CPT® Code 25680

A trans-scaphoperilunar type fracture dislocation, commonly known as a Mayfield fracture dislocation, is a specific and rare injury that occurs in the wrist. This type of injury typically results from a high-energy impact, which can lead to significant trauma. The injury is characterized by a fracture of the scaphoid bone, which is one of the small bones in the wrist, along with a dislocation of the lunate bone, another critical component of wrist anatomy. The closed treatment procedure described by CPT® Code 25680 involves the manual manipulation of the fractured scaphoid and dislocated lunate to restore their anatomical alignment without the need for surgical incisions. Prior to the treatment, separate radiographs are obtained to confirm the presence of the fracture and dislocation. Following the manipulation, a second set of radiographs is taken to ensure that the bones have been properly aligned. Once the anatomical reduction is verified, the wrist is immobilized in a cast to facilitate healing and prevent further injury during the recovery process.