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Billing code 25676: Joint reductionMedicare rate & RVUs

Open treatment of an acute or chronic distal radioulnar joint dislocation restores alignment when the dislocation is managed surgically.

CMS RVU26DEffective Oct 1, 2026109 payment localities237 Medicare services in 2024

Medicare pays $595.20 for 25676 nationally in a facility.

Medicare rate · 25676

Joint reduction

Work RVUs
8.08
Total RVUs
17.82
Global days
090

National rate · 2026

$595.20

Facility setting, before claim adjustments.

See every locality for 25676 →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.

On this page 10 sections
  1. Medicare rate
  2. What 25676 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 25676 covers

This service treats a dislocation between the distal radius and ulna through an open surgical approach. An orthopedic or hand surgeon typically performs it in an operating room when the dislocation requires open reduction or stabilization rather than closed manipulation. The code concerns the distal radioulnar joint, not a dislocation of the radiocarpal or intercarpal joints.

Report 25676 for the open treatment of the distal radioulnar dislocation; distinguish it from closed manipulation and percutaneous fixation based on the approach documented in the operative report. Documentation should identify the affected joint, dislocation, and open treatment performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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 25676 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

25676 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$537.92
Alaska*Unavailable$723.65
ArizonaUnavailable$579.04
ArkansasUnavailable$530.83
AtlantaUnavailable$611.17
AustinUnavailable$605.36
BakersfieldUnavailable$605.37
Baltimore/Surr. CntysUnavailable$632.09
BeaumontUnavailable$566.95
BrazoriaUnavailable$583.09

25676 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
25676 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 25676 rate is calculated

Each of 25676’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 · 25676

RVUs × geographic indexes × conversion factor

Work8.08

8.08 RVUs× 1.000 GPCI

Practice expense8.13

8.13 RVUs× 1.000 GPCI

Malpractice1.61

1.61 RVUs× 1.000 GPCI

Adjusted RVUs

17.8200

Conversion factor

$33.4009

Medicare rate

$595.20

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

Payment rules and modifiers for 25676

25676 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 25676

Joint reduction

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)0Not permitted.
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 · 25676

Joint reduction

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

25676 without 50 · national facility

$595.20

Joint reduction

25676-50 · Bilateral: 150%

$892.80

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

25676 compared with similar codes

Compare codes · National

4 codes, side by side

  • 25676

    Joint reduction8.08 wRVU

    Not priced

  • 25675

    Joint reduction4.77 wRVU

    $579.84

  • 25671

    Joint fixation6.3 wRVU

    Not priced

  • 25670

    Carpal dislocation repair7.89 wRVU

    Not priced

How to choose

25675Joint reduction
Use 25675 for closed treatment of a distal radioulnar joint dislocation with manipulation; 25676 describes open treatment.
25671Joint fixation
25671 is for percutaneous skeletal fixation of a distal radioulnar joint dislocation, not open treatment.
25670Carpal dislocation repair
25670 concerns open treatment of a radiocarpal or intercarpal dislocation. 25676 concerns the distal radioulnar joint.

Codes related to 25676

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

Codes related to 25676
CodeHow it relatesNational office range
Used instead
25675Joint reductionClosed treatment with manipulation for a distal radioulnar joint dislocation.$507.56–$749.04
25671Joint fixationPercutaneous skeletal fixation for a distal radioulnar joint dislocation.No office rate
25670Carpal dislocation repairOpen treatment for radiocarpal or intercarpal dislocation, rather than distal radioulnar dislocation.No office rate

25676 billing questions

How does 25676 differ from 25675?

25676 is for open treatment of a distal radioulnar joint dislocation. Use 25675 when the dislocation is treated closed with manipulation.

When is 25671 a better fit?

25671 describes percutaneous skeletal fixation of a distal radioulnar joint dislocation. Choose based on whether the documented treatment is percutaneous fixation or open treatment.

What should the operative report document?

Document the distal radioulnar joint dislocation and the open treatment performed. The report should make clear that the service was not closed manipulation or percutaneous fixation.

Does 25676 have a global period?

Yes. Its 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can 25676 be reported bilaterally?

For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%. Assistant-at-surgery payment may be made, but co-surgeons and team surgery are 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 25676PPRRVU2026_Oct_nonQPP.csv, line 2,504 (RVU26D)

Open CMS sourceHow we calculate rates

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