CPT® Code 25671

The procedure described by CPT® Code 25671 refers to the percutaneous skeletal fixation of a distal radioulnar joint (DRUJ) dislocation. A DRUJ dislocation occurs when the distal end of the ulna is displaced from its normal position in relation to the radius at the wrist. This type of dislocation is relatively uncommon and can occur in two primary forms: dorsal dislocation, which typically results from hyperpronation of the forearm, and volar dislocation, which is often caused by hypersupination. The treatment for this condition may involve various approaches, including closed treatment with manipulation (CPT® Code 25675) or open treatment (CPT® Code 25676). In the case of percutaneous skeletal fixation, the dislocated joint is first manually reduced, similar to the manipulation performed in closed treatment. Following reduction, stabilization is achieved by inserting a pin or K-wire through the skin and into the bone, which helps maintain the proper alignment of the joint during the healing process. This method is particularly beneficial for cases where non-invasive techniques may not provide sufficient stability. Prior to any treatment, separate radiographs are obtained to assess the extent of the injury and confirm the diagnosis. The overall goal of this procedure is to restore normal function and stability to the distal radioulnar joint while minimizing the need for more invasive surgical interventions.