CPT® Code 25630

The CPT® Code 25630 refers to the closed treatment of a fracture involving one of the carpal bones, specifically excluding the carpal scaphoid (navicular) bone. This procedure is characterized by the absence of manipulation, meaning that the fractured bone is treated without the need to manually reposition the fracture fragments. The carpal bones consist of eight individual bones that are organized into two rows at the wrist joint, known as the carpus. The proximal row includes the scaphoid, lunate, triquetrum, and pisiform bones, while the distal row comprises the trapezium, trapezoid, capitate, and hamate bones. In cases where multiple carpal bones are fractured, each fracture is reported separately to ensure accurate coding and billing. Prior to treatment, radiographs (X-rays) are obtained to confirm the presence of the fracture. A thorough neurovascular examination is also performed to assess the integrity of the nerves and blood vessels surrounding the injury site. The procedure described by CPT® Code 25630 specifically addresses nondisplaced or minimally displaced fractures of the carpal bones, excluding the scaphoid, where no manipulation is necessary. Following the evaluation, the wrist is immobilized using a short arm splint or cast to facilitate proper healing and prevent further injury.