Billing code 25660: Wrist dislocationMedicare rate & RVUs in Oregon
Report closed manipulation to reduce one or more radiocarpal or intercarpal dislocations when the wrist is treated without open exposure.
CMS doesn’t publish an office rate for 25660 in Oregon.
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 25660 covers
This service treats a dislocation involving the radiocarpal or intercarpal joints by manipulating the wrist to restore alignment without surgically exposing the joint. An orthopedic or hand surgeon may perform the reduction in a hospital or other acute-care setting. The code covers one or more dislocations in the specified joint group; it is not selected by counting each dislocated joint as a separate service. A perilunate injury with an associated scaphoid fracture or a separately specified lunate dislocation may fall under a more specific code.
Document the joint or joints involved, the dislocation, the closed reduction maneuver, and the post-reduction findings. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures 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 25660 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $467.10 |
| Rest Of Oregon | Unavailable | $434.49 |
How the 25660 rate is calculated
Each of 25660’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 · 25660
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.86Practice expense 7.44Malpractice 1.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 25660
25660 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 25660
Wrist dislocation
| 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 · 25660
Wrist dislocation
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
25660 without 50 · national facility
$445.90
Wrist dislocation
25660-50 · Bilateral: 150%
$668.85
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).
25660 compared with similar codes
Compare codes
25660 vs 25670 vs 25675 vs 25680 vs 25690: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 25670Carpal dislocation repair
- Both address radiocarpal or intercarpal dislocation, but 25670 is for open treatment; 25660 is for closed reduction by manipulation.
- 25675Joint reduction
- 25675 applies to a distal radioulnar dislocation treated closed with manipulation. This code applies to radiocarpal or intercarpal dislocation.
- 25680Wrist fracture care
- Use 25680 for closed treatment of a trans-scaphoid perilunate fracture-dislocation; this code addresses radiocarpal or intercarpal dislocation without that specifically described fracture pattern.
- 25690Lunate reduction
- 25690 specifically describes closed treatment of a lunate dislocation with manipulation. This code covers radiocarpal or intercarpal dislocations not represented by that more specific code.
25660 billing questions
When is this code appropriate instead of the open-treatment code?
Use this code when the radiocarpal or intercarpal dislocation is reduced by manipulation without open surgical exposure. Open treatment of the same joint group is reported with 25670.
Does the code cover more than one dislocated joint?
Yes. The code covers one or more radiocarpal or intercarpal dislocations; do not report separate units solely because multiple joints are involved.
What documentation supports reporting the reduction?
Record the dislocated joint or joints, the closed manipulation performed, and the reduction outcome. Post-reduction examination or imaging findings can support the documented result.
How is a perilunate fracture-dislocation distinguished?
When the injury includes a scaphoid fracture with a perilunate dislocation and is treated closed with manipulation, compare 25680, which specifically describes that fracture-dislocation.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity 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
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