No office rate
Both address radiocarpal or intercarpal dislocation, but 25670 is for open treatment; 25660 is for closed reduction by manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
25660 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$456.24
Base rate per service
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.
Orthopedic surgery
About 25660: Closed wrist dislocation reduction
Report closed manipulation to reduce one or more radiocarpal or intercarpal dislocations when the wrist is treated without open exposure.
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.
CMS billing rules for 25660
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.86 · 36%
- Practice expense (office) RVU7.44 · 56%
- Malpractice RVU1.05 · 8%
44
Medicare services in 2024 · #5429 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.
25660 compared with similar codes
Office rates for Chico, from the same CMS release.
$601.78
25675 applies to a distal radioulnar dislocation treated closed with manipulation. This code applies to radiocarpal or intercarpal dislocation.
No office rate
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.
No office rate
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.
The same code, a different location
How does Chico compare?
25660 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Modesto
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Napa
California · 25660
Office
Unavailable
Facility
$517.90
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 25660
Office
Unavailable
Facility
$482.45
No comparable office rate is available.
Redding
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Rest Of California
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 25660
Office
Unavailable
Facility
$467.52
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 25660
Office
Unavailable
Facility
$475.98
No comparable office rate is available.
Salinas
California · 25660
Office
Unavailable
Facility
$474.17
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 25660
Office
Unavailable
Facility
$483.42
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25660
Office
Unavailable
Facility
$544.24
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25660
Office
Unavailable
Facility
$543.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25660
Office
Unavailable
Facility
$557.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25660
Office
Unavailable
Facility
$552.45
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 25660
Office
Unavailable
Facility
$466.93
No comparable office rate is available.
Santa Cruz-Watsonville
California · 25660
Office
Unavailable
Facility
$486.47
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 25660
Office
Unavailable
Facility
$475.43
No comparable office rate is available.
Santa Rosa-Petaluma
California · 25660
Office
Unavailable
Facility
$491.16
No comparable office rate is available.
Stockton
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Vallejo
California · 25660
Office
Unavailable
Facility
$516.18
No comparable office rate is available.
Visalia
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Yuba City
California · 25660
Office
Unavailable
Facility
$456.24
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 25660
Office
Unavailable
Facility
$502.86
No comparable office rate is available.
Miami
Florida · 25660
Office
Unavailable
Facility
$509.71
No comparable office rate is available.
Chicago
Illinois · 25660
Office
Unavailable
Facility
$493.70
No comparable office rate is available.
Manhattan
New York · 25660
Office
Unavailable
Facility
$517.10
No comparable office rate is available.
Alaska*
Alaska · 25660
Office
Unavailable
Facility
$527.47
No comparable office rate is available.
Alabama
Alabama · 25660
Office
Unavailable
Facility
$399.62
No comparable office rate is available.
Arkansas
Arkansas · 25660
Office
Unavailable
Facility
$393.85
No comparable office rate is available.
Arizona
Arizona · 25660
Office
Unavailable
Facility
$433.15
No comparable office rate is available.
Colorado
Colorado · 25660
Office
Unavailable
Facility
$456.07
No comparable office rate is available.
Connecticut
Connecticut · 25660
Office
Unavailable
Facility
$475.65
No comparable office rate is available.
Delaware
Delaware · 25660
Office
Unavailable
Facility
$440.19
No comparable office rate is available.
Fort Lauderdale
Florida · 25660
Office
Unavailable
Facility
$477.47
No comparable office rate is available.
Rest Of Florida
Florida · 25660
Office
Unavailable
Facility
$452.61
No comparable office rate is available.
Atlanta
Georgia · 25660
Office
Unavailable
Facility
$457.41
No comparable office rate is available.
Rest Of Georgia
Georgia · 25660
Office
Unavailable
Facility
$425.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 25660
Office
Unavailable
Facility
$465.18
No comparable office rate is available.
Iowa
Iowa · 25660
Office
Unavailable
Facility
$403.63
No comparable office rate is available.
Idaho
Idaho · 25660
Office
Unavailable
Facility
$407.54
No comparable office rate is available.
East St. Louis
Illinois · 25660
Office
Unavailable
Facility
$461.58
No comparable office rate is available.
Rest Of Illinois
Illinois · 25660
Office
Unavailable
Facility
$444.03
No comparable office rate is available.
Suburban Chicago
Illinois · 25660
Office
Unavailable
Facility
$480.82
No comparable office rate is available.
Indiana
Indiana · 25660
Office
Unavailable
Facility
$409.73
No comparable office rate is available.
Kansas
Kansas · 25660
Office
Unavailable
Facility
$404.65
No comparable office rate is available.
Kentucky
Kentucky · 25660
Office
Unavailable
Facility
$415.34
No comparable office rate is available.
New Orleans
Louisiana · 25660
Office
Unavailable
Facility
$436.01
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 25660
Office
Unavailable
Facility
$415.85
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 25660
Office
Unavailable
Facility
$496.91
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 25660
Office
Unavailable
Facility
$454.55
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 25660
Office
Unavailable
Facility
$474.95
No comparable office rate is available.
Rest Of Maryland
Maryland · 25660
Office
Unavailable
Facility
$447.63
No comparable office rate is available.
Rest Of Maine
Maine · 25660
Office
Unavailable
Facility
$412.76
No comparable office rate is available.
Southern Maine
Maine · 25660
Office
Unavailable
Facility
$430.72
No comparable office rate is available.
Detroit
Michigan · 25660
Office
Unavailable
Facility
$461.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 25660
Office
Unavailable
Facility
$428.81
No comparable office rate is available.
Minnesota
Minnesota · 25660
Office
Unavailable
Facility
$428.42
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 25660
Office
Unavailable
Facility
$429.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 25660
Office
Unavailable
Facility
$434.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 25660
Office
Unavailable
Facility
$410.70
No comparable office rate is available.
Mississippi
Mississippi · 25660
Office
Unavailable
Facility
$402.21
No comparable office rate is available.
Montana**
Montana · 25660
Office
Unavailable
Facility
$445.83
No comparable office rate is available.
North Carolina
North Carolina · 25660
Office
Unavailable
Facility
$416.59
No comparable office rate is available.
North Dakota**
North Dakota · 25660
Office
Unavailable
Facility
$425.07
No comparable office rate is available.
Nebraska
Nebraska · 25660
Office
Unavailable
Facility
$404.95
No comparable office rate is available.
New Hampshire
New Hampshire · 25660
Office
Unavailable
Facility
$451.71
No comparable office rate is available.
Northern Nj
New Jersey · 25660
Office
Unavailable
Facility
$498.27
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 25660
Office
Unavailable
Facility
$478.66
No comparable office rate is available.
New Mexico
New Mexico · 25660
Office
Unavailable
Facility
$432.33
No comparable office rate is available.
Nevada**
Nevada · 25660
Office
Unavailable
Facility
$440.29
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 25660
Office
Unavailable
Facility
$533.31
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 25660
Office
Unavailable
Facility
$484.18
No comparable office rate is available.
Queens
New York · 25660
Office
Unavailable
Facility
$517.02
No comparable office rate is available.
Rest Of New York
New York · 25660
Office
Unavailable
Facility
$423.06
No comparable office rate is available.
Ohio
Ohio · 25660
Office
Unavailable
Facility
$424.56
No comparable office rate is available.
Oklahoma
Oklahoma · 25660
Office
Unavailable
Facility
$411.49
No comparable office rate is available.
Portland
Oregon · 25660
Office
Unavailable
Facility
$467.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 25660
Office
Unavailable
Facility
$434.49
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 25660
Office
Unavailable
Facility
$465.78
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 25660
Office
Unavailable
Facility
$423.60
No comparable office rate is available.
Puerto Rico
Puerto Rico · 25660
Office
Unavailable
Facility
$448.11
No comparable office rate is available.
Rhode Island
Rhode Island · 25660
Office
Unavailable
Facility
$453.40
No comparable office rate is available.
South Carolina
South Carolina · 25660
Office
Unavailable
Facility
$421.76
No comparable office rate is available.
South Dakota**
South Dakota · 25660
Office
Unavailable
Facility
$422.61
No comparable office rate is available.
Tennessee
Tennessee · 25660
Office
Unavailable
Facility
$407.05
No comparable office rate is available.
Austin
Texas · 25660
Office
Unavailable
Facility
$456.64
No comparable office rate is available.
Beaumont
Texas · 25660
Office
Unavailable
Facility
$421.05
No comparable office rate is available.
Brazoria
Texas · 25660
Office
Unavailable
Facility
$437.25
No comparable office rate is available.
Dallas
Texas · 25660
Office
Unavailable
Facility
$441.39
No comparable office rate is available.
Fort Worth
Texas · 25660
Office
Unavailable
Facility
$439.36
No comparable office rate is available.
Galveston
Texas · 25660
Office
Unavailable
Facility
$439.43
No comparable office rate is available.
Houston
Texas · 25660
Office
Unavailable
Facility
$458.65
No comparable office rate is available.
Rest Of Texas
Texas · 25660
Office
Unavailable
Facility
$429.83
No comparable office rate is available.
Utah
Utah · 25660
Office
Unavailable
Facility
$427.41
No comparable office rate is available.
Virginia
Virginia · 25660
Office
Unavailable
Facility
$431.37
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 25660
Office
Unavailable
Facility
$448.11
No comparable office rate is available.
Vermont
Vermont · 25660
Office
Unavailable
Facility
$426.09
No comparable office rate is available.
Rest Of Washington
Washington · 25660
Office
Unavailable
Facility
$452.80
No comparable office rate is available.
Seattle (King Cnty)
Washington · 25660
Office
Unavailable
Facility
$504.01
No comparable office rate is available.
Wisconsin
Wisconsin · 25660
Office
Unavailable
Facility
$411.20
No comparable office rate is available.
West Virginia
West Virginia · 25660
Office
Unavailable
Facility
$428.46
No comparable office rate is available.
Wyoming**
Wyoming · 25660
Office
Unavailable
Facility
$436.78
No comparable office rate is available.
See how rates vary across the country
25660 · 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 25660 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$501.86
$456.24 × 110% = $501.86
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 25660 in Chico.
PPRRVU2026_Oct_nonQPP.csv
2,500
- Code
- 25660
- Physician work
- 4.86
- Practice expense
- 7.44
- Malpractice
- 1.05
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.86 | × 1.017 | 4.9426 |
| Practice expense | 7.44 | × 1.096 | 8.1542 |
| Malpractice | 1.05 | × 0.536 | 0.5628 |
| Total RVUs | 13.6597 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$456.24
Open 25660 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.86 | 1.017 |
| Practice expense | 7.44 | 1.096 |
| Malpractice | 1.05 | 0.536 |
(4.86 × 1.017 + 7.44 × 1.096 + 1.05 × 0.536) × $33.4009 = $456.24
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
25660 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $456.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $456.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $456.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $456.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $467.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $467.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $467.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $467.31 | RVU25A |
25660 billing questions
When is this code appropriate instead of the open-treatment code?
Use this code when the radiocarpal or intercarpal dislocation is reduced by manipulation without open surgical exposure. Open treatment of the same joint group is reported with 25670.
Does the code cover more than one dislocated joint?
Yes. The code covers one or more radiocarpal or intercarpal dislocations; do not report separate units solely because multiple joints are involved.
What documentation supports reporting the reduction?
Record the dislocated joint or joints, the closed manipulation performed, and the reduction outcome. Post-reduction examination or imaging findings can support the documented result.
How is a perilunate fracture-dislocation distinguished?
When the injury includes a scaphoid fracture with a perilunate dislocation and is treated closed with manipulation, compare 25680, which specifically describes that fracture-dislocation.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
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.
2,49725650,,Cltx ulnar styloid fracture,A,,3.15,7.54,,5.92,,0.66,11.35,9.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49825651,,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
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536