2025 CPT code 25526

Open treatment of a radial shaft fracture and distal radioulnar joint dislocation (Galeazzi fracture-dislocation), including internal fixation and repair of the triangular fibrocartilage complex (TFCC).

Refer to the most recent CPT manual for complete and accurate coding guidelines.

Modifiers may be appropriate to indicate additional circumstances, such as increased procedural services (modifier 22), multiple procedures (modifier 51), bilateral procedure (modifier 50), or repeat procedure (modifier 76). Refer to the CPT manual for specific modifier guidance.

The medical necessity for this procedure is established by the presence of a symptomatic Galeazzi fracture-dislocation, requiring surgical intervention for proper alignment, stabilization, and restoration of wrist function.The severity of the injury and associated symptoms would justify the need for surgical intervention versus non-surgical approaches.

The orthopedic surgeon is typically responsible for performing this procedure.Responsibilities include preoperative assessment, surgical intervention (including reduction, fixation, and TFCC repair), and postoperative care.

IMPORTANT Other codes may be necessary depending on the specifics of the case, such as additional procedures performed (e.g., separate procedures for vessel exploration, neuroplasty, or complex repair).If external fixation is used in addition to internal fixation, 20690 should be reported separately along with the appropriate internal fixation code.

In simple words: This code describes a surgery to fix a broken radius bone (in the forearm) and a dislocated wrist joint. The doctor will make an incision, realign the bones, and use metal implants (like plates and screws) to hold everything in place. The surgery also includes repairing a piece of cartilage in the wrist.

This CPT code encompasses the open surgical treatment of a fracture of the radial shaft accompanied by a dislocation of the distal radioulnar joint (Galeazzi fracture-dislocation).The procedure involves an open approach to reduce the fracture and dislocation, utilizing internal fixation (plates, screws, or wires) for stabilization as needed.The procedure also includes repair of the triangular fibrocartilage complex (TFCC).

Example 1: A patient presents with a Galeazzi fracture-dislocation after a fall.Open reduction and internal fixation with plate and screws are performed along with TFCC repair.25526 is reported., A patient sustains a complex Galeazzi fracture-dislocation with significant comminution of the radial shaft and significant displacement of the distal radioulnar joint. Open reduction, internal fixation with a plate and screws, and TFCC repair are performed.25526 is reported. Additional codes may be necessary to reflect the complexity of the case., A patient has a Galeazzi fracture-dislocation with associated vascular injury. Open reduction and internal fixation are performed along with vascular repair (reported separately). 25526 is reported along with the appropriate code for vascular repair.

* Preoperative diagnosis and clinical indications for surgery.* Operative report detailing the surgical approach, reduction technique, type and placement of internal fixation devices, and TFCC repair.* Intraoperative imaging (X-rays) to confirm reduction and fixation.* Postoperative imaging (X-rays) to assess the healing process.* Any additional procedures performed.* Patient's medical history and physical examination findings.

** Always refer to the most recent CPT manual and your payer's specific guidelines for the most accurate coding practices.This information is for educational purposes only and should not be considered medical advice.

  • Revenue Code: Check your payer's specific revenue codes.A common revenue code for orthopedic surgery might be appropriate.
  • RVU: RVUs vary based on geographic location and other factors. Consult your local Medicare fee schedule or payer-specific guidelines for the most up-to-date information.
  • Global Days : The global surgical period for this procedure will vary according to payer and local guidelines. Check payer guidelines for the specific global period for this CPT code.
  • Payment Status: Active
  • Modifier TC rule: A technical component (TC) modifier is not applicable to this code.
  • Fee Schedule : Historical fee schedule information can be obtained from your payer or through a fee schedule database. Fee schedules are subject to change; therefore, this information is not included.
  • Specialties:Orthopedic Surgery
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient
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