2025 CPT code 25600
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and Dislocation Treatment Musculoskeletal System Feed
Closed treatment of a distal radial fracture (e.g., Colles or Smith fracture) or epiphyseal separation, without manipulation.
Modifiers 54 (surgical care only) and 76 (repeat procedure) may be applicable in certain clinical scenarios.
Medical necessity for 25600 is established when a distal radius fracture or epiphyseal separation exists, and the physician determines that closed treatment without manipulation is the appropriate and safest course of action for the patient's condition and overall health.
The physician's responsibility includes evaluating the fracture using imaging (x-rays), determining the need for treatment, and applying the appropriate splint or cast for stabilization.Follow-up care and monitoring of healing may be included in the global service or billed separately.
- Musculoskeletal System
- Musculoskeletal System > Surgical Procedures on the Musculoskeletal System > Fracture and Dislocation Treatment
In simple words: The doctor treats a broken bone in the wrist (radius bone) without surgery.They use a cast or splint to keep the bones in place while they heal.
This CPT code, 25600, encompasses the closed treatment of a distal radial fracture, such as a Colles or Smith fracture, or an epiphyseal separation.The procedure involves managing the fracture without surgical incision or manipulation of the bone fragments. It may include treatment of an associated ulnar styloid fracture.The fracture is stabilized using casting or splinting to facilitate healing.
Example 1: A 65-year-old female presents with a Colles fracture after a fall.The physician performs a closed reduction and applies a short arm cast. This scenario applies code 25600., A 22-year-old male sustains a distal radial fracture in a sporting accident.X-rays reveal a minimally displaced fracture.The physician applies a sugar tong splint without manipulation.This scenario uses code 25600., A 10-year-old child experiences an epiphyseal separation of the distal radius. The physician assesses the injury and applies a cast without manipulating the bones.This is also coded as 25600.
** This code is typically used for simpler, less displaced fractures where manipulation is not required.Always ensure complete and accurate documentation to justify the selection of this code.Consider additional coding for supplies (e.g., casting materials) as needed.If further procedures or interventions are necessary, additional codes will be needed.
- Revenue Code: P6B (Minor Procedures - Musculoskeletal)
- RVU: The RVUs for this code will vary depending on the geographic location and the payer.Consult the relevant fee schedule for specific values.
- Global Days : The global period for this procedure is typically short, potentially encompassing only the initial application of the cast or splint. Subsequent cast changes or other interventions within a short period might require separate coding.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code.
- Fee Schedule : Historical fee schedule data is unavailable. Consult your local payer's fee schedule for relevant historical reimbursement information.
- Specialties:Orthopedic Surgery, Emergency Medicine
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility, Outpatient Hospital