead?
Use 25695 when the procedure is open treatment of a lunate dislocation. The operative documentation should support that specific injury rather than a broader radiocarpal or intercarpal dislocation service.
What documentation supports 25670?
Document the radiocarpal or intercarpal dislocation, the involved bone or bones, and the open reduction performed. Include any stabilization described in the operative report.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are bilateral procedures and surgical assistance handled?
Bilateral treatment with modifier 50 is paid at 150%. An assistant at surgery may be paid, while co-surgeon payment requires 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,49825651,,Perq skel fix ulnar styld fx,A,,5.67,7.38,NA,7.38,,1.13,14.18,14.18,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49925652,,Optx ulnar styloid fracture,A,,7.86,8.26,NA,8.26,,1.57,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50025660,,Cltx rdcrpl/ntrcrpl dislc 1+,A,,4.86,7.44,NA,7.44,,1.05,13.35,13.35,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50125670,,Optx rdcrpl/ntrcrpl dislc 1+,A,,7.89,7.80,NA,7.80,,1.68,17.37,17.37,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50225671,,Perq skel fix rad/uln dislc,A,,6.30,8.02,NA,8.02,,1.33,15.65,15.65,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50325675,,Cltx dstl rad/uln dislc mnpj,A,,4.77,11.46,,8.75,,1.13,17.36,14.65,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50425676,,Optx rad/uln dislc aqt/chrnc,A,,8.08,8.13,NA,8.13,,1.61,17.82,17.82,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00