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See a sample rate comparisonCPT 25695 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Open Tx Of Lunate Dislocation
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 25695 |
| Medicaid Fee Schedule | View Medicaid rates for 25695 |
National average reimbursement for CPT 25695 by major payers:
$891.44
$856.04
$874.86
$1,071.75
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CPT 25695
5 of 25 sample ratesHigher to lower in this preview
San Antonio Surgicenter, LLC, The Center For Special Surgery At Tca
$5,402.00Published rateDestin Surgery Center LLC
$2,353.00Published rateUrology Surgery Center Johns Creek LLC
$1,660.00Published rateElm Place Ambulatory Surgical Center
$1,220.00Published rateIndependence Asc LLC, The Endoscopy Center - North
$622.00Published rate
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See a sample payer proposalCPT 25695 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 25695 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 25695 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 25680-CPT | Moderate | Treat Dislocated Broken Wrist, Treatment Of Broken And Dislocated Wrist Using Traction And Manual Movement Of Bone Into Proper Position. An Immobilizer Is Placed On The Arm And Wrist. |
| 25685-CPT | High | Open Treatment Of Trans-Scapho, Open Treatment Of Trans-Scaphoperilunar Type Of Fracturedislocation Open Treatment Of Trans-Scaphoperilunar Type Of Fracture |
| 25690-CPT | Moderate | Realign And Secure Dislocation, Treatment Of Dislocated Wrist By Manually Moving The Bone Into Proper Position. An Immobilizer Is Applied To The Arm And Wrist. |
| 25695-CPT | Moderate | Open Tx Of Lunate Dislocation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25695. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25695 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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