25685 Optx trns-scphprlnr fracture dislc
Also known as: ORIF perilunate injury, open reduction internal fixation trans-scaphoid
Open treatment (surgical repair) of trans-scaphoid and perilunate fracture-dislocation with internal fixation.
In Plain Language
surgical repair of complex wrist bone injury; operative restoration of wrist alignment
Clinical Context
Used for trans-scaphoid perilunate fracture-dislocations requiring operative intervention. Often involves reduction and fixation of both fracture and dislocation components.
RVU Breakdown
| Work RVU | 9.84 |
| Total RVU | 9.84 |
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 9.84, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25685?
CPT 25685 (Optx trns-scphprlnr fracture dislc) is a Surgery code. Open treatment (surgical repair) of trans-scaphoid and perilunate fracture-dislocation with internal fixation.
What is the wRVU value for CPT 25685?
The work RVU for CPT 25685 is 9.84. This code is primarily used by Orthopedic Surgery, Hand Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 25685 used?
Used for trans-scaphoid perilunate fracture-dislocations requiring operative intervention. Often involves reduction and fixation of both fracture and dislocation components.
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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.