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Thread: Total Contact Cast

  1. #1

    Default Total Contact Cast

    AAPC: Back to School
    We are billing for the application of the cast (29445) and the casting supplies
    (Q4038) but I was wondering if there is a HCPCS code to bill for the actual boot that the cast sits in. Has anyone dealt with this before?

  2. #2


    I just spoke to Derma Science, the supplier of our total contact casting. They have a Reimbursement Hotline, 800-474-9511. I called this morning because we had the same question. The answer isn't what I had hoped. I was told that the reimbursement for the boot is in the Q code. I explained that reimbursement doesn't nearly cover the cost of the $68 boot. We are going to have to review this problem.
    Their website clearly states that a physician's office codes: 29445 and Q4038

  3. #3
    Join Date
    Apr 2007
    Springfield, Mo


    Picking up a really old thread here, just in case anyone else is searching for this information. Our clinic just started applying these and I called TCCez for a hcpcs code for the boot. Here is what they told me in and email.
    ? Billing for Cast Boots:
    The boot would be coded as HCPCS code L3260 Surgical Boot. If purchased separately, and if covered by private insurance, a clinic/physician could only bill for the boot if the hospital/office is an established durable medical equipment (DME) provider. Derma Sciences does not recommend or support billing the L codes.

    Is anyone billing for the boots? If so, how is that going?

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