Primary Care Coding Alert

Splint Placement: 3 Codes Are Possible Question: I placed a finger splint on a patient who I then referred to an orthopod for treatment. Do I code the splint? Answer: Yes, you should report applying the splint with casting/strapping code 29130 (Application of finger splint; static) (1.01 relative value units). When a physician provides only initial stabilization of a fracture, CPT's casting/strapping notes instruct you to use one of these codes, as well as the E/M if appropriate, and the supply. For the injury evaluation, you may also code an E/M service (such as 99201-99215, Office or other outpatient visit . Some insurers may separately pay for the splint with HCPCS level II supply code Q4049 (Finger splint, static) or the generic supply code 99070 (Supplies and materials [except spectacles], provided by the physician over and above those usually included with the office visit or other services rendered [list drugs, trays, supplies, or materials provided]). The orthopod who provides fracture care, which includes treating the fracture and postoperative care, would use the fracture care code.