Cpt 5th Radial Gutter Splint

Correct coding for casts splints and strapping.

Cpt 5th radial gutter splint.

Wrist in functional position flex 90 degrees at 4th 5th mcp. Correctly coding casts splints and strapping can be confusing. Much of the confusion is related to what type of materials are classified as casts splints or strapping. Radial gutter splint common uses.

Without manipulation if no manipulation was required or cpt code 24655 closed treatment of radial head or neck fracture. This splint is the equivalent of the ulnar gutter splint except that is placed along the radial aspect of the wrist and sandwiches the 2nd and 3rd fingers. The hcpcs codes used for reporting off the shelf braces also called prefabricated. With manipulation if manipulation was required before applying the splint.

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. Nelson ccs ccs p and christina benjamin ma rhia ccs ccs p. Cpt 29125 vs 29130 4 5 splinting material 3 4 wrap indications. Trick of the trade.

Radial gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx l include the 4th and 5th digits application l hand in position of function l. Ulnar gutter splints are used for fractures and severe sprains to the fourth and fifth metacarpals and phalanges ring and pinky fingers. Whether the cpt application codes or the hcpcs level ii codes should be. Radial gutter or buddy taping 4th or 5th proximal or middle phalanx fracture ulnar gutter or buddy taping acceptable if the injury is a non displaced fracture through the phalangeal shaft.

This splint however unnecessarily immobilizes the 4th and 5th fingers. Examples include sugar tong splints and thumb spica splints among others. It makes gripping things with your hand difficult. This splint gets its name because.

In lieu of billing the splint application code you would bill cpt code 24650 closed treatment of radial head or neck fracture.