Billing code 25675: Joint reductionMedicare rate & RVUs in Illinois
Reports closed reduction of a distal radioulnar joint dislocation when the physician manipulates the joint to restore alignment without open surgery.
Medicare pays $567.79–$631.75 for 25675 in the office in Illinois, from Rest Of Illinois to Chicago. Which amount applies depends on the service address.
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 9 sections
What 25675 covers
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.
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 25675 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$567.79 to $631.75
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $631.75 | $540.78 |
| East St. Louis | $587.49 | $504.21 |
| Rest Of Illinois | $567.79 | $485.15 |
| Suburban Chicago | $620.43 | $527.47 |
How the 25675 rate is calculated
Each of 25675’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 · 25675
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.77Practice expense 11.46Malpractice 1.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25675
25675 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25675
Joint reduction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 25675
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
25675 without 50 · national office
$579.84
Joint reduction
25675-50 · Bilateral: 150%
$869.76
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).
25675 compared with similar codes
Compare codes
25675 vs 25660 vs 25671 vs 25676 vs 25605: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25660Wrist dislocation
- Both address a distal radioulnar dislocation by closed treatment. Choose 25675 when manipulation is performed; 25660 is for treatment without manipulation.
- 25671Joint fixation
- 25671 involves percutaneous skeletal fixation. This code describes closed manipulation without that fixation method.
- 25676Joint reduction
- 25676 is open treatment of a distal radioulnar dislocation. Choose this code for a closed reduction performed without an open approach.
- 25605Wrist fracture treatment
- 25605 treats a distal radius fracture with manipulation, not a distal radioulnar joint dislocation.
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 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
Fee sheets
Put 25675 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →