25259 Manipulate wrist with anesthes
Also known as: wrist manipulation, closed manipulation
Closed manipulation of the wrist joint under anesthesia to improve motion, reduce contracture, or address stiffness.
In Plain Language
straightening wrist under sleep
Clinical Context
Indicated for post-traumatic wrist stiffness, arthrofibrosis, or restricted motion from various causes. Often done early after injury.
RVU Breakdown
| Work RVU | 3.94 |
| Total RVU | 3.94 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.94, this code ranks in the 27th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25259?
CPT 25259 (Manipulate wrist with anesthes) is a Surgery code. Closed manipulation of the wrist joint under anesthesia to improve motion, reduce contracture, or address stiffness.
What is the wRVU value for CPT 25259?
The work RVU for CPT 25259 is 3.94. This code is primarily used by Orthopedic Surgery, Hand Surgery. It has a 90-day global period.
When is CPT 25259 used?
Indicated for post-traumatic wrist stiffness, arthrofibrosis, or restricted motion from various causes. Often done early after injury.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.