No office rate
Both address radiocarpal or intercarpal dislocation, but 25670 is for open treatment; 25660 is for closed reduction by manipulation.
On this page
CMS RVU26D · Effective 2026-10-01
25660 Wrist dislocation Medicare reimbursement rates in Wyoming
Report closed manipulation to reduce one or more radiocarpal or intercarpal dislocations when the wrist is treated without open exposure. Compare 25660 office and facility rates across CMS payment localities in Wyoming.
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 25660 in Wyoming?
Wyoming 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
$436.78
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 25660: Closed wrist dislocation reduction
Report closed manipulation to reduce one or more radiocarpal or intercarpal dislocations when the wrist is treated without open exposure.
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.
CMS billing rules for 25660
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.86 · 36%
- Practice expense (office) RVU7.44 · 56%
- Malpractice RVU1.05 · 8%
44
Medicare services in 2024 · #5429 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.
25660 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$570.03
25675 applies to a distal radioulnar dislocation treated closed with manipulation. This code applies to radiocarpal or intercarpal dislocation.
No office rate
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.
No office rate
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.
Compare 25660 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$436.78
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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 25660 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,500
- Code
- 25660
- Physician work
- 4.86
- Practice expense
- 7.44
- Malpractice
- 1.05
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.86 | × 1.000 | 4.8600 |
| Practice expense | 7.44 | × 1.000 | 7.4400 |
| Malpractice | 1.05 | × 0.740 | 0.7770 |
| Total RVUs | 13.0770 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$436.78
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.86 | 1 |
| Practice expense | 7.44 | 1 |
| Malpractice | 1.05 | 0.74 |
(4.86 × 1 + 7.44 × 1 + 1.05 × 0.74) × $33.4009 = $436.78
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.
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 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.
2,49725650,,Cltx ulnar styloid fracture,A,,3.15,7.54,,5.92,,0.66,11.35,9.73,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49825651,,Perq skel fix ulnar styld fx,A,,5.67,7.38,NA,7.38,,1.13,14.18,14.18,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,49925652,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,