25645 Optx crpl fracture oth/thn scph each
Also known as: ORIF carpal bone, open reduction internal fixation carpal
Open treatment (surgical repair) of carpal bone fracture (other than scaphoid) with internal fixation.
In Plain Language
surgical repair of broken wrist bone; screw or pin fixation of carpal fracture
Clinical Context
Used for displaced or unstable carpal bone fractures requiring operative intervention and internal fixation. May be used for non-unions or problematic fractures.
RVU Breakdown
| Work RVU | 7.23 |
| Total RVU | 7.23 |
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 7.23, this code ranks in the 46th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25645?
CPT 25645 (Optx crpl fracture oth/thn scph each) is a Surgery code. Open treatment (surgical repair) of carpal bone fracture (other than scaphoid) with internal fixation.
What is the wRVU value for CPT 25645?
The work RVU for CPT 25645 is 7.23. This code is primarily used by Orthopedic Surgery, Hand Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 25645 used?
Used for displaced or unstable carpal bone fractures requiring operative intervention and internal fixation. May be used for non-unions or problematic fractures.
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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.