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 in Colorado
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 in Colorado.
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 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$587.72
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
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.
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 rates for Colorado, 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.
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.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$587.72
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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 25670 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
2,501
- Code
- 25670
- Physician work
- 7.89
- Practice expense
- 7.80
- Malpractice
- 1.68
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.89 | × 1.012 | 7.9847 |
| Practice expense | 7.80 | × 1.064 | 8.2992 |
| Malpractice | 1.68 | × 0.781 | 1.3121 |
| Total RVUs | 17.5960 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$587.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.89 | 1.012 |
| Practice expense | 7.8 | 1.064 |
| Malpractice | 1.68 | 0.781 |
(7.89 × 1.012 + 7.8 × 1.064 + 1.68 × 0.781) × $33.4009 = $587.72
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.
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899