Ok, I'm getting more comfortable with orthopedics and now I am 'tackling' the casting and fracture care.

I am currently revising fee cards for our casting room and noticing several things that I don't quite understand.

Short arm cast I see is 29075, what about if the do a short arm cast with a thumb spica? I do not see a code that specifically states this and they want to add modifier 22 to the code 29075.

How do others handle this situation?