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CPT 25560: Closed Treatment of Both-Bone Forearm Shaft Fracture
CPT code 25560 denotes closed treatment of both-bone forearm fractures involving the shafts of the radius and ulna without incision or manipulation. This code captures a specific nonoperative management service relevant to acute orthopedic care, fracture clinics, and emergency settings. Nationally, proper coding of closed forearm fracture treatment affects clinical documentation, procedure mix reporting, and claims processing for trauma and orthopedic practices.
Key payers considered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The review outlines how payers commonly classify and adjudicate nonoperative forearm fracture services, and highlights where policies or coverage rules can influence authorization and bundling.
Readers will gain a concise clinical and billing context for 25560, including expected service settings, common modifiers encountered in practice (listed separately), and areas where documentation drives appropriate use of the code. The publication also summarizes benchmark considerations, typical reimbursement contexts, and policy updates that affect national billing practices. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 25560 describes treatment of a both-bone forearm fracture involving the shafts of the radius and ulna using a closed procedure. The provider does not make an incision and does not perform manipulation of the fractures during the service.
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Service type: Closed treatment of both-bone forearm shaft fractures
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Typical site of service: Emergency department, urgent care, or outpatient orthopedic clinic depending on presentation and facility capabilities