25609 Optx dst rd xart fracture/ep sep3+
Also known as: ORIF distal radius comminuted, open reduction internal fixation complex wrist, distal radius fracture ORIF 3+ fragments
Open treatment (surgical repair) of distal radial fracture with internal fixation of three or more fracture fragments.
In Plain Language
surgical repair of severely broken wrist bone; metal plate fixation for complex wrist fracture
Clinical Context
Used for comminuted (multi-fragment) intra-articular distal radial fractures requiring surgical intervention to restore joint anatomy and alignment.
RVU Breakdown
| Work RVU | 14.02 |
| Total RVU | 14.02 |
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 14.02, this code ranks in the 70th percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25609?
CPT 25609 (Optx dst rd xart fracture/ep sep3+) is a Surgery code. Open treatment (surgical repair) of distal radial fracture with internal fixation of three or more fracture fragments.
What is the wRVU value for CPT 25609?
The work RVU for CPT 25609 is 14.02. This code is primarily used by Orthopedic Surgery, Hand Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 25609 used?
Used for comminuted (multi-fragment) intra-articular distal radial fractures requiring surgical intervention to restore joint anatomy and alignment.
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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.