CPT Code 29058 | Description & Clinical Information

CPT 29058 describes the application of a plaster Velpeau cast to immobilize the upper forearm and shoulder, holding a flexed forearm against the patient’s trunk and preventing movement in all joints, for the treatment of a fracture of the humerus, scapula, clavicle, or following the reduction of a dislocated glenohumeral, sternoclavicular, or acromioclavicular joint.

Official Description

The CPT book defines CPT code 29058 as: “Application, cast; plaster Velpeau”.

Clinical Information

The procedure described by CPT code 29058 is used to immobilize an injured shoulder or upper arm. This type of injury can occur from a fall or impact that causes a fracture or dislocation of the joint. It is crucial to immobilize the area to allow proper healing and to prevent further damage.

During the procedure, the provider will first position the patient’s arm across their chest. To protect the skin from irritation or pressure, padding is placed in the axilla, and if the patient is female, beneath the breasts. The provider will then wrap several layers of gauze or padding from beneath the axilla of the uninjured extremity, up over the injured shoulder, down in front of that shoulder’s arm, and beneath the elbow.

After securing the wrap under the axilla of the injured extremity, she completes the wrap with a transverse turn to provide firm support to the entire area. Finally, plaster of Paris is applied over the padding and gauze to keep the wrap in place and allow for proper healing.

Once the cast is applied, it needs to dry and set properly. The provider will then reassess the fit and trim the cast if necessary to ensure the patient’s comfort and mobility. It is essential to follow the provider’s instructions regarding care and mobility during the healing process.

This procedure is essential in treating upper arm and shoulder injuries and allows the patient a chance for proper recovery. Immobilization of the affected area reduces discomfort and prevents further harm. In some cases, additional treatment may be necessary, such as physical therapy to regain strength and mobility.

If you experience an injury to your upper arm or shoulder, seek medical attention promptly. Following the provider’s recommendations is key to a successful outcome and a speedy recovery. With proper treatment and care, most patients can resume their normal activities.

Return to all the CPT codes for body and upper extremity application of casts.