How To Use CPT Code 25680

CPT 25680 describes the closed treatment of a specific type of fracture dislocation in the wrist, known as the trans-scaphoperilunar type, 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 25680?

CPT 25680 is used to describe the closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation. This code is used when a healthcare provider manipulates the bones of the wrist back into their correct position without making a surgical incision. The provider then applies a splint or cast to hold the bones in place until they heal.

2. Official Description

The official description of CPT code 25680 is: ‘Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation.’

3. Procedure

1. The patient is appropriately prepped and the area is anesthetized.
2. The healthcare provider manipulates the bones of the wrist into their correct position.
3. An X-ray is taken to check the alignment of the bones.
4. A splint or cast is applied to hold the bones in place until healing occurs.

4. Qualifying circumstances

CPT 25680 is used for the treatment of a specific type of fracture dislocation in the wrist, known as the trans-scaphoperilunar type. This code is applicable when the bones of the wrist are manipulated back into their correct position without the need for a surgical incision. The treatment may involve the use of a splint or cast to hold the bones in place until they heal.

5. When to use CPT code 25680

CPT code 25680 should be used when a healthcare provider performs closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation. This code should not be used for other types of fracture dislocations or for open procedures that involve a surgical incision.

6. Documentation requirements

To support a claim for CPT code 25680, the healthcare provider must document the following information:

• Patient’s diagnosis of a trans-scaphoperilunar type of fracture dislocation
• Details of the closed treatment procedure, including the manipulation of the bones
• Date of the procedure
• Documentation of any additional procedures performed, such as the application of a splint or cast
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 25680, ensure that the procedure performed meets the criteria for closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation. This code should not be reported with other codes unless additional procedures, such as the application of a splint or cast, are performed. It is important to follow the specific guidelines provided by the payer when submitting claims for CPT code 25680.

8. Historical information

CPT code 25680 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 healthcare provider performs closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation.
2. A patient presents with a trans-scaphoperilunar type of fracture dislocation in the wrist, and the healthcare provider manipulates the bones back into their correct position without making a surgical incision.
3. A healthcare provider applies a splint to hold the bones of a patient’s wrist in place after performing closed treatment of a trans-scaphoperilunar type of fracture dislocation.
4. A patient undergoes closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation, and a cast is applied to aid in the healing process.
5. A healthcare provider performs closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation, and documents the procedure in the patient’s medical record.
6. A patient’s trans-scaphoperilunar type of fracture dislocation in the wrist is successfully treated with closed treatment and manipulation by a healthcare provider.
7. A healthcare provider performs closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation, and provides appropriate follow-up care.
8. A patient’s trans-scaphoperilunar type of fracture dislocation in the wrist is treated with closed treatment and manipulation, resulting in proper alignment of the bones.
9. A healthcare provider performs closed treatment of a trans-scaphoperilunar type of fracture dislocation in the wrist, with manipulation, and ensures the patient’s comfort throughout the procedure.
10. A patient’s trans-scaphoperilunar type of fracture dislocation in the wrist is successfully treated with closed treatment and manipulation, leading to a positive outcome.