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The procedure described by CPT® Code 25695 refers to the open treatment of a lunate dislocation, which is a specific type of wrist injury. A lunate dislocation occurs when the lunate bone, one of the eight carpal bones in the wrist, becomes displaced from its normal position, often as a result of trauma such as a fall onto an outstretched hand. This injury can lead to significant pain, swelling, and impaired wrist function. The open treatment approach involves a surgical procedure where an incision is made to access the lunate bone directly. This method is typically indicated when closed treatment methods, which involve manual manipulation to realign the bone, are insufficient or not feasible. The open reduction allows for direct visualization and stabilization of the dislocated bone, ensuring proper anatomical alignment. Following the reduction, the wrist is immobilized in a cast to promote healing and prevent further injury during the recovery process.
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The open treatment of lunate dislocation, as described by CPT® Code 25695, is indicated in the following scenarios:
The open treatment of lunate dislocation involves several critical procedural steps:
After the open treatment of lunate dislocation, patients can expect a period of recovery that may involve pain management and rehabilitation. The wrist will remain immobilized in a cast for a specified duration to ensure proper healing of the bone and surrounding tissues. Follow-up appointments are essential to monitor the healing process and to obtain additional radiographs to confirm that the lunate remains in the correct position. Physical therapy may be recommended after the cast is removed to restore strength and range of motion in the wrist.
| Short Descr | OPTX LUNATE DISLOCATION | Medium Descr | OPEN TREATMENT LUNATE DISLOCATION | Long Descr | Open treatment of lunate dislocation | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |
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