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The CPT® Code 25690 refers to the closed treatment of a lunate dislocation, which is a specific type of wrist injury. A lunate dislocation occurs when the lunate bone, one of the carpal bones in the wrist, becomes displaced from its normal position, often as a result of trauma such as a fall onto an outstretched hand. This injury can lead to significant pain and dysfunction in the wrist. The closed treatment approach involves manually manipulating the dislocated bone back into its proper anatomical alignment without the need for surgical incisions. This procedure is typically accompanied by the use of radiographs, or X-rays, to confirm the presence of the dislocation and to ensure that the bone fragments are properly aligned after manipulation. Following the reduction, the wrist is immobilized in a cast to promote healing and prevent further injury. It is important to note that this code is distinct from CPT® Code 25695, which involves an open reduction procedure that requires surgical intervention. The closed treatment method represented by CPT® Code 25690 is generally less invasive and is often preferred when appropriate.
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