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Click here for more sample CPC practice exam questions and answers with full rationale

Splint application in the ER

I’m learning the ropes of ER coding so I apologize if this sounds like a dumb question.
From what I’ve read in the CPT book, under application of casts and strapping, it states that if casting is provided as an initial service in which no other procedure or treatment is performed by "an individual rendering the initial care only" use the casting/strapping code in additon to an e/m code as appropriate.
So if a patient comes in with a radius fracture and the nurse applies a long arm OCL splint, as the ER physician ordered – can the facility charge for the splint application or is that included in the facility code?
Thanks for all your help, this is stressing me out.

Medical Billing and Coding Forum

Splint Supply Code and E/M billing

I am trying to figure out if a HCPCS code S8451 can be billed on the professional side with an E/M in a hospital organization? The patient has Anthem and was seen in the UC and the physician applied an ankle splint for a sprain.

The physician only submitted the charge for S8451 so an E/M needs assigned and 29515 for the splint application but can S8451 be billed too? I’ve always been told that the HCPCS codes are billed on the hospital side and not the professional side. What should be billed on the professional side?

Thank you! :)

Medical Billing and Coding Forum

Splint Application – does it need Rt or LT modifer

I do the professional coding for an ER. So if a patient comes in with an injury and the physician applies a splint/cast would we add the modifiers RT or LT to those codes. For example 29105/RT. Or for the professional fee should be not add the anatomical modifiers?
Thank you

Medical Billing and Coding Forum

Alumafoam finger splint and buddy taping on the same finger

Hi,

Physician treats the left little finger with buddy taping and alumafoam finger splint during the same visit. I would use 29130 for alumafoam finger splint and 29280 for buddy taping. CCI does not restrict billing both codes in the same location. Is that correct and can 29130 and 29280 be billed together in that case?

Thank you,
Maiu

Medical Billing and Coding Forum