CPT^® 25605, Under Fracture and/or Dislocation Procedures on the Forearm and Wrist

The Current Procedural Terminology (CPT^®) code 25605 as maintained by American Medical Association, is a medical procedural code under the range - Fracture and/or Dislocation Procedures on the Forearm and Wrist.

Additional/Related Information

Tabs

Summary

The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at the end of the bone may be displaced or the ulnar styloid, the bony bump on the ulna, fractured. He manipulates the fracture to realign the bony structures. He does not make an incision.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 25605 ? Start a discussion here

Closed fracture reduction followed by ORIF next day.

Commercial insurance is primary along with using codes 25605 then next day 25609. I would agree to use modifier 58. Is there any coding guidelines to show for coding this way? I need supportive inf... [ Read More ]

E/M Coding in the ER with fracture codes

Does anyone bill and E/M code in the ER, for example 99283 with fracture care codes (for example 25605) and get paid for it? And can we bill both on the same claim if the fracture is all that they pr... [ Read More ]

Outpatient facility coding for ED

Do the same guidelines for OP facility coding on UB04's pertain as profee 1500? I am new to auditing facility and wondered if the E/M's should have a 57 modifier and a 54 on procedure code 25605 - th... [ Read More ]

Manipulation of Fracture

If a provider is a using CPT 25605, isn't there suppose to be some sort of procedure note to describe the manipulation? I have a provider who is only stating " manipulation " in assessment and plan. B... [ Read More ]

Manipulation

Cci edit

I am getting a denial on CPT code 76001 , stating it is a component of 25605. When I entered this in my CCI tool it says "a modifier can be added if appropriated", does anyone know it this should be ... [ Read More ]

Billing for Two Providers in the same ER

Patient was seen in ER for broken arm. One provider did the evaluation of the situation, the other provider performed the reduction/manipulation. Do the 99284 and 25605 get billed on separate claims ... [ Read More ]

CANPC Questions for AAPC El Paso TX Local Chapter Event 11182017

Vino C. Mody Jr., M.D., COC, CPC, CCS-P, CANPC, CCVTC, CICP, CNPR, CRMC 678-427-6511 cell; [email]vinomodyjr13@gmail.com[/email]; [email]vinomodyjr@outlook.com[/email]; [email]vmody@protonmail.com[/em... [ Read More ]

CPT 25605 - Distal Radius and Ulna Question

The first thing you need is a thorough and accurate description of both the distal radial and distal ulnar fractures, as each bone fracture requires its own ICD-10 Diagnosis code, i.e. 2 codes to comp... [ Read More ]

CPT 25605 - Distal Radius and Ulna Question

[b]25605[/b] I personally would use 25605. The distal radius is the main bone that is being manipulated. Also, the ulnar styloid is the typical location of the associated ulnar fracture which may o... [ Read More ]

View All