Cpt code 29125 The requestor seeks reimbursement for CPT codes 13132, 20103, 12042, 76000 and 29125 rendered on May 3, 2022. This code specifically refers to a closed treatment, meaning the fracture is managed without surgical incision, typically using methods like casting or splinting to ensure proper alignment and healing. Jun 17, 2012 · @chaser1 If you can justify a modifier, you will code it as: 29125 73110 73100-59 OR 29125 73110 RT 73100 LT In order to justify that -59 it should be on the other wrist. For many fractures, the follow-up care likely will be provided by an orthopedist, and therefore the −54 modifier should be added to the fracture care code. From there, you can also decide on a supply code for the splint. And the cpt code for ulnar gutter splint The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). What is the ICD 10 code for right distal radius fracture? ICD-10-CM Code for Unspecified fracture of the lower end of right radius, initial encounter for closed fracture S52. " Application of a cast or strap is included in these global codes, but the cast or strap is not, as per the CPT introduction to the application of casts and strapping section: Sep 23, 2013 · Good day, Does anyone know the CPT code for a thumb spica splint. Oct 3, 2025 · To summarize, CPT code 29125 specifies the application of a static or rigid splint, extending from an elbow to the palm. The Occupational therapist is making thumb spica splints out of raw material and is using HCPCS code L3808. Dec 1, 2012 · You would then assign CPT code 29125, “Application of short arm splint (forearm to hand); static. 203(b)(1) states, “For coding, billing, reporting, and reimbursement of professional medical services, Texas workers' compensation system participants The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). Below is a list summarizing the CPT codes for splints’ body and upper extremity application. Apr 29, 2024 · Explore a complete guide to CPT code 99214 — including billing guidelines, documentation requirements, and reimbursement insights to help providers ensure accurate claims and maximum revenue. 88307 b. Or for the professional fee should be not add the anatomical modifiers? Thank you The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). Feb 1, 2003 · DRG Coding Advisor: Look for nuances in these coding problem areas Note the new CPT changes Chargemasters need to be maintained on a quarterly basis, and coders should be given educational updates at least that often to keep up with the CPT coding changes and the development of new codes by the Centers for Medicare & Medicaid Services (CMS), experts advise. Jul 30, 2025 · Hi-- I am not familiar with Occupational therapy splint codes. This article contains coding guidelines that complement the Local Coverage Determination (LCD) for Outpatient Physical and Occupational Therapy Services (L33631). Ensure you're working with the most up-to-date version of CPT Code 29126 by opening it in our free code lookup tool. " What is CPT Code 29125 CPT code 29125 is used to describe the procedure of applying a forearm splint. Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Body and Upper Extremity Application of Splints 29105-29131 is a medical code set maintained by the American Medical Association. When I look up a picture of that on the web. CPT Code 29000 CPT 29000 describes the application of a halo-type body cast (see 20661 - 20663 for insertion). This code is used for immobilizing or stabilizing a wrist injury or fracture prior to surgery. Links to CPT 29125 The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). 1 day ago · Quickly calculate the ending date for Global Days based on one or more CPT codes. The doctor says he splinted with a ulnar gutter splint. Bonner says, Physicians usually will bill the evaluation and management (E/M), CPT 99201 - 99220 . Physician/Orthopedic Office The purpose of this article is to clarify claim submission guidelines for "global" fracture care services and provide clarification on submitting claims for split care (between an Emergency Department (ED) physician and another physician, such as an orthopedist) and splinting and cast application May 16, 2025 · Does the CPT code 29125 need a modifier? Does CPT 29125 Need a Modifier? When billing for the CPT code 29125 (Apply forearm splint), several modifiers may be applicable depending on the specific circumstances of the procedure. I do know I cannot bill for the application CPT code 29125 because it was not custom made. "Last year we had over 400 program The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). Learn what CPT code 29125 means, when to use modifiers, and how to get reimbursed by Medicare. Findings 1. Which is what the doctor did. This procedure is typically performed to immobilize an injury to the forearm or wrist, providing necessary support during the healing phase. 501A. 5 cm. . I was looking at L3908 (Wrist hand orthosis (WHO), wrist extension control cock-up, non Common splinting procedures performed by emergency physicians include finger (CPT 29130), short arm (CPT 29125), long arm (CPT 29105), short leg (CPT 295150), and long leg (CPT 29505). 88304, What code represents a secondary rhinoplasty where a small amount of work is performed on the tip of the nose? a. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements. Feb 11, 2015 · I work in the Family Practice setting and fracture care coding is very challenging for me. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. If you are coding the open fracture CPT code (such as 26735), I would not code the CPT code 29125 is used to describe the procedure of applying a forearm splint for immobilization and support. They are pretty specific on how you can bill for multiple images of the same fracture/lesion Modifier -50 May 1, 2013 · May 1, 2013 Billing for Fracture Care: Emergency Department vs. Jul 13, 2023 · The CPT codes in dispute are related to surgery services and are described as follows: CPT 13132 - Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2. 28 TAC §134. Technical term: Static short arm splint. Oct 1, 2024 · CPT copyright 2024 American Medical Association. CPT Code 29010 CPT 29010 describes the application of a Risser jacket, localizer, and body. Sep 26, 2023 · Learn the definition, use cases, and modifiers of CPT code 29125, which refers to the application of a short arm splint from the forearm to the hand. Is a short arm splint the same as a thumb spica Feb 1, 2003 · DRG Coding Advisor: Look for nuances in these coding problem areas Note the new CPT changes Chargemasters need to be maintained on a quarterly basis, and coders should be given educational updates at least that often to keep up with the CPT coding changes and the development of new codes by the Centers for Medicare & Medicaid Services (CMS), experts advise. Which of the following is one reason for assigning a modifier to a CPT code? When assigning CPT code 25600 is used to describe the medical procedure for treating a fracture of the radius or ulna, which are the two long bones in the forearm. This was applied to the hand/wrist? Thank you CPT code 29125 is used to describe the procedure of applying a forearm splint for immobilization and support. CPT code 29125 involves applying a static short arm splint for initial treatment of forearm or wrist injuries without other procedures performed. 6 cm to 7. Jul 1, 2010 · 29125: Application of short-arm splint (forearm to hand); static Fracture care: If the splint is applied as the definitive care for a fracture, then you should use the CPT code for the fracture care; you should not code the CPT code for the splint application, as the initial splint or cast application is included in the code for fracture care. Vignettes are reviewed annually and updated when necessary. 29065 d. CPT code 29125 is used to describe the procedure of applying a forearm splint for immobilization and support. What is procedure code 29125? CPT® Code 29125 in section: Application of short arm splint (forearm to hand) What is procedure code 64721? The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). If appropriate, more than one modifier may be used with a single procedure code; however, are not applicable for every category of the CPT codes. Apr 1, 2002 · Kay Faught, CPC, of Kay Faught CPT Coding and Clinic Management in Jacksonville, Ore. 29075 b. The Current Procedural Terminology (CPT ®) code 29126 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. CPT Code 29126 Jun 11, 2014 · Can someone shed some light on what type of documentation an auditor would be looking for to support 29125 or any other splint code? Thanks Jan 31, 2017 · In lieu of billing the splint application code, you would bill CPT code 24650, “Closed treatment of radial head or neck fracture; without manipulation” if no manipulation was required, or CPT code 24655, “Closed treatment of radial head or neck fracture; with manipulation” if manipulation was required before applying the splint. How To Use CPT Code 29075 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. Optum has denied stating that it's the incorrect code. 29125 or Apr 11, 2013 · If a physician applies a wrist ready made splint and then an ace bandage to the same wrist, can 29125 and 29260 both be billed and, if so, does 29260 require modifier 51? Thank you Mar 7, 2024 · Coding: The CPT® codes for applying static splints are as follows: 29105 (Application of long arm splint (shoulder to hand)) 29125 (Application of short arm splint (forearm to hand); static) 29130 (Application of finger splint; static) CPT code 29125 is used to describe the procedure of applying a forearm splint for immobilization and support. Aug 24, 2025 · CPT Code 29125 is formally defined as "Application of short arm splint; static. Summary A short arm splint is a device used to immobilize and protect the forearm and hand to allow for healing of injuries or conditions affecting these areas. May 26, 2010 · Scenario #1 - Facility Charges: If a tech applies the splint, would you use the appropriate CPT code (i. MD Clarity offers software to help you optimize your revenue cycle management and detect underpayments for 29125 and other codes. The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). Medical Necessity Aetna considers the following orthopedic casts, braces and splints medically necessary (unless otherwise stated) for the listed indications when they are used to treat disease or injury: Orthosis (Orthopedic Brace) and/or Prosthesis Aetna considers an orthosis (orthopedic What is CPT Code 29125 CPT code 29125 is used to describe the procedure of applying a forearm splint. CPT® CODE 29125 Details CPT® 2024 American Medical Association. The American Medical Association maintains the Current Procedural Terminology (CPT) code 29125, which is a medical procedural code for the Body and Upper Extremity Application of Splints range. ” CPT® code examples: 21310 Closed treatment of nasal bone fracture without manipulation 23500 Closed treatment of clavicular fracture; without Mar 3, 2021 · Answer: The application codes you will choose from for this claim are 29125 (Application of short arm splint (forearm to hand); static) or 29126 (… dynamic). 3 days ago · CCS Clinical Classifications - Traction, splints, and other wound care Back To CCS List The following table lists codes that belong to the Traction, splints, and other wound care Clinical Classification: Apr 11, 2018 · I do the professional coding for an ER. This is the standard ulnar gutter splint CPT code used for injuries like a boxer's fracture. , 29125) for the actual application of the splint in addition the the HCPCS code for the supply and an E/M facility charge? Dec 2, 2024 · CPT Code 29125 – Rigid Splint Application (Forearm) This urgent care CPT code specifies the application of a rigid (static) splint on the lower arm, usually from the patient’s elbow to the palm. Background: In the Medicare physician fee schedule beginning in 2001, the casting supplies were removed from the practice expenses for all HCPCS codes, including the CPT codes for fracture management and for casts and splints. Definitive care is reported using CPT® codes describing, “Closed treatment of [XYZ] fracture without manipulation. CPT code 29130 is for the application of a finger splint, used to immobilize and support injured fingers during healing. 30435 b ! 29125, “Application of short arm splint (forearm to hand); static” If the key components for the Evaluation and Management (E/M) codes are met, then also report the appropriate level of E/M with modifier -25, “Significant, separately identifiable E/M service by the same physician or other qualified health care professional on the same The Current Procedural Terminology (CPT ®) code 29105 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. CPT is a registered trademark of the American Medical Association. What is the procedure code 29125? Splint Application in the Underbody and Upper Extremity, CPT 29125. CPT Code 29105 CPT 29105 describes the application of a long arm splint from the shoulder to the hand. May 15, 2014 · A patient came in with a fracture to the middle phlanx of finger. So if a patient comes in with an injury and the physician applies a splint/cast would we add the modifiers RT or LT to those codes. See forum discussions, coding alerts, and related news articles on this code. Jan 5, 2010 · Fracture coding It is my understanding that the initial splinting, casting or strapping are included with the fracture care code and should not be coded separately. " While the term "short arm splint" is broad, its application extends directly to the ulnar gutter splint when it is applied as a non-custom, static immobilization device. The CPT code set accurately describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). What is CPT Code 29125 CPT code 29125 is used to describe the procedure of applying a forearm splint. It seems as if they are asking for an additional modifier for cpt 29125[50]. How To Use CPT Code 29126 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. ” In that case, the elastic bandage (and all other splint supplies) is included in the supply code. 88305 d. The insurance carrier denied/reduced the services in dispute with denial reduction codes indicated above. Jul 1, 2018 · In lieu of billing the splint application code, you would bill CPT code 24650, “Closed treatment of radial head or neck fracture; without manipulation” if no manipulation was required, or CPT code 24655, “Closed treatment of radial head or neck fracture; with manipulation” if manipulation was required before applying the splint. The CPT code 29126 is reimbursed by Medicare, but it is essential to verify its inclusion in the Medicare Physician Fee Schedule (MPFS) to determine the specific reimbursement rate. Nov 17, 2025 · CPT® Code 29125 in section: Application of short arm splint (forearm to hand)CPT® Vignettes illustrate code use through sample patient examples. If it wasn't a contralateral shot (with supporting med nec), I'd suggested seeing Chapter 9 on the NCCI Policy manual. 88309 c. Study with Quizlet and memorize flashcards containing terms like What is the correct code for the application of a short arm cast? a. Learn the definition, code details, and billing tips for CPT Code 29125, which is used for applying a static splint to the lower arm. Where appropriate, there are also Pre- and Post-service descriptions. Ensure you're working with the most up-to-date version of CPT Code 29075 by opening it in our free code lookup tool. Thus, for settings in which CPT codes are used to pay for services which include the provision of a cast or splint, new temporary codes are being established to pay The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). CPT Code 29015 CPT 29015 describes the application of a Risser jacket, localizer, and body 3 days ago · CPT (Current Procedural Terminology) - Medical Procedure Codes The Current Procedural Terminology ® (CPT ®) code set is maintained by the American Medical Association through the CPT Editorial Panel. The CPT 29125 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. This code indicates that a healthcare provider has immobilized a patient's forearm using a splint, typically to support and protect an injured area, such as a fracture or sprain. Per cci, 29125 is bundled to 20526[50] but a modifier is allowed. CPT4 code Name of the Procedure: Application of Short Arm Splint (Forearm to Hand); Static Common name (s): Short arm splint, forearm splint. We would like to show you a description here but the site won’t allow us. CPT 29125 - Application of short arm splint (forearm to hand); static. The DWC now reviews and considers whether the requestor is entitled to reimbursement for CPT Codes 76000 and 29125. The Current Procedural Terminology (CPT ®) code 29065 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Casts. The insurance carrier denied/reduced the disputed services with denial reduction codes indicated above. It is from the elbow down to hand including two fingers. CPT Code 29125 CPT 29125 describes the application of a static short arm splint from the forearm to the hand. Feb 2, 2025 · Do all CPT codes require a modifier? Modifiers provide additional information to payers to make sure your provider gets paid correctly for services rendered. Please see the subsection guidelines "Application of Casts and Strapping" in the CPT manual. May 12, 2011 · Pt received 20526[50] & 29125[50] cpt 29125[50] is being denied because of modifier issue. CPT code 29075 is for the application of a forearm cast, used to immobilize and support a fractured or injured forearm. For example 29105/RT. Should I be using CPT 29125 with the -Q code for material? Below is HCPCS Code for Cast supplies, short arm splint, adult (11 years +), fiberglass Q4022 HCPCS code Q4022 for Cast supplies, short arm splint, adult (11 years +), fiberglass as maintained by CMS falls under Cast and Splint Supplies . Which method is correct? Answer: The coder is correct in this case. CPT code 29105 is used to describe the procedure of applying a long arm splint for immobilization in healthcare settings. Below is a list summarizing the CPT codes for body and upper extremity application of casts. May 24, 2017 · Good afternoon, I was wondering if any of you know the correct HCPCS code for a Velcro wrist splint of-the-shelf. Apr 14, 2008 · I looked up this code in Ortho Coding Companion and it states "According to CPT guidelines, cast application or strapping (including removal) is only reported as a replacement procedure or when the cast application or strapping is an initial service performed without a restorative treatment or procedure. Policy Scope of Policy This Clinical Policy Bulletin addresses orthopedic casts, braces, and splints. , informed us that 29000-29590 "never include the supplies. The Current Procedural Terminology (CPT ®) code 29075 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Casts. If I am billing the 90 day global fracture care code of 25605 (Closed treatment distal radius fx and ulna when performed with manipulation), Can I charge for splint and/or cast applications (ex. It is usually applied to limit movement for healing or to prevent further complications before the fracture treatment surgery. All rights reserved. 29125, What is the correct CPT® code for level IV surgical pathology? a. 29280 c. This is in the Surgery/Musculoskeletal section. 300-400 new Jan 1, 2015 · A nasal fracture is treated by ice packing and pain medication, and so on. Does the CPT code 29125 cover the The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). Aug 24, 2025 · Frequently Asked Questions About Ulnar Gutter Splint CPT Codes What is the primary CPT code for an ulnar gutter splint in 2024? The most appropriate code for this procedure is CPT 29125, which describes the application of a short arm splint for static immobilization. CPT code 29125 specifically represents the application of a static short arm splint that extends from the forearm to the hand. Dec 1, 1999 · The strapping codes are rarely used in cases such as a finger sprain, says Dari Bonner, CPC, CPC-H, CCS-P, the president of Xact Coding & Reimbursement and a corporate compliance coding/reimbursement specialist for a large health system in Florida. Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Nov 18, 2021 · This article is a revised reminder to DMEPOS suppliers about the correct coding of finger, hand, hand-finger, and wrist-hand-finger braces. Specifically, we believe that CPT code 76018 shares resource and clinical similarities to the service described by CPT code 29125 (Application of short arm splint (forearm to hand); static). Refer to NCCI and OPPS requirements prior to billing Medicare. Jan 1, 2015 · In both cases, you would also assign CPT code 29125, “Application of short arm splint (forearm to hand); static” because the codes for application and strapping are not age-dependent. e. What modifier might this be? Any suggestions? Jan 18, 2018 · The nurses are adding splint application codes to the encounter forms, such as 29125 and 29515, but the coder only wants to report the HCPCS supply code. The application of the splint is crucial for proper healing and stabilization of the affected limb. For services requiring a referring/ordering physician, the name The CPT code 29125 is reimbursed by Medicare, but it is essential to verify its specific reimbursement status through the Medicare Physician Fee Schedule (MPFS). CPT® RVU calculator provides a quick analysis of the work relative value units associated with a certain volume of CPT or HCPCS codes. Review description and fee schedules for CPT Code 29125, intended for Surgery, and compare rates across different payers. hmlol yzqi fht ztcvka blp qqe xzjzmk cez bfy erumbb tuv yenxxg gza mgnuh uanlx