How To Use CPT Code 29046

CPT 29046 describes the application of a body cast from the shoulders to the hips, including both thighs. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 29046?

CPT 29046 can be used to describe the application of a body cast that limits motion of the trunk and spine. This procedure is typically performed after a surgical procedure to correct a congenital spinal deformity or repair damage from trauma to the spine and pelvis. The cast extends from the shoulders to the hips and down both thighs, providing stability and support to the affected area.

2. Official Description

The official description of CPT code 29046 is: ‘Application of body cast, shoulder to hips; including both thighs.’

3. Procedure

1. The healthcare provider begins by covering the trunk from the shoulders to the hips and down both thighs with cast material.
2. They start with a layer of stockinette, a loose knit fabric, to protect the skin under the cast.
3. Cotton synthetic padding is then added to provide additional cushioning and protection.
4. The provider applies wet casting material, such as plaster of Paris or fiberglass, in strips over the padding to build up the cast.
5. They roll the underlying stockinette over the openings in the cast to smooth out the edges.
6. The cast is allowed to dry, and the provider reassesses its fit, making any necessary adjustments or trimmings.

4. Qualifying circumstances

CPT 29046 is typically performed when a patient requires a body cast to limit motion and provide support after a surgical procedure to correct a congenital spinal deformity or repair damage from trauma to the spine and pelvis. The cast is applied by a healthcare provider who covers the trunk from the shoulders to the hips and down both thighs with cast material.

5. When to use CPT code 29046

CPT code 29046 should be used when a healthcare provider applies a body cast from the shoulders to the hips, including both thighs. This code is appropriate for cases where the cast is applied as a standalone procedure without any other associated surgical procedures or treatments.

6. Documentation requirements

To support a claim for CPT 29046, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for a body cast
• Date of the procedure
• Specific details of the cast application, including the materials used
• Any adjustments or trimmings made to the cast
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 29046, ensure that the procedure is performed by a qualified healthcare provider and that the cast extends from the shoulders to the hips, including both thighs. It is important to note that the application of a body cast may be included in the primary code for an associated surgical procedure. Replacement of the body cast at a later date may be included in the global period of the surgical procedure or it may be separately reportable. It is recommended to check with the payer for specific guidelines and requirements.

8. Historical information

CPT 29046 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider applies a body cast from the shoulders to the hips, including both thighs, for a patient who underwent spinal fusion surgery to correct a congenital spinal deformity.
2. After a severe car accident resulting in spinal and pelvic fractures, a healthcare provider applies a body cast to immobilize the trunk and spine, extending from the shoulders to the hips and down both thighs.
3. Following a surgical procedure to repair damage from a fall, a healthcare provider applies a body cast from the shoulders to the hips, including both thighs, to provide stability and support to the injured area.
4. For a patient with a congenital spinal condition, a healthcare provider applies a body cast that covers the trunk from the shoulders to the hips and down both thighs, helping to limit motion and promote healing.
5. After a complex spinal surgery, a healthcare provider applies a body cast from the shoulders to the hips, including both thighs, to protect the surgical site and provide postoperative support.
6. A healthcare provider applies a body cast to a patient with a spinal fracture, covering the trunk from the shoulders to the hips and down both thighs, to immobilize the affected area and aid in the healing process.
7. Following a surgical procedure to correct a pelvic fracture, a healthcare provider applies a body cast that extends from the shoulders to the hips and down both thighs, providing stability and support to the injured pelvis.
8. For a patient with a congenital spinal deformity, a healthcare provider applies a body cast from the shoulders to the hips, including both thighs, to help correct the deformity and prevent further complications.
9. After a traumatic injury to the spine and pelvis, a healthcare provider applies a body cast that covers the trunk from the shoulders to the hips and down both thighs, immobilizing the affected area and promoting healing.
10. A healthcare provider applies a body cast from the shoulders to the hips, including both thighs, for a patient who underwent spinal surgery to repair damage from a sports-related injury.