CPT® Code 25635

The CPT® Code 25635 refers to the closed treatment of a fracture involving one of the carpal bones, excluding the carpal scaphoid (navicular) bone, with the requirement of manipulation for each affected bone. Carpal bones are the eight small bones that make up the wrist, arranged in two rows: the proximal row includes the scaphoid, lunate, triquetrum, and pisiform, while the distal row consists of the trapezium, trapezoid, capitate, and hamate. When a fracture occurs in one of these bones, it can be treated through various methods, including closed treatment without manipulation, closed treatment with manipulation, or open treatment. In cases where multiple carpal bones are fractured, each fracture must be reported separately for accurate coding and billing. Prior to treatment, radiographs are obtained to confirm the presence and specifics of the fracture. A thorough neurovascular examination is also conducted to ensure that the nerves and blood vessels surrounding the injury are intact and functioning properly. The manipulation involved in CPT® Code 25635 specifically refers to the manual reduction of displaced fracture fragments back into their proper anatomical alignment, followed by the application of a short arm splint or cast to immobilize the wrist and facilitate healing.