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inpatient series casting

  1. Red face inpatient series casting
    Medical Coding Books
    Does anyone know the best way to code for series casting by PT for inpatient?

  2. Default
    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. Default
    Thank you LM, this is helpful!

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