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#1
08-16-2012, 09:03 AM
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Casting Supplies
Can A4590 be billed with Q4020?
The physician states that he put the patient in a long arm cast using 2" fiberglass material. Thank you for your help! 
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#2
08-16-2012, 09:37 AM
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No, you cannot use both code, you can use one or the other depending on what the insurance company will accept. Both are for casting supplies, the Q codes describe the material and also whether the cast is for a child (10 and under) or and adult (over 10). There are also different Q codes for splints and casts. The code you have above is for a long arm splint, fiberglass, child 10 and under. The code for a long arm cast, fiberglass, child 10 and under is Q4008. These codes are more specific than A4590 which only states "special casting material (ie fiberglass).
Hope this helps you.
__________________
Doreen Clark, CPC, CPMA Medical Auditing Specialist Integrated Physicians Management Services East Harftord. Ct
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#3
08-16-2012, 10:10 AM
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That is very helpful information! Thank you so much Doreen!
Samantha Nigh, CPC-A
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