25676 Joint reduction Medicare reimbursement rates in Rhode Island

This service treats a dislocation between the distal radius and ulna through an open surgical approach. An orthopedic or hand surgeon typically performs it in an operating room when the dislocation requires open reduction or stabilization rather than closed manipulation. The code concerns the distal radioulnar joint, not a dislocation of the radiocarpal or intercarpal joints.

Report 25676 for the open treatment of the distal radioulnar dislocation; distinguish it from closed manipulation and percutaneous fixation based on the approach documented in the operative report. Documentation should identify the affected joint, dislocation, and open treatment performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.