How To Use CPT Code 29065

CPT 29065 describes the application of a long arm cast from the shoulder to the hand. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 29065?

CPT 29065 is used to describe the application of a long arm cast that encases the upper and lower arm. This type of cast is typically used to treat fractures of the arm bones and correct deformities of the forearm, elbow, and humerus.

2. Official Description

The official description of CPT code 29065 is the application of a cast from the shoulder to the hand (long arm). This procedure involves the provider positioning the arm with the elbow flexed 90 degrees and the wrist slightly extended. They perform a complete neurovascular exam before applying the cast. The arm is covered with stockinette, and cotton or synthetic padding is applied to protect the skin. Wet casting material, such as plaster of Paris or fiberglass, is then applied over the padding. The cast is allowed to dry, and its fit is reassessed and trimmed if necessary.

3. Procedure

1. The provider positions the arm with the elbow flexed 90 degrees and the wrist extended slightly.
2. A complete neurovascular exam of the affected region is performed.
3. The arm is covered with stockinette.
4. Cotton or synthetic padding is applied to protect the skin.
5. Wet casting material, such as plaster of Paris or fiberglass, is applied over the padding.
6. The underlying stockinette is rolled over the openings in the cast to smooth out the edges.
7. The cast is allowed to dry.
8. The fit of the cast is reassessed, and it is trimmed if necessary.

4. Qualifying circumstances

CPT 29065 is typically used for patients with fractures of the arm bones or deformities of the forearm, elbow, and humerus. The procedure is performed by a provider who applies the cast from the shoulder to the hand. It is important to note that the application of a cast may be included in the primary code for an associated surgical procedure. Replacement of the cast at a later date may be included in the global period of the surgical procedure or may be separately reportable.

5. When to use CPT code 29065

CPT code 29065 should be used when a provider applies a long arm cast from the shoulder to the hand. It is important to consider the specific circumstances of the patient’s condition and the need for this type of cast. If the procedure is performed as an initial service without any other procedure or treatment, an applicable evaluation and management code may be reported along with CPT code 99070 for supplies and materials provided by the provider over and above those usually included with the office visit or other services rendered.

6. Documentation requirements

To support a claim for CPT code 29065, the provider must document the following information:

• Patient’s diagnosis and the need for a long arm cast
• Positioning of the arm and performance of a neurovascular exam
• Use of stockinette and padding to protect the skin
• Type of casting material used
• Assessment of the cast’s fit and any necessary trimming

7. Billing guidelines

When billing for CPT code 29065, ensure that the procedure involves the application of a long arm cast from the shoulder to the hand. It is important to check with the payer for any specific guidelines or requirements. If CPT code 29065 is reported as an initial service without any other procedure or treatment, an applicable evaluation and management code may be reported along with CPT code 99070 for supplies and materials provided by the provider over and above those usually included with the office visit or other services rendered.

8. Historical information

CPT code 29065 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2002 to specify the application of a long arm cast from the shoulder to the hand.

9. Examples

1. A provider applies a long arm cast from the shoulder to the hand for a patient with a fractured humerus.
2. A patient with a deformity of the forearm undergoes the application of a long arm cast from the shoulder to the hand.
3. A provider applies a long arm cast from the shoulder to the hand to correct a deformity of the elbow.
4. A patient with a fracture of the arm bones receives the application of a long arm cast from the shoulder to the hand.
5. A provider applies a long arm cast from the shoulder to the hand for a patient with a fracture of the forearm.
6. A long arm cast from the shoulder to the hand is applied to correct a deformity of the forearm.
7. A provider applies a long arm cast from the shoulder to the hand for a patient with a fracture of the elbow.
8. A patient with a deformity of the humerus undergoes the application of a long arm cast from the shoulder to the hand.
9. A provider applies a long arm cast from the shoulder to the hand to correct a deformity of the arm bones.
10. A patient with a fracture of the elbow receives the application of a long arm cast from the shoulder to the hand.