If the "nurse" who applies the splint or cast happens to be a nurse practitioner, or physicians assistant, and has training in the application of splints etc and if the MD is present and available in the office where this is taking place, and of course has ordered the procedure, then its billable IF it meets the guidelines in the CPT for application of casts splints or strapping. That note will tell you the only cases in which casts splints or strapping can be separately billable is when its the initial treatment of a fracture or dislocation and not followed by any restorative or definitive treatment, OR if its within or past the global for fracture care, and the initial cast or splint or strapping has lost its ability to support, that is, broken, too loose, or the patient took it off. But of course, there are other reasons why a cast or splint or strapping might be done. It could be the patient has had bone removed and the leg is weak and needs support, or you could have a patient with a bad sprain of an ankle. Is this helpful? I used to code for an orthopedic surgeon.
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