CPT® Code 25670

Open treatment of radiocarpal or intercarpal dislocation, as described by CPT® Code 25670, refers to a surgical procedure aimed at correcting dislocations of the wrist bones, specifically the carpal bones located in the wrist joint. Radiocarpal dislocations involve the dislocation of the bones that connect the forearm to the wrist, while intercarpal dislocations pertain to dislocations occurring between the carpal bones themselves. These types of dislocations are considered rare and typically result from high-energy impacts, such as those sustained in sports injuries or accidents. The procedure begins with the physician obtaining separate radiographs to assess the extent of the injury, which includes evaluating the condition of the bones, ligaments, and surrounding soft tissues. In cases where a closed reduction is insufficient, as indicated by CPT® Code 25660, an open reduction is necessary. This involves surgically accessing the wrist to realign the dislocated bones accurately. The surgical approach may vary depending on which specific carpal bones are affected. During the procedure, ligaments may be repaired using suture anchors, and stabilization of the bones can be achieved through the use of pins or K-wires, ensuring proper alignment and facilitating healing.