2025 CPT code 25605
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and/or Dislocation Treatment Musculoskeletal System Feed
Closed treatment of a distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, with or without fracture of the ulnar styloid; with manipulation.
Modifiers 22, 50, 51, 52, 54, 59, 76 may be applicable depending on the circumstances.
Medical necessity for closed reduction is established by the presence of a displaced fracture that requires realignment to promote proper healing and restore function.The need for manipulation is dictated by the degree of displacement and the inability to achieve acceptable alignment without manual intervention.Immobilization is essential to maintain reduction and prevent further injury.
The physician assesses the fracture using imaging (x-ray), manipulates the bones back into alignment, and immobilizes the fracture using a cast or splint. Post-reduction imaging is also performed to verify proper alignment.
In simple words: The doctor treats a broken bone in the wrist (radius bone).They gently move the broken pieces back into place without surgery, then put on a cast or splint to keep it still while it heals.
This CPT code encompasses the closed treatment of a distal radial fracture, which includes Colles or Smith fractures or epiphyseal separation.The procedure may also involve a fracture of the ulnar styloid. Treatment involves manipulation to realign the fractured bones without surgical incision.Radiographic imaging is used before and after manipulation to confirm proper reduction. Immobilization with a cast or splint is included.
Example 1: A 60-year-old woman falls and sustains a Colles fracture of her right distal radius. The physician performs closed reduction and immobilization with a long arm cast., A 15-year-old boy suffers a Smith fracture of his left distal radius during a sports injury. Closed reduction is performed under conscious sedation, followed by splinting., A 25-year-old man experiences an epiphyseal separation of his right distal radius. The physician performs closed reduction and immobilization with a short arm cast.
* Pre- and post-reduction radiographic images.* Documentation of the manipulation technique.* Type of immobilization device used (cast, splint).* Detailed description of the fracture, including location, displacement, and any associated injuries (ulnar styloid fracture).* Patient's history and physical examination findings.
** This code is for closed treatment only. Open reduction and internal fixation would be coded differently.The selection of specific immobilization (cast vs. splint) depends on clinical judgment.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Orthopedic Surgery, Emergency Medicine
- Place of Service:Office, Emergency Room - Hospital, Urgent Care Facility, Outpatient Hospital