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CPT 25565: Closed Treatment of Both-Bone Forearm Shaft Fractures
CPT code 25565 represents the closed treatment (manipulation without incision) of both-bone forearm fractures involving the shafts of the radius and ulna. Nationally, this code captures a common orthopedic procedure used in acute fracture management, with implications for acute care workflows, facility billing, and post-procedure follow-up.
Key payers in typical national coverage and reimbursement discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, payer coverage considerations, and operational benchmarks relevant to this service line. The publication summarizes coding intent, typical sites of service (emergency departments, urgent care, and outpatient orthopedic clinics), and how this code fits into acute musculoskeletal care pathways.
The report provides benchmarking insights where available, outlines common billing modifiers that may apply, and highlights areas where policy updates or payer-specific rules can affect claim adjudication. Clinical context explains when closed manipulation is used versus open surgical approaches and the patient settings most likely to encounter this service. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 25565 describes a closed treatment of both-bone forearm fractures involving the shafts of the radius and ulna. The provider manipulates the fractures into alignment without making an incision.
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Service type: Closed manipulation of both-bone forearm fractures
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Typical site of service: Emergency department, urgent care, or outpatient surgical/orthopedic clinic where closed fracture management is performed