Notification

Cast and Splint Applications and Associated Supplies Provided in the Office Setting


Notification Issue Date: 09/01/2017



Policy Attachment


Attachment to Policy # 00.10.15c


Attachment:A

Policy #:00.10.15c

Description:

Title:Cast and Splint Applications and Associated Supplies Provided in the Office Setting


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



Cast Application:
Codes
29010
29015
29035
29040
29044
29046
29049
29055
29058
29065
29075
29085
29086
29305
29325
29345
29355
29358
29365
29405
29425
29435
29440
29445
29450



Splint Application:
Codes
29105
29125
29126
29130
29131
29505
29515



Removal and Repair:
Codes
29700
29705
29710
29720
29730
29740
29750
29799



HCPCS Level II

Walking Aids:
Codes
E0100
E0105
E0110
E0111
E0112
E0113
E0114
E0116
E0117
E0118
E0130
E0135



Cast and Splint Supplies:
Codes
Q4001
Q4002
Q4003
Q4004
Q4005
Q4006
Q4007
Q4008
Q4009
Q4010
Q4011
Q4012
Q4013
Q4014
Q4015
Q4016
Q4017
Q4018
Q4019
Q4020
Q4021
Q4022
Q4023
Q4024
Q4025
Q4026
Q4027
Q4028
Q4029
Q4030
Q4031
Q4032
Q4033
Q4034
Q4035
Q4036
Q4037
Q4038
Q4039
Q4040
Q4041
Q4042
Q4043
Q4044
Q4045
Q4046
Q4047
Q4048
Q4049
Q4050
Q4051
S8450
S8451
S8452

Miscellaneous Supplies:
Codes
A4565

The following HCPCS codes are not eligible for reimbursement consideration.
Codes
A4570
A4580
A4590





Version Effective Date: 12/01/2017
Version Issued Date: 12/01/2017
Version Reissued Date: N/A

Connect with Us        


2017 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.