CPT® Code 25675

The CPT® Code 25675 refers to the closed treatment of a distal radioulnar joint (DRUJ) dislocation with manipulation. A DRUJ dislocation occurs when the distal end of the ulna and the radius bones in the forearm become misaligned at the wrist joint. This type of dislocation is relatively uncommon and can occur without any accompanying fractures. The dislocation can be classified as either dorsal or volar; a dorsal dislocation typically results from hyperpronation of the forearm, while a volar dislocation is often caused by hypersupination. To accurately assess the injury, separate radiographic imaging is performed, which helps in determining the extent of the dislocation. The procedure described by CPT® Code 25675 involves manually reducing the dislocated joint. For a dorsal dislocation, the forearm is rotated into a supinated position while applying direct pressure to the ulna to facilitate realignment. Conversely, for a volar dislocation, the ulna is moved dorsally while the forearm is pronated. Following the successful reduction of the dislocation, the wrist is immobilized using a cast to ensure stability during the healing process.