$553.02
25675 describes closed treatment of a distal radioulnar dislocation that requires manipulation. Use 25671 when the surgeon also stabilizes the joint with percutaneous skeletal fixation.
On this page
CMS RVU26D · Effective 2026-10-01
25671 Joint fixation Medicare reimbursement rates in Utah
Percutaneous skeletal fixation stabilizes a dislocated distal radioulnar joint when the surgeon uses fixation through the skin to maintain joint alignment. Compare 25671 office and facility rates across CMS payment localities in Utah.
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 25671 in Utah?
Utah 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
No supported rate
Facility setting
$502.12
1 of 1 localities have a supported rate.
Payment area: Utah
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 25671: Percutaneous fixation of distal radioulnar dislocation
Percutaneous skeletal fixation stabilizes a dislocated distal radioulnar joint when the surgeon uses fixation through the skin to maintain joint alignment.
Code 25671 describes percutaneous skeletal stabilization of a dislocated distal radioulnar joint, the articulation between the radius and ulna near the wrist. The surgeon aligns the joint and places fixation through the skin, commonly temporary pins or wires, to hold the reduction. Orthopedic and hand surgeons typically perform this procedure in an operating room for an acute or chronic dislocation when percutaneous fixation is selected.
The operative report should identify the distal radioulnar dislocation, the side treated, and the reduction and fixation method. This major surgery includes 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 are subject to the standard 50% reduction. For bilateral procedures reported with modifier 50, CMS pays 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 25671
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.30 · 40%
- Practice expense (office) RVU8.02 · 51%
- Malpractice RVU1.33 · 8%
96
Medicare services in 2024 · #4914 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.
25671 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
25676 is the open-treatment code for a distal radioulnar dislocation; 25671 describes treatment using percutaneous skeletal fixation.
No office rate
25606 is percutaneous skeletal fixation of a distal radius fracture. Code 25671 is for a dislocation of the distal radioulnar joint, not a radius fracture.
Compare 25671 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
Utah →
Office / nonfacility
Unavailable
Facility
$502.12
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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 25671 in Utah.
PPRRVU2026_Oct_nonQPP.csv
2,502
- Code
- 25671
- Physician work
- 6.30
- Practice expense
- 8.02
- Malpractice
- 1.33
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.30 | × 1.000 | 6.3000 |
| Practice expense | 8.02 | × 0.940 | 7.5388 |
| Malpractice | 1.33 | × 0.898 | 1.1943 |
| Total RVUs | 15.0331 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$502.12
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.3 | 1 |
| Practice expense | 8.02 | 0.94 |
| Malpractice | 1.33 | 0.898 |
(6.3 × 1 + 8.02 × 0.94 + 1.33 × 0.898) × $33.4009 = $502.12
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.
25671 billing questions
How does 25671 differ from closed treatment of a distal radioulnar dislocation?
Use 25671 when the surgeon stabilizes the dislocated joint with percutaneous skeletal fixation. Code 25675 describes closed treatment requiring manipulation without the percutaneous fixation represented by 25671.
When is open treatment a better code choice?
Code 25676 is the open-treatment option for a distal radioulnar joint dislocation. Choose 25671 when the operative method uses percutaneous fixation rather than open treatment.
What operative documentation supports 25671?
Document the distal radioulnar joint dislocation, laterality, reduction, and the percutaneous fixation used to maintain alignment. The report should make clear that this is joint dislocation treatment, not fixation of a distal radius fracture.
Can 25671 be reported for both wrists?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period for this major surgery.
Can fixation of a separate ulnar styloid fracture be reported with 25671?
Code 25651 may be reported for percutaneous fixation of a distinct ulnar styloid fracture treated during the same session. The documentation should support separate fracture treatment in addition to the joint dislocation procedure.
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.
2,49925652,,Optx ulnar styloid fracture,A,,7.86,8.26,NA,8.26,,1.57,17.69,17.69,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985