25605 Wrist fracture treatment Medicare reimbursement rates in Missouri

This service covers closed treatment of a distal radius fracture or separation at the growth plate when the clinician manipulates the fracture to improve alignment. The reduction is performed without opening the fracture site; the wrist is typically immobilized afterward. An orthopedic or hand surgeon may provide the treatment in an emergency department, office, or fracture clinic, and a physician may perform it during an initial acute-care encounter when taking responsibility for definitive fracture care.

Choose this code when the documented treatment includes manipulation, rather than immobilization without manipulation or fixation through an incision or percutaneous technique. The record should identify the distal radius injury and support that a reduction maneuver was performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.