Monday, August 27, 2012

STRAPPING CPT Codes



STRAPPING CPT Codes:




UPPER EXTREMITY STRAPPING


    Strapping Description                                       Examples

Thorax                                                                       Rib belt

Low back                                                                 

Shoulder                                                                   Shoulder adduction pillow
                                                                                    Humeral fracture brace
                                                                                    Sling & Swath- 
                                                                                    -(shoulder immobilization)    
                                                                                    Shoulder immobilizer
                                                                                    Figure 8 splint
                                                                                    Clavicle strap
                                                                                    Collar & cuff
                                                                                    Sling & arm strap
                                                                                    Elastic shoulder immobilizer

Elbow or Wrist                                                       Tennis elbow air pillow band
                                                                                    Tennis elbow brace
                                                                                    Ottenburg elbow splint

Hand or Finger


LOWER EXTREMITY STRAPPING


    Strapping Description                                                   Examples

Hip

Knee

Ankle

Toes

Unna Boot                                                                 Compression device (strapping)
                                                                                    Zinc wrap or dressing—use of zinc
                                                                                    instead of calamine as in the Unna


Denis-Browne splint strapping                            Probably no longer used



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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