CPT^® 25565, Under Fracture and/or Dislocation Procedures on the Forearm and Wrist

The Current Procedural Terminology (CPT^®) code 25565 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Forearm and Wrist.

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Summary

The provider treats a both bone fracture of the forearm, involving the shafts of the radius and ulna, in a closed procedure. He manipulates the fractures into alignment. He does not make an incision.

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Mid Radial Diaphysis Fracture Reduction

Hi if the ED Doctor reduces the fracture but it states it is the Med Radial Fracture and does not mention the Ulna and no fracture of the Ulna. can we use the CPT code 25565?... [ Read More ]

ER same day surgery should a NP visit be dictated as well?

My orthopedic doctor will see patients in the ER and perform surgery (ex. 25565-Closed treatment of radial and ulnar shaft fractures; with manipulation), but does not dictate a consult note, so I only... [ Read More ]

Closed fracture care

Example: 99222- Fee- $340.00 MCR allow- $135.88 99214- Fee- $263.00 MCR allow- $105.23 25565- Fee- $1715.00 MCR allow- $504.48(office), $457.18(facility) 73090- Fee- $79.00 MCR allow- $26.30 Y... [ Read More ]

CPT 25605 - Distal Radius and Ulna Question

If a patient presents with a distal radial fracture and a distal ulnar fracture not specified as an ulnar styloid fracture, and both are reduced, can CPT 25605 be applied or would CPT 25565 be more ap... [ Read More ]

Closed reduction & perc pinning

25565 - Closed treatment of radial and ulnar shaft fracture; with manipulation 79.12 -Closed reduction of fracture with internal fixation of radius/ulna... [ Read More ]

Help with fracture care

First, you need to check with the carrier on how they would like you to bill it. Most of them will not take the code twice with a mod 52. Second, was manipulation done at the time of the procedure a... [ Read More ]

2nd request, closed reduction left radius with ulnar shaft fracture

25565 looks to be the proper code... [ Read More ]

Orthopedics

I need some assistance please. My doctor saw a patient who presented to the ED with a radius/ulnar fracture and we billed 25565. 5 days later the patient came into the clinic for a followup visit an... [ Read More ]

in need of help

The 2nd 25565 should have a 76 modifier applied.... [ Read More ]

in need of help

need help coding this scenario dr sees a new pt in the office for cpt 25565 does pre and post xrays, cast is placed ,arm was not placed right the procedure was too painful for patient with only a loc... [ Read More ]

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