No office rate
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 Joint reduction Medicare reimbursement rates in Kentucky
Reports closed reduction of a distal radioulnar joint dislocation when the physician manipulates the joint to restore alignment without open surgery. Compare 25675 office and facility rates across CMS payment localities in Kentucky.
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 25675 in Kentucky?
Kentucky 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
$534.14
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$453.67
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 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 Kentucky, from the same CMS release.
No office rate
25671 involves percutaneous skeletal fixation. This code describes closed manipulation without that fixation method.
No office rate
25676 is open treatment of a distal radioulnar dislocation. Choose this code for a closed reduction performed without an open approach.
$587.94
25605 treats a distal radius fracture with manipulation, not a distal radioulnar joint dislocation.
Compare 25675 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
Kentucky →
Office / nonfacility
$534.14
Facility
$453.67
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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 25675 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,503
- Code
- 25675
- Physician work
- 4.77
- Practice expense
- 11.46
- Malpractice
- 1.13
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.77 | × 1.000 | 4.7700 |
| Practice expense | 11.46 | × 0.889 | 10.1879 |
| Malpractice | 1.13 | × 0.915 | 1.0339 |
| Total RVUs | 15.9919 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$534.14
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.77 | 1 |
| Practice expense | 11.46 | 0.889 |
| Malpractice | 1.13 | 0.915 |
(4.77 × 1 + 11.46 × 0.889 + 1.13 × 0.915) × $33.4009 = $534.14
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.77 | 1 |
| Practice expense | 8.75 | 0.889 |
| Malpractice | 1.13 | 0.915 |
(4.77 × 1 + 8.75 × 0.889 + 1.13 × 0.915) × $33.4009 = $453.67
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.
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.
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
2,50525680,,Cltx trns-scphprlnr fx mnpj,A,,6.07,8.17,NA,8.17,,1.30,15.54,15.54,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50625685,,Optx trns-scphprlnr fx dislc,A,,9.84,8.77,NA,8.77,,2.09,20.70,20.70,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631