Wiki Applying Cast for the second time???????

[CMW]

Patient was seen by a Physician in our office he placed a cast 2-weeks ago then we removed it. Patient had X-ray (not in our office) which revealed he needs the cast back on. So pt is back in our office to have the cast reapplied.

Can I bill this out?

I was thinking 29085 mod 76-Guantlet short arm
Q4014-Cast supplies

Any advice would be great..Thanks in advance!!!

 

[Laxwido]

29085 has no global days, so I'm not sure why you would apply a -76 modifier to it..?.. Was the first casting done as part of a fracture care code, ex 25600? If you've created a global period with a fracture care code, then you would use -58 for staged/planned procedure. If you only billed 29085 at the first visit, then you didn't create a global period, so you should be fine with just the 29085, no 58 or 76.

 

[CMW]

Thank you so much for your help and explanation. No fracture code was billed so will continue with no modifier!!

Thank you again for explaining it!

 

[Amy Pritchett]

I agree. The 29085 with no modifier is the way to go. Just being curious, what ICD-9-CM code did you apply for the visit?
Thanks