How To Use CPT Code 25675

CPT 25675 describes the closed treatment of distal radioulnar dislocation with manipulation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 25675?

CPT 25675 can be used to describe the closed treatment of a dislocation of the radioulnar joint, which is the union of the two forearm bones at the wrist. This procedure involves manipulating the bones back into their correct positions without making an incision. It is commonly performed when a radioulnar dislocation occurs, often as a result of extending the hand to break a fall.

2. Official Description

The official description of CPT code 25675 is: ‘Closed treatment of distal radioulnar dislocation with manipulation.’

3. Procedure

1. The provider begins by assessing the presence of a dislocation using radiographic imaging.
2. Using their hands, the provider manipulates the bones of the radioulnar joint back into their correct positions.
3. A follow-up radiographic image is obtained to confirm that the bones have been adequately realigned.
4. To prevent movement of the bones during the healing process, the provider applies a splint or cast material.

4. Qualifying circumstances

CPT 25675 is performed when a patient presents with a dislocation of the radioulnar joint that can be treated with closed manipulation. This procedure is appropriate for patients who do not require an incision and can be managed with manipulation alone.

5. When to use CPT code 25675

CPT code 25675 should be used when a provider performs closed treatment of a distal radioulnar dislocation using manipulation without making an incision. It is important to note that this code should not be reported if the provider performs any other procedures or treatments in addition to the closed manipulation.

6. Documentation requirements

To support a claim for CPT 25675, the provider must document the following information:

• Radiographic evidence of the dislocation
• Description of the manipulation technique used
• Radiographic confirmation of adequate realignment
• Type of splint or cast applied

7. Billing guidelines

When billing for CPT 25675, ensure that the procedure meets the criteria for closed treatment of a distal radioulnar dislocation with manipulation. It is important to note that this code should not be reported if any other procedures or treatments are performed in addition to the closed manipulation.

8. Historical information

CPT 25675 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient presents with a dislocation of the radioulnar joint after falling on an outstretched hand. The provider performs closed treatment of the dislocation using manipulation and applies a splint to immobilize the joint.
2. Following a sports injury, a patient is diagnosed with a distal radioulnar dislocation. The provider manipulates the bones back into their correct positions and applies a cast to facilitate healing.
3. A patient presents with a dislocation of the radioulnar joint after a car accident. The provider performs closed treatment of the dislocation using manipulation and instructs the patient to wear a splint for several weeks.
4. After slipping on ice, a patient experiences a dislocation of the radioulnar joint. The provider successfully manipulates the bones back into their correct positions and applies a cast to ensure proper healing.
5. A patient sustains a distal radioulnar dislocation while playing a contact sport. The provider performs closed treatment of the dislocation using manipulation and prescribes a splint for the patient to wear during the recovery period.
6. Following a fall from a ladder, a patient presents with a dislocation of the radioulnar joint. The provider performs closed treatment of the dislocation using manipulation and applies a cast to immobilize the joint and promote healing.
7. A patient is involved in a motorcycle accident and is diagnosed with a distal radioulnar dislocation. The provider successfully manipulates the bones back into their correct positions and applies a splint to support the joint during the healing process.
8. After a workplace injury, a patient presents with a dislocation of the radioulnar joint. The provider performs closed treatment of the dislocation using manipulation and applies a cast to ensure proper alignment and healing.
9. A patient sustains a distal radioulnar dislocation while playing a high-impact sport. The provider performs closed treatment of the dislocation using manipulation and prescribes a splint for the patient to wear until the joint has fully healed.
10. Following a fall down the stairs, a patient presents with a dislocation of the radioulnar joint. The provider performs closed treatment of the dislocation using manipulation and applies a cast to immobilize the joint and promote proper alignment.