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Documenting cast and splint procedures

  1. Default Documenting cast and splint procedures
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    Are there any guidelines or rules on a physician's documenting cast and splint procedures? Just want to know if they have to explain the procedure or if they can just state they put a long/short cast on patient during an office visit.

    Last edited by JRPayne; 07-01-2011 at 02:28 PM.

  2. #2
    It is my understanding that application of cast/splint falls under the surgical section of the CPT book and therefore should have an operative report/procedure report just like any other surgical procedure.

    I dont believe they are required to dictate "separate" page, but should still have a "procedure report" within the E/M or post op note.

  3. Default
    Thank you. I thought they should in order to pick the correct CPT code.

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