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2025 CPT code 25660

Closed treatment of radiocarpal or intercarpal dislocation, one or more bones, with manipulation.

If the initial treatment provider does not provide subsequent care, modifier 54 (Surgical care only) should be appended. If a subsequent re-reduction is performed by the same physician due to loss of reduction, modifier 76 (Repeat procedure or service by same physician) should be used.

Modifiers may be applicable. Refer to the provided list.

Medical necessity is established by the presence of a clinically significant radiocarpal or intercarpal dislocation requiring reduction and immobilization. The documentation should support the diagnosis and the chosen method of treatment.

In simple words: The doctor treats a dislocated wrist by putting the bones back in place without surgery, using their hands and X-rays to guide them. Afterward, they put on a cast or splint to keep the wrist stable.

This code describes a procedure where a physician treats a dislocation of one or more bones in the wrist (radiocarpal or intercarpal joint) by manually manipulating the bones back into their proper position without making a surgical incision. This closed reduction is typically performed with the assistance of radiographic imaging to confirm the dislocation and ensure proper alignment after the manipulation. A cast or splint is usually applied following the procedure to maintain stability and promote healing.

Example 1: A patient falls and dislocates their lunate bone. The physician performs a closed reduction of the lunate bone under fluoroscopic guidance and applies a cast., A patient suffers a radiocarpal dislocation after a motor vehicle accident. The emergency room physician performs a closed reduction of the radiocarpal joint and applies a splint, referring the patient to an orthopedic surgeon for follow-up care., A patient dislocates multiple carpal bones during a sporting event. The physician performs closed reduction of the affected bones and applies a splint.

Documentation should include details of the dislocation (specific bones involved), the method of reduction, radiographic confirmation of the dislocation and post-reduction alignment, and the type of immobilization applied. Medical necessity for the procedure should also be documented.

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