Both address a distal radioulnar dislocation by closed treatment. Choose 25675 when manipulation is performed; 25660 is for treatment without manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
25675 in Redding
Office / nonfacility
$601.78
Base rate per service
Facility setting
$502.58
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 25675: Distal radioulnar dislocation reduction
Reports closed reduction of a distal radioulnar joint dislocation when the physician manipulates the joint to restore alignment without open surgery.
This service treats a dislocation at the distal radioulnar joint, where the radius and ulna meet near the wrist. The physician manipulates the joint through the skin to restore alignment, without an incision or open repair. It is typically performed by a physician managing a traumatic wrist or forearm injury, often in an emergency department or procedural setting.
Report the code when the documented treatment includes manipulation of the dislocated distal radioulnar joint; closed treatment without manipulation is a different service. The record should identify the affected side, the dislocation, and the reduction performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others 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 25675
- 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 RVU4.77 · 27%
- Practice expense (office) RVU11.46 · 66%
- Malpractice RVU1.13 · 7%
350
Medicare services in 2024 · #3862 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.
25675 compared with similar codes
Office rates for Redding, from the same CMS release.
25671 involves percutaneous skeletal fixation. This code describes closed manipulation without that fixation method.
25676 is open treatment of a distal radioulnar dislocation. Choose this code for a closed reduction performed without an open approach.
25605 treats a distal radius fracture with manipulation, not a distal radioulnar joint dislocation.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 25675 is $604.86—$3.08 higher than the $601.78 rate in Redding. Both use the same code, release and participation basis.
25675 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$601.78
$604.86
$3.08 higher than Redding
$601.78
The same base rate than Redding
$601.97
$0.19 higher than Redding
$601.78
The same base rate than Redding
$601.78
The same base rate than Redding
$41.96 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 25675 ranges from $507.56 in Arkansas to $749.04 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
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
Madera
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Merced
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Modesto
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Napa
California · 25675
Office
$693.03
Facility
$573.73
$91.25 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 25675
Office
$639.74
Facility
$532.75
$37.96 higher than Redding for the office setting.
Rest Of California
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 25675
Office
$613.91
Facility
$514.70
$12.13 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 25675
Office
$630.45
Facility
$525.18
$28.67 higher than Redding for the office setting.
Salinas
California · 25675
Office
$628.13
Facility
$523.22
$26.35 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 25675
Office
$642.36
Facility
$534.10
$40.58 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 25675
Office
$731.49
Facility
$603.87
$129.71 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 25675
Office
$730.21
Facility
$602.58
$128.43 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 25675
Office
$749.04
Facility
$618.51
$147.26 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 25675
Office
$743.79
Facility
$613.27
$142.01 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 25675
Office
$618.24
Facility
$515.14
$16.46 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 25675
Office
$647.97
Facility
$537.99
$46.19 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 25675
Office
$630.33
Facility
$524.79
$28.55 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 25675
Office
$654.38
Facility
$543.22
$52.60 higher than Redding for the office setting.
Stockton
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Vallejo
California · 25675
Office
$691.18
Facility
$571.88
$89.40 higher than Redding for the office setting.
Visalia
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Yuba City
California · 25675
Office
$601.78
Facility
$502.58
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 25675
Office
$660.84
Facility
$554.21
$59.06 higher than Redding for the office setting.
Miami
Florida · 25675
Office
$653.24
Facility
$559.01
$51.46 higher than Redding for the office setting.
Chicago
Illinois · 25675
Office
$631.75
Facility
$540.78
$29.97 higher than Redding for the office setting.
Manhattan
New York · 25675
Office
$674.16
Facility
$568.98
$72.38 higher than Redding for the office setting.
Alaska*
Alaska · 25675
Office
$667.43
Facility
$571.03
$65.65 higher than Redding for the office setting.
Alabama
Alabama · 25675
Office
$515.61
Facility
$436.41
$86.17 lower than Redding for the office setting.
Arkansas
Arkansas · 25675
Office
$507.56
Facility
$429.81
$94.22 lower than Redding for the office setting.
Arizona
Arizona · 25675
Office
$562.54
Facility
$474.83
$39.24 lower than Redding for the office setting.
Colorado
Colorado · 25675
Office
$597.98
Facility
$501.67
$3.80 lower than Redding for the office setting.
Connecticut
Connecticut · 25675
Office
$620.43
Facility
$522.94
$18.65 higher than Redding for the office setting.
Delaware
Delaware · 25675
Office
$572.23
Facility
$482.80
$29.55 lower than Redding for the office setting.
Fort Lauderdale
Florida · 25675
Office
$615.31
Facility
$523.62
$13.53 higher than Redding for the office setting.
Rest Of Florida
Florida · 25675
Office
$581.98
Facility
$495.45
$19.80 lower than Redding for the office setting.
Atlanta
Georgia · 25675
Office
$594.03
Facility
$502.06
$7.75 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 25675
Office
$545.75
Facility
$465.01
$56.03 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 25675
Office
$616.39
Facility
$513.47
$14.61 higher than Redding for the office setting.
Iowa
Iowa · 25675
Office
$524.54
Facility
$441.72
$77.24 lower than Redding for the office setting.
Idaho
Idaho · 25675
Office
$529.33
Facility
$446.05
$72.45 lower than Redding for the office setting.
East St. Louis
Illinois · 25675
Office
$587.49
Facility
$504.21
$14.29 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 25675
Office
$567.79
Facility
$485.15
$33.99 lower than Redding for the office setting.
Suburban Chicago
Illinois · 25675
Office
$620.43
Facility
$527.47
$18.65 higher than Redding for the office setting.
Indiana
Indiana · 25675
Office
$532.50
Facility
$448.59
$69.28 lower than Redding for the office setting.
Kansas
Kansas · 25675
Office
$524.37
Facility
$442.55
$77.41 lower than Redding for the office setting.
Kentucky
Kentucky · 25675
Office
$534.14
Facility
$453.67
$67.64 lower than Redding for the office setting.
New Orleans
Louisiana · 25675
Office
$562.39
Facility
$477.21
$39.39 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 25675
Office
$534.24
Facility
$454.13
$67.54 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 25675
Office
$656.48
Facility
$548.40
$54.70 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 25675
Office
$595.01
Facility
$499.70
$6.77 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 25675
Office
$619.28
Facility
$522.15
$17.50 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 25675
Office
$582.93
Facility
$491.33
$18.85 lower than Redding for the office setting.
Rest Of Maine
Maine · 25675
Office
$534.95
Facility
$451.68
$66.83 lower than Redding for the office setting.
Southern Maine
Maine · 25675
Office
$562.47
Facility
$472.77
$39.31 lower than Redding for the office setting.
Detroit
Michigan · 25675
Office
$592.33
Facility
$504.99
$9.45 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 25675
Office
$551.41
Facility
$468.77
$50.37 lower than Redding for the office setting.
Minnesota
Minnesota · 25675
Office
$564.37
Facility
$471.23
$37.41 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 25675
Office
$555.62
Facility
$470.63
$46.16 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 25675
Office
$561.54
Facility
$475.37
$40.24 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 25675
Office
$526.04
Facility
$448.01
$75.74 lower than Redding for the office setting.
Mississippi
Mississippi · 25675
Office
$516.78
Facility
$438.85
$85.00 lower than Redding for the office setting.
Montana**
Montana · 25675
Office
$579.76
Facility
$489.25
$22.02 lower than Redding for the office setting.
North Carolina
North Carolina · 25675
Office
$540.57
Facility
$456.12
$61.21 lower than Redding for the office setting.
North Dakota**
North Dakota · 25675
Office
$557.42
Facility
$466.90
$44.36 lower than Redding for the office setting.
Nebraska
Nebraska · 25675
Office
$526.89
Facility
$443.34
$74.89 lower than Redding for the office setting.
New Hampshire
New Hampshire · 25675
Office
$590.82
Facility
$496.59
$10.96 lower than Redding for the office setting.
Northern Nj
New Jersey · 25675
Office
$653.69
Facility
$548.69
$51.91 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 25675
Office
$625.09
Facility
$526.24
$23.31 higher than Redding for the office setting.
New Mexico
New Mexico · 25675
Office
$555.66
Facility
$472.65
$46.12 lower than Redding for the office setting.
Nevada**
Nevada · 25675
Office
$573.92
Facility
$483.31
$27.86 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 25675
Office
$694.73
Facility
$587.10
$92.95 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 25675
Office
$631.30
Facility
$532.18
$29.52 higher than Redding for the office setting.
Queens
New York · 25675
Office
$676.38
Facility
$569.39
$74.60 higher than Redding for the office setting.
Rest Of New York
New York · 25675
Office
$549.49
Facility
$463.50
$52.29 lower than Redding for the office setting.
Ohio
Ohio · 25675
Office
$546.84
Facility
$464.20
$54.94 lower than Redding for the office setting.
Oklahoma
Oklahoma · 25675
Office
$530.47
Facility
$449.63
$71.31 lower than Redding for the office setting.
Portland
Oregon · 25675
Office
$615.21
Facility
$514.65
$13.43 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 25675
Office
$567.10
Facility
$476.94
$34.68 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 25675
Office
$605.69
Facility
$511.46
$3.91 higher than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 25675
Office
$546.38
Facility
$463.28
$55.40 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 25675
Office
$583.48
Facility
$491.97
$18.30 lower than Redding for the office setting.
Rhode Island
Rhode Island · 25675
Office
$591.42
Facility
$497.92
$10.36 lower than Redding for the office setting.
South Carolina
South Carolina · 25675
Office
$545.09
Facility
$461.45
$56.69 lower than Redding for the office setting.
South Dakota**
South Dakota · 25675
Office
$554.78
Facility
$464.26
$47.00 lower than Redding for the office setting.
Tennessee
Tennessee · 25675
Office
$527.53
Facility
$445.25
$74.25 lower than Redding for the office setting.
Austin
Texas · 25675
Office
$598.06
Facility
$502.29
$3.72 lower than Redding for the office setting.
Beaumont
Texas · 25675
Office
$542.71
Facility
$460.34
$59.07 lower than Redding for the office setting.
Brazoria
Texas · 25675
Office
$569.37
Facility
$479.66
$32.41 lower than Redding for the office setting.
Dallas
Texas · 25675
Office
$574.38
Facility
$484.23
$27.40 lower than Redding for the office setting.
Fort Worth
Texas · 25675
Office
$571.05
Facility
$481.80
$30.73 lower than Redding for the office setting.
Galveston
Texas · 25675
Office
$571.94
Facility
$482.06
$29.84 lower than Redding for the office setting.
Houston
Texas · 25675
Office
$592.63
Facility
$502.74
$9.15 lower than Redding for the office setting.
Rest Of Texas
Texas · 25675
Office
$556.66
Facility
$470.76
$45.12 lower than Redding for the office setting.
Utah
Utah · 25675
Office
$553.02
Facility
$467.94
$48.76 lower than Redding for the office setting.
Virginia
Virginia · 25675
Office
$562.24
Facility
$473.26
$39.54 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 25675
Office
$583.48
Facility
$491.97
$18.30 lower than Redding for the office setting.
Vermont
Vermont · 25675
Office
$557.37
Facility
$467.76
$44.41 lower than Redding for the office setting.
Rest Of Washington
Washington · 25675
Office
$593.18
Facility
$497.86
$8.60 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 25675
Office
$667.79
Facility
$556.72
$66.01 higher than Redding for the office setting.
Wisconsin
Wisconsin · 25675
Office
$537.64
Facility
$450.93
$64.14 lower than Redding for the office setting.
West Virginia
West Virginia · 25675
Office
$545.96
Facility
$467.30
$55.82 lower than Redding for the office setting.
Wyoming**
Wyoming · 25675
Office
$570.03
Facility
$479.51
$31.75 lower than Redding for the office setting.
See how rates vary across the country
25675 · 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.
$507.56
$675.41
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $667.43 | 1 |
| AL | $515.61 | 1 |
| AR | $507.56 | 1 |
| AZ | $562.54 | 1 |
| CA | $601.78–$749.04 | 29 |
| CO | $597.98 | 1 |
| CT | $620.43 | 1 |
| DC | $660.84 | 1 |
| DE | $572.23 | 1 |
| FL | $581.98–$653.24 | 3 |
| GA | $545.75–$594.03 | 2 |
| GU | $616.39 | 1 |
| HI | $616.39 | 1 |
| IA | $524.54 | 1 |
| ID | $529.33 | 1 |
| IL | $567.79–$631.75 | 4 |
| IN | $532.50 | 1 |
| KS | $524.37 | 1 |
| KY | $534.14 | 1 |
| LA | $534.24–$562.39 | 2 |
| MA | $595.01–$656.48 | 2 |
| MD | $582.93–$660.84 | 3 |
| ME | $534.95–$562.47 | 2 |
| MI | $551.41–$592.33 | 2 |
| MN | $564.37 | 1 |
| MO | $526.04–$561.54 | 3 |
| MS | $516.78 | 1 |
| MT | $579.76 | 1 |
| NC | $540.57 | 1 |
| ND | $557.42 | 1 |
| NE | $526.89 | 1 |
| NH | $590.82 | 1 |
| NJ | $625.09–$653.69 | 2 |
| NM | $555.66 | 1 |
| NV | $573.92 | 1 |
| NY | $549.49–$694.73 | 5 |
| OH | $546.84 | 1 |
| OK | $530.47 | 1 |
| OR | $567.10–$615.21 | 2 |
| PA | $546.38–$605.69 | 2 |
| PR | $583.48 | 1 |
| RI | $591.42 | 1 |
| SC | $545.09 | 1 |
| SD | $554.78 | 1 |
| TN | $527.53 | 1 |
| TX | $542.71–$598.06 | 8 |
| UT | $553.02 | 1 |
| VA | $562.24–$660.84 | 2 |
| VI | $583.48 | 1 |
| VT | $557.37 | 1 |
| WA | $593.18–$667.79 | 2 |
| WI | $537.64 | 1 |
| WV | $545.96 | 1 |
| WY | $570.03 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Why are the office and facility amounts different?
For 25675 in Redding, the physician’s office rate is $601.78 and the facility-setting rate is $502.58: a difference of $99.20.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 25675 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$661.96
$601.78 × 110% = $661.96
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 25675 in Redding.
PPRRVU2026_Oct_nonQPP.csv
2,503
- Code
- 25675
- Physician work
- 4.77
- Practice expense
- 11.46
- Malpractice
- 1.13
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.77 | × 1.017 | 4.8511 |
| Practice expense | 11.46 | × 1.096 | 12.5602 |
| Malpractice | 1.13 | × 0.536 | 0.6057 |
| Total RVUs | 18.0169 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$601.78
Open 25675 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.77 | 1.017 |
| Practice expense | 11.46 | 1.096 |
| Malpractice | 1.13 | 0.536 |
(4.77 × 1.017 + 11.46 × 1.096 + 1.13 × 0.536) × $33.4009 = $601.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.77 | 1.017 |
| Practice expense | 8.75 | 1.096 |
| Malpractice | 1.13 | 0.536 |
(4.77 × 1.017 + 8.75 × 1.096 + 1.13 × 0.536) × $33.4009 = $502.58
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
25675 · Office / nonfacility
$601.78
Effective 2026-10-01
The base rate is $121.69 higher than on 2025-10-01, moving from $480.09 to $601.78 (25.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$480.09changed to$601.78
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.89 changed to 4.77
- Practice expense RVU 8.52 changed to 11.46
- Malpractice RVU 1.02 changed to 1.13
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $480.09
Held through RVU25B, RVU25C, RVU25D.
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
25675 billing questions
How does this differ from 25660?
Use 25675 when the physician manipulates the distal radioulnar dislocation to restore alignment. Code 25660 describes closed treatment of that dislocation without manipulation.
Can the reduction be reported with a fracture treatment code?
A distal radioulnar dislocation and a distal radius fracture are different conditions. Report a fracture treatment code only when the fracture is separately treated and the documentation supports that service.
How is bilateral treatment reported?
For treatment of both sides, modifier 50 applies; CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant 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.
