Cpt Code 29125The splints and cast Q codes are considered Level II codes and to be used when supplies are indicated for cast and splint purposes. Seeing related codes helps coders choose the correct code, improving their accuracy rate. 29700 Removal or bivalving; gauntlet, boot or body cast 29705 Removal or bivalving; full arm or full leg cast 29710 Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. The coder is correct in this case. Hand Surgery CPT Codes, sorted by number. CPT CODES Cast Application: 29085, 29015,29086, 29020,29305, 29025,29325, 29035,29345, 29040,29355, 29044,29358, 29046,29365, 29049,29405, 29055,29425, 29058,29435, 29065,29440, 29075, Splint Application: 29105, 29125, 29126, 29130, 29131, 29505, 29515 Strapping Applications:. Other codes are considered by Medicare to be appropriate telehealth services. CPT code The Current Procedural Terminology (CPT ®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. Current Procedural Terminology (CPT) manuals suggest that the provider who performs "restorative" treatment is "responsible for the initial cast, follow-up evaluation (s) and the management of the fracture until healed" should use the procedure code which supports the code. The splint application CPT codes are used when a physician or provider such as a PT or OT creates a splint from “raw materials”,. Also, when should a cast application be coded separately?. Per cci, 29125 is bundled to 20526 [50] but a modifier is allowed. 29125 - CPT® Code in category: Application of short arm splint (forearm to hand) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Limitations on using one or more of these codes may be established by state regulation and/or payer policy. Codes for cast removals should be employed only for casts applied by another physician. Best answers 0 Jun 16, 2014 #2 An auditor would request that the provider have some form of documentation including the closed fracture care was. ) Those services may be paid at the same rate as in-person services; providers should review payment policies and fee schedules of commercial and federal payers before billing for telehealth services. CPT code The Current Procedural Terminology (CPT ®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. Due to the Affordable Care Act (ACA), when physicians order certain evidence-based preventive services for patients, the insurance company may cover the cost of the service, with the patient having no cost-sharing responsibility (zero-dollar). New prolonged services codes have been introduced (99417 and G2212). CPT CODES Cast Application: 29085, 29015,29086, 29020,29305, 29025,29325, 29035,29345, 29040,29355, 29044,29358, 29046,29365, 29049,29405, 29055,29425, 29058,29435, 29065,29440, 29075, Splint Application: 29105, 29125, 29126, 29130, 29131, 29505, 29515 Strapping Applications:. All codes are also subject to federal HIPAA rules, and in the case of medical code sets (HCPCS. Subscribe to Codify by AAPC and get the code details in. 29105 Application of long arm splint (shoulder to hand) 29125 Application of short arm splint (forearm to hand); static 29126 Application of short arm splint (forearm to hand); dynamic 29130 Application of finger splint; static 29131 Application of finger splint; dynamic Strapping - Any Age (29200-29280). The payment is in addition to the payment made under the physician fee schedule for the procedure for applying the splint or cast. CPT allows separate coding and charging of any follow-up care related to the condition and devices used, including application of casts, splints, or strapping if definitive treatment has already been performed. Four Stages of Process Comment Period - Comment Period is a Minimum of 45 Days - Noridian considers all comments from the public, and the medical community. Since you are not providing restorative care and have referred the patient on, you can bill both for both the supplies used to make the splint as well as the application, using the following codes: Q4024, "Cast supplies, short arm splint, pediatric (0-10 years), fiberglass" 29125, "Application of short arm splint (forearm to hand); static". Physicians and NPPs must use CPT code 99211 to bill for a COVID-19 symptom and exposure assessment and specimen collection provided by clinical staff (such as pharmacists) incident to the physician’s or NPP’s services. Below are the 20 top CPT codes recorded within WebPT between September 2022 and February 2023: 97110. Since you are not providing restorative care and have referred the patient on, you can bill both for both the supplies used to make the splint as well as the application, using the following codes: Q4024, “Cast supplies, short arm splint, pediatric (0-10 years), fiberglass” 29125, “Application of short arm splint (forearm to hand); static”. So if a patient comes to the ED with an injury to her finger. The E&M and splint application are reported on the first visit, then any follow-up visits are reported separately. 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. Application of finger splint (CPT code 29130 and 29131). The practitioner should r eport the CPT code for closed treatment of the fracture only, because cast application is. 29125 - CPT® Code in category: Application of short arm splint (forearm to hand) CPT Code information is available to subscribers and includes the CPT code. The splint application CPT codes are used when a physician or provider such as a PT or OT creates a splint from “raw materials”, such as plaster, fiberglass, padding, and ace bandages. Therapeutic procedure (s), group (2 or more individuals), untimed. 29125 - CPT® Code in category: Application of short arm splint (forearm to hand) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Subscribe to Codify by AAPC and get the code details in a flash. What is CPT code Q4010? HCPCS code Q4010 for Cast supplies, short arm cast, adult (11 years +), fiberglass as maintained by CMS falls under Cast and Splint Supplies. Examples include sugar tong splints and thumb spica splints, among others. Using CPT Modifiers for ED Procedures - Elite Learning Healthcare Alaska Massachusetts US Virgin Islands Certified Nursing Assistant Alabama Alaska Arizona California Colorado Connecticut Florida Georgia Idaho Louisiana Massachusetts New Mexico North Carolina North Dakota South Carolina South Dakota Tennessee Virginia West Virginia Wisconsin. 2023 Frequently Used CPT® Codes for Occupational Therapy. Files related to Application of short arm splint (forearm to hand); static (29125) Find Window. reduction with manipulation is performed and a cast applied. Application of short arm splint (CPT code 29125 and 29126) May be indicated for the forearm, wrist and/or hand in the treatment of fractures, dislocations, sprain/strains, tendonitis, post-op reconstruction, treatment of spasticity, contractures or other deformities involving soft tissue. Revision History Number/Explanation. 29105, 29125, 29126, 29130, 29131, 29505, 29515. The general guidance for this code is that it is used for application of non-moveable, short arm splint (forearm to hand). 1) 99282-25, 2) 29125 S slarimore New Messages 6 Location Harrisonville Best answers 0 Aug 10, 2010 #5 I am so confused on this subject. ” 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. 01/01/2012 CPT code updates added new codes 26341 and 20527. Any two CPT codes requiring either constant attendance or direct one-on-one patient contact - as described in (a) or (b) above - (CPT codes 97032-97763), for example, any. ” 2023 CPT Professional Edition, page 123. Electrical Stimulation Therapy (CPT ® code 97032) CPT ® code 97032 requires "visual, verbal and/or manual contact" (i. CPT codes 97597 and 97598: coverage criteria have been moved to the LCD for Debridement Services (L33614), effective 04/01/2016. Files related to Application of short arm splint (forearm to hand); static (29125) Find Window. 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 physicians and other practitioners for the supplies used in creating casts. CPT codes reported for this date of service: 25607—Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation; 29125-XE—Application of short arm split; static Rationale: An NCCI PTP edit exists between CPT codes 25607 and 29125 requiring either the modifier 59 or the XE. The Current Procedural Terminology (CPT®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range – Body and Upper Extremity Application of Splints. Blue Cross has developed reimbursement policies to provide ready access to coding and reimbursement information, subject to all terms of the Provider Service Agreement as well as changes, updates and other requirements of coding rules and guidelines. , keyword or CPT/HCPCS code) on this page or the CMS MCD does not yield a result, use the Social Security Act, CMS Medicare Benefit Policy Manual (Pub. Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (15 minutes) 97140. 29700 Removal or bivalving; gauntlet, boot or body cast. Use CPT code 26341 for Manipulation, palmar fascial cord (i. Application of short arm splint (CPT code 29125 and 29126) May be indicated for the forearm, wrist and/or hand in the treatment of fractures, dislocations, sprain/strains, tendonitis, post-op reconstruction, treatment of spasticity, contractures or other deformities involving soft tissue. Application of finger splint (CPT code 29130 and 29131). To assist physicians and practitioners to select the correct code for the casting, splinting and splinting supplies, the following crosswalk provides guidance on which. If the cast was applied The practitioner should r eport the CPT code for closed treatment of the fracture only, because cast application is integral to any definitive fracture treatment. 2021 Revised E/M Coding Guidelines: 99202-99215 In an effort to reduce burden and improve payment forcognitive care, the American Medical Association alongwith the Centers for Medicare and Medicaid Services(CMS) have implemented key changes to office andoutpatient evaluation and management (E/M) services. Use G2212 for Medicare beneficiaries. Then the splint CPT code can be appended to that, with a 25 modifier appended to the E/M. If only one follow-up visit was necessary, the total wRVUs would be 2. An MUE for a Healthcare Common Procedure Coding System (HCPCS) / Current Procedural Terminology (CPT) code is the maximum units of service that a provider would report under most circumstances for a single beneficiary on a single date of service. The -54 modifier should be appended to the appropriate fracture and/or dislocation management code with or without manipulation to communicate when the emergency physician provides initial care only. , connective tissue massage, joint mobilization and manipulation, and manual. CPT allows separate coding and charging of any follow-up care related to the condition and devices used, including application of casts, splints, or strapping if definitive treatment. Splint Application in the Underbody and Upper Extremity, CPT 29125. Since you are not providing restorative care and have referred the patient on, you can bill both for both the supplies used to make the splint and the application, using the following codes: Q4024, “Cast supplies, short arm splint, pediatric (0-10 years), fiberglass” 29125, “Application of short arm splint (forearm to hand); static”. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in. The physician may need to indicate that the performance of a procedure or service during the postoperative period was: a) planned prospectively at the time of the original procedure (staged); b) more extensive than the original procedure; or c) for the therapy following a diagnostic surgical procedure. CPT codes reported for this date of service: 25607—Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation; 29125-XE—Application of short arm split; static Rationale: An NCCI PTP edit exists between CPT codes 25607 and 29125 requiring either the modifier 59 or the XE. 01/01/2011 CPT code update added code J0775, deleted codes C9266 and J3590. cpt 29125 [50] is being denied because of modifier issue. Be aware that a large range of "L" codes do include "fitting" in the descriptor Coding Information Bill Type Codes. 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. 42) and 29125 (0. How do you measure a Sully shoulder brace?. The base maximum allowable rate for any ASC surgical procedure is 200% of the maximum allowable rate for physician’s professional charge as determined from RVU and conversion factor values associated with each CPT/HCPCS code, and from GPCI values associated with site of service. Hand Surgery CPT Codes,. , dupuytren's cord), post enzyme injection (e. Does CPT code 29125 need a modifier? cpt 29125[50] is being denied because of modifier issue. CPT codes 97597 and 97598: coverage criteria have been moved to the LCD for Debridement Services (L33614), effective 04/01/2016. If your search (e. Then the splint CPT code can be appended to that, with a 25 modifier. The CPT codes: 29105, 29125, 29126, 29130, 29131, 97760, 97799 are not appropriate to bill in addition to a splint code that has a "fitting" included in the descriptor. Non-Covered ICD-10 Codes. An operative report is required and must be available upon request. Splint Application in the Underbody and Upper Extremity, CPT 29125. Below are the 20 top CPT codes recorded within WebPT between September 2022 and February 2023: 97110. 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 physicians and other practitioners for the supplies used in creating casts. 29125 CPT ® 29105, Under Body and Upper Extremity Application of Splints 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. , connective tissue massage, joint mobilization and manipulation, and manual traction) (15 minutes) 97112. Re-evaluation of physical therapy established plan of care. cpt 29125 [50] is being denied because of modifier issue. Other codes are considered by Medicare to be appropriate telehealth services. Always review state rules and the official CPT® book, and request information from specific insurers concerning codes, time frames, and payment policy. 29125 CPT ® 29105, Under Body and Upper Extremity Application of Splints 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. The 29000 to 29590 CPT codes that apply to casting and strapping may be used by an occupational and physical therapist when the service provided is under a therapy plan of care (POC) and the service is appropriately delivered. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. 2021 Revised E/M Coding Guidelines: 99202-99215 In an effort to reduce burden and improve payment forcognitive care, the American Medical Association alongwith the Centers for Medicare and Medicaid Services(CMS) have implemented key changes to office andoutpatient evaluation and management (E/M) services. Type in text to find: Dressing, Cast, Splint, Strapping. Application of modality to one or more areas; traction, mechanical. The orthopedist reviewed the x-rays from the emergency room and agreed with emergency room physician that the distal radius was fractured. The nurse's work is captured in those codes. The splint application CPT codes are used when a physician or provider such as a PT or OT creates a splint from "raw materials", such as plaster, fiberglass, padding, and ace bandages. 29125 Application of short arm splint (forearm to hand); static 29126 Application of short arm splint (forearm to hand); dynamic 29130 Application of finger splint; static 29131 Application of finger splint; dynamic Strapping - Any Age (29200-29280) 29200 Strapping; thorax 29220 Strapping; low back 29240 Strapping; shoulder (eg, Velpeau). Surgery CPT Codes 29581: APPLY MULTLAY COMPRS LWR LEG: 29125: APPLY FOREARM SPLINT: 29515: APPLICATION LOWER LEG. Application of short arm splint (CPT code 29125 and 29126) May be indicated for the forearm, wrist and/or hand in the treatment of fractures, dislocations, sprain/strains, tendonitis, post-op reconstruction, treatment of spasticity, contractures or other deformities involving soft tissue. The splint care (29125 Application of short arm splint (forearm to hand); static) is reported by the ED physician; the fracture care is reported by the orthopaedic physician. The Current Procedural Terminology (CPT ®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. The splints and cast Q codes are considered Level II codes and to be used when supplies are indicated for cast and splint purposes. The “Service or Procedure” column lists services according to the categories in the HCPCS and CPT® code books. Can we bill both the S9088 and 99051 on the same visit for our urgent care visits? A. Electrical stimulation (manual), each 15 minutes. 29715 Removal or bivalving; turnbuckle jacket. , collagenase), single cord and CPT 29130 for the splint application. Application of short arm splint (CPT code 29125 and 29126) May be indicated for the forearm, wrist and/or hand in the treatment of fractures, dislocations, sprain/strains, tendonitis, post-op reconstruction, treatment of spasticity, contractures or other deformities involving soft tissue. The Current Procedural Terminology (CPT ®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. 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. 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. Below you will find cost information associated with this procedure based upon the a set of publicly available data which details all doctors who. Application of short arm splint (CPT code 29125 and 29126) May be indicated for the forearm, wrist and/or hand in the treatment of fractures, dislocations, sprain/strains,. The general guidance for this code is that it is used for application of non-moveable, short arm splint (forearm to hand). 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC 29126 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC. 29125 Application of short arm splint (forearm to hand); static 29126 Application of short arm splint (forearm to hand); dynamic Codes for cast removals should be employed only for casts applied by another physician. HCPCS/CPT code descriptors, HCPCS/CPT code 15271 is bundled into HCPCS/CPT code 37760. Four Stages of Process Comment Period - Comment Period is a Minimum of 45 Days - Noridian considers all comments from the public, and the medical community. 10/01/2010 article published added coding instruction for. Any ICD-10 code not listed in the ICD-10-CM Codes that Support Medical Necessity section of this billing and coding article may be subject to medical review. The “Service or Procedure” column lists services according to the categories in the HCPCS and CPT® code books. Splint Application in the Underbody and Upper Extremity, CPT 29125. Not all HCPCS/CPT codes have an MUE. CPT code 99051, “Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service” is another code. Aged 50 to 85 years Asymptomatic At average risk of developing colorectal cancerFor screening colonoscopies, fecal occult blood tests(FOBTs), flexible sigmoidoscopies, and barium enemas: All Medicare beneficiaries who fall into at least one of the following categories: Aged 50 and older who are at normal risk of developing colorectal cancer. 100-02), Code of Federal Regulations and/or other CMS/CGS resources to determine coverage guidance. CPT allows separate coding and charging of any follow-up care related to the condition and devices used, including application of casts, splints, or strapping if definitive treatment has already been performed. CPT code information is copyright by the AMA. CPT Codes 20000-29999: Top Surgical Procedures. Since you are not providing restorative care and have referred the patient on, you can bill both for both the supplies used to make the splint as well as the application, using the following codes: Q4024, “Cast supplies, short arm splint, pediatric (0-10 years), fiberglass” 29125, “Application of short arm splint (forearm to hand); static”. For the typical new patient, we would expect 99203 (1. The 29000 to 29590 CPT codes that apply to casting and strapping may be used by an occupational and physical therapist when the service provided is under a therapy plan of care (POC) and the service is appropriately delivered. The splint care (29125 Application of short arm splint (forearm to hand); static) is reported by. The ED physician applies the splint and advises the patient to follow up with an orthopaedist immediately. What modifier might this be? Any suggestions? P PLAIDMAN True Blue Messages 520 Best answers 0 May 12, 2011 #2. The comment period begins when the policy is distributed to medical providers, and organizations. 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. It seems as if they are asking for an additional modifier for cpt 29125 [50]. Due to the Affordable Care Act (ACA), when physicians order certain evidence-based preventive services for patients, the insurance company may cover the cost of the service, with the patient having no cost-sharing responsibility (zero-dollar). Per cci, 29125 is bundled to 20526[50] but a modifier is allowed. The facility should be billing the E/M for the physician as an MDM is required if this is ER billing. CPT code 15002/15005 are only appropriately used in place of service inpatient hospital, outpatient hospital or ambulatory surgical center with regional or general anesthesia to resurface an area damaged by burns, traumatic injury or surgery. The general guidance for this code is that it is used for application of non-moveable, short arm splint. Request a Demo 14 Day Free Trial Buy Now Additional/Related Information Lay Term. Aged 50 to 85 years Asymptomatic At average risk of developing colorectal cancerFor screening colonoscopies, fecal occult blood tests(FOBTs), flexible sigmoidoscopies, and. 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC 29126 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC. 29105 Application of long arm splint (shoulder to hand) 29125 Application of short arm splint (forearm to hand); static 29126 Application of short arm splint (forearm to hand); dynamic 29130 Application of finger splint; static 29131 Application of finger splint; dynamic Strapping - Any Age (29200-29280). Coding and Billing Orthotics Select the CPT® code that represents the occupational therapy services you're providing. It seems as if they are asking for an. What is procedure code 29125? The American Medical Association (AMA) stated in CPT Assistant (May 09:8) that “splint application requires creation of the splint. CPT allows separate coding and charging of any follow-up care related to the condition and devices used, including application of casts, splints, or strapping if definitive treatment has already been performed. The CPT Code 29125 is the code used for Surgery / musculoskeletal system. The CPT Code 29125 is the code used for Surgery / musculoskeletal system. Prolonged Evaluation and Management Services (99417, G2212, 99358, 99359, 99354, 99555, 99415, 99416) CPT® codes 99417 and G2212 were created to describe a 15-minute prolonged service with or without direct patient contact. Current Procedural Terminology (CPT) manuals suggest that the provider who performs "restorative" treatment is "responsible for the initial cast, follow-up evaluation (s) and the management of the fracture until healed" should use the procedure code which supports the code. This reimbursement policy applies to all health care services billed on UB04 forms (CMS 1450). The CPT codes: 29105, 29125, 29126, 29130, 29131, 97760, 97799 are not appropriate to bill in addition to a splint code that has a "fitting" included in the descriptor. Per cci, 29125 is bundled to 20526 [50] but a modifier is allowed. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Required Modifiers The “Required Modifiers” column refers to services or procedures that require a split-bill modifier: 26: Professional Component TC: Technical Component 99: Multiple Modifiers. If treatment of a fracture defined above is not performed, report an evaluation and management code. The Current Procedural Terminology (CPT ®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. The same patient then returns to the same physician, who removes the cast. For example, the code descriptor for CPT code 33612 is “Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction” and the code descriptor for CPT code 33611 is “Repair. Be aware that a large range of "L" codes do include "fitting" in the descriptor Coding Information Bill Type Codes. What is procedure code 29125? The American Medical Association (AMA) stated in CPT Assistant (May 09:8) that “splint application requires creation of the splint. 29125 29126 29130 29131 On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. 29125 CPT ® 29105, Under Body and Upper Extremity Application of Splints 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. Billing for collagenase clostridium histolyticum (Xiaflex™) 01/01/2011 and after; use code J0775 Injection, collagenase, clostridium histolyticum, 0. 50) for the initial encounter and 99213 (0. Steven was able to make an appointment with the orthopedist within a few hours of being seen inthe ED for a splint to his left wrist after a fall. The Current Procedural Terminology (CPT ®) code 29125 as maintained by American Medical Association, is a medical procedural code under the range - Body and Upper Extremity Application of Splints. Physicians and NPPs must use CPT code 99211 to bill for a COVID-19 symptom and exposure assessment and specimen collection provided by clinical staff (such as pharmacists) incident to the physician’s or NPP’s services. Yes, you can bill both codes for the same visit along with the E/M code. 97 x the number of follow-ups necessary) for medically necessary follow-up visits. Does CPT code 29125 need a modifier? cpt 29125[50] is being denied because of modifier issue. Body and Upper Extremity Application of Splints 29105 29125 29126 29130 29131 On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. 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. If it wasn't a contralateral shot (with supporting med nec), I'd suggested seeing Chapter 9 on the NCCI Policy manual. Codes for cast removals should be only used for casts applied by another individual. applicable code combinations prior to billing Medicare. This applies to all patients, not just established patients. CPT® 29125, Under Body and Upper Extremity Application of Splints. Access to this feature is available in the following products:. 97760 Orthotic (s) management and training (including assessment and fitting when not otherwise reported), upper extremity (ies), lower extremity (ies) and/or trunk, initial orthotic (s) encounter, each 15 minutes. 29125-RT Application of short arm splint (forearm to hand); static (Modifier -RT indicates the right side; it is used to identify procedures performed on the right side of.