No office rate
Use 25690 for closed treatment with manipulation of a lunate dislocation. Use 25695 when the surgeon treats the dislocation through an open approach.
On this page
CMS RVU26D · Effective 2026-10-01
25695 Lunate dislocation Medicare reimbursement rates in Oregon
Reports open surgical reduction of a displaced lunate, with stabilization when needed, rather than closed treatment of the wrist injury. Compare 25695 office and facility rates across CMS payment localities in Oregon.
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 25695 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$582.36–$619.67
2 of 2 localities have a supported rate.
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 25695: Open treatment of lunate dislocation
Reports open surgical reduction of a displaced lunate, with stabilization when needed, rather than closed treatment of the wrist injury.
This service covers open surgery to restore a dislocated lunate to its position in the wrist. An orthopedic or hand surgeon typically performs it in an operating room for an acute traumatic injury, often after high-energy trauma. The surgeon exposes the joint, repositions the lunate, and may stabilize it with fixation when needed. The operative report should identify the dislocation and describe the open treatment performed.
Choose this code for open treatment of the lunate itself; closed treatment with manipulation is represented by 25690. A trans-scaphoid perilunate fracture-dislocation is a different injury pattern. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 reports bilateral treatment and is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 25695
- 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 RVU8.30 · 46%
- Practice expense (office) RVU7.93 · 44%
- Malpractice RVU1.76 · 10%
49
Medicare services in 2024 · #5364 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.
25695 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
This code addresses open treatment of radiocarpal or intercarpal dislocations more generally. Code 25695 identifies open treatment of a lunate dislocation.
No office rate
Use 25685 for the trans-scaphoid perilunate fracture-dislocation pattern; 25695 is for open treatment of a lunate dislocation.
Compare 25695 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.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$619.67
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$582.36
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25695 billing questions
How does this differ from 25690?
25695 is for open surgical treatment of the lunate dislocation. Code 25690 is for closed treatment with manipulation.
Does this code include fixation?
Stabilization or internal fixation may be part of the open treatment when performed. The operative note should describe the reduction and any fixation used.
Should this be reported for a trans-scaphoid perilunate fracture-dislocation?
That fracture-dislocation pattern is distinct from an isolated lunate dislocation; consider 25685 when the documented injury and treatment match that code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral procedures and multiple same-session procedures paid?
Modifier 50 reports bilateral treatment and is paid at 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons require 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.
2,50525680,,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
2,50725690,,Cltx lunate dislc w/mnpj,A,,5.58,7.66,NA,7.66,,1.20,14.44,14.44,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50825695,,Optx lunate dislocation,A,,8.30,7.93,NA,7.93,,1.76,17.99,17.99,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,50925800,,Arthrd wrist complete wo grf,A,,9.82,8.46,NA,8.46,,1.88,20.16,20.16,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51025805,,Arthrd wrist w/sliding graft,A,,11.44,9.84,NA,9.84,,2.44,23.72,23.72,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,51125810,,Arthrd wrst iliac/oth agrft,A,,11.65,9.92,NA,9.92,,2.20,23.77,23.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00