• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Casting Supplies-The physician states


Best answers
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!


True Blue
Hartford, CT
Best answers
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.