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Casting Supplies-The physician states

Samantha68516

Contributor
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10
Best answers
0
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!
 

dclark7

True Blue
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723
Location
Hartford, CT
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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.
 
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