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Thread: inpatient series casting

  1. #1

    Red face inpatient series casting

    AAPC: Back to School
    Does anyone know the best way to code for series casting by PT for inpatient?

  2. #2


    Quote Originally Posted by clbowdi01 View Post
    Does anyone know the best way to code for series casting by PT for inpatient?
    Serial casting is a common procedure used by physiotherapists to stretch the calf muscle of the leg. Serial casting is commonly done after Botulinum Toxin injections, when the muscle is relaxed; Serial casting refers to the process of placing one or both of child’s ankles into a cast over a period of one to six weeks. The physiotherapist may ask you to remove the cast after 5 days, allowing your child to walk without a cast for a day or two, before a second cast is re-applied. Child will be provided with cast boots or
    shoes to wear over the cast to allow them to stand or walk in the casts once dry.
    Possible codes:
    Application of a short leg cast (below knee to toes) – 29405;
    If the provider applies a fiberglass short leg cast - Q4038; cast boot - L4386;
    However, Q codes are not covered for inpatient services.
    Also, recasting considered bundled usually-
    So may try billing CPT 29405 aditionally to E/M code and can append a 25 modifier perhaps.


  3. #3


    Thank you LM, this is helpful!

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