Monday, August 27, 2012

SPLINT CPT Codes




SPLINT CPT Codes:


SPLINT INFORMATION

Common devices used for orthopedic injuries
Please refer to the index by starting with the term Splint, Cast or Strapping and use this guide to find the appropriate I-9 and CPT code


UPPER EXTREMITY SPLINT


    Splint Description                                                           Examples

Long arm

Short arm; static                                                     SAS-short arm splint
                                                                                    SATS
                                                                                    SA2FS-short are, 2 finger splint
                                                                                    Ulnar Gutter splint
                                                                                    Sugar tong splint
                                                                                    Galveston splint
                                                                                    Elephant Ear splint-to top of the arm
                                                                                    Volar splint—this is hand to arm
                                                                                    Thumb spica splint
                                                                                    Velcro wrist splint
                                                                                   

Short arm; dynamic                                               This is a movable splint such as a
                                                                                    Cock-up,
                                                                                    Universal
                                                                                    Freedom


Finger; static          
                                                                                                Finger cap—plastic finger splint
                                                                                    Aluminum finger
                                                                                    Collum thumb brace
                                                                                    Umbrella
                                                                                    Volar finger splint, static
                                                                                    Stack splint

Finger; dynamic             

                                                    
LOWER EXTREMITY SPLINT


   Splint Description                                                                        Examples

Long leg                                                                    Hinged knee brace or sleeve
                                                                                    Post op knee splint
                                                                                    Range of motion knee brace
                                                                                    Posterior splint (see short left splint)
                                                                                    Knee immobilizer
           

Short leg                                                                   Ankle splint
                                                                                    Walker boot
                                                                                    Ankle air stirrup (cast-splint)
                                                                                    Swedo brace (plastic)  for ankle
                                                                                   Cam Walker
                                                                                   Posterior splint (applied to back of calf for ankle immobilization: code for long  or short depending on how applied)



NOTES


1.  Do not code the following devices—they are basically supplies which do not splint or immobilize the patient’s injuries:

            Buddy taping
            DAS (sling)
            Neck collars
            TED hose
            Knee sleeves
            Ace wraps
            Orthototics
            Heel pads or cups
            Boots & shoes—i.e.  Darco shoe, wedge shoe, post op shoe, hard sole shoe, cast      shoe ,  ortho shoe, pressure shoe (for ulcers)
           
2.  “Dynamic”  is a brand name, so when you see the term “Dynamic splint”, do not assume this  is dynamic as opposed to static, it is most likely the brand name.  Check to see if it is set up to move.  Even hinged devices are usually locked to provide immobilization for the current  injury.  Code to the appropriate site.
    

3.  Sometimes sling & swath is applied to immobilize another body site besides the shoulder.    Code to the appropriate site.



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