Cpt Radial Gutter Splint

Splinting technique radial gutter measure from tip of thumb to distal third of forearm. Cut out a 3 or 4 inch splint material to the length necessary to immobilize the wrist and mcp joint. Insert a dry gauze or cotton material between the 2nd and 3rd fingers.

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Cpt radial gutter splint.

Cpt is a registered. Radial gutter splints are made from the same hard material that is used for ulnar gutter splints. With the second through fifth fingers slightly flexed the nail beds of adjacent fingers should lie in the same plane. Static 29126 dynamic 29130 application of finger splint.

29105 application of long arm splint shoulder to hand 29125 application of short arm splint forearm to hand. Transfer of an orthosis from one shoe to another dennis browne splint riveton both shoes continued. Radial gutter splint cast second and third proximal middle phalangeal shaft fractures and select metacarpal fractures proper positioning of mcp joints at 70 to 90 degrees of flexion pip and dip. This applies to the following codes.

Static 29131 dynamic 29505 application of long leg splint. This type of splint is applied to the inner part thumb side of the arm and usually extends from. L3649 orthopedic shoe modification addition or transfer not otherwise specified l3650 shoulder orthosis figure of eight design abduction restrainer prefabricated off the shelf l3660. The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries.

Ulnar gutter radial gutter and thumb spica casts are specific types of casts used to provide long term immobilization for fractures and severe ligament injuries to the hand and fingers. Report a cpt code for the application of a splint regardless of whether the splint was off the shelf or prefabricated. Apply padding and splint material e g. When a metacarpal fracture is present a clinical examination for malrotation should also be performed.

Bisect the splint longitudinally from the fingertips to the wrist. Ortho glass as shown to radial aspect of forearm splint runs from radial forearm to beyond dip of index finger with thumb free wrist should be placed in slight extension approximately 20 and mcp should be flexed 70 90 degrees with the dip and pip in slight flexion 1. A radial gutter splint is often applied for uncomplicated metacarpal fractures.