How To Use CPT Code 29105

CPT 29105 describes the application of a long arm splint 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 29105?

CPT 29105 involves the application of a long arm splint to immobilize an injured arm or stabilize a fracture prior to surgical repair. The splint is applied from the shoulder to the hand, providing support and reducing pain during the healing process.

2. Official Description

The official description of CPT code 29105 is: ‘Application of long arm splint (shoulder to hand).’ This code represents the procedure of applying a splint to the upper and lower arm for immobilization or stabilization purposes.

3. Procedure

1. The provider positions the patient’s arm with the elbow flexed at a 90-degree angle and the wrist slightly extended, which is considered a neutral position for the arm and wrist.
2. Using a rigid or flexible splint, the provider applies the splint to the upper and lower arm, ensuring a proper fit.
3. The provider adjusts the straps of the splint to secure it in place and provide adequate support.

4. Qualifying circumstances

CPT 29105 is typically used when there is a need to immobilize an injured arm or stabilize a fracture prior to surgical repair. It is important to note that the application of a splint may be included in the primary code for an associated surgical procedure. Replacement of the splint at a later date may be included in the global period of the surgical procedure or reported separately, depending on payer guidelines.

5. When to use CPT code 29105

CPT code 29105 should be used when the provider applies a long arm splint from the shoulder to the hand. It is important to review payer guidelines to determine if this code should be reported as an initial service or as a replacement service. If an evaluation and management (E/M) service is also provided on the same day, modifier 25 should be applied to indicate a separately identifiable E/M service.

6. Documentation requirements

To support a claim for CPT 29105, the provider should document the following information:

• Patient’s condition necessitating the application of the long arm splint
• Details of the splint used, including whether it is rigid or flexible
• Date of service and start and end time of the procedure
• Any additional services provided, such as an E/M service, if applicable
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 29105, it is important to ensure that the procedure is performed by a qualified provider. Review payer guidelines to determine if the application of the splint should be reported as an initial service or as a replacement service. If an E/M service is also provided on the same day, modifier 25 should be applied. It is recommended to check with the payer for specific billing requirements and to confirm if any additional codes should be reported along with CPT 29105.

8. Historical information

CPT 29105 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with a fractured arm receives the application of a long arm splint from the shoulder to the hand to immobilize the fracture and reduce pain during the healing process.
2. Following a surgical repair of a wrist fracture, the provider applies a long arm splint to provide stabilization and support during the recovery period.
3. An individual with a dislocated elbow undergoes the application of a long arm splint to immobilize the joint and facilitate proper healing.
4. After a severe sprain of the shoulder, the patient receives the application of a long arm splint to restrict movement and promote healing.
5. Following a complex fracture of the upper arm, the provider applies a long arm splint to provide stability and support while awaiting surgical intervention.
6. A patient with a severe soft tissue injury to the forearm receives the application of a long arm splint to immobilize the area and facilitate healing.
7. After a surgical repair of a humerus fracture, the provider applies a long arm splint to provide additional support during the initial recovery period.
8. An individual with a severe wrist sprain undergoes the application of a long arm splint to restrict movement and promote healing.
9. Following a dislocated shoulder, the patient receives the application of a long arm splint to immobilize the joint and prevent further injury.
10. A patient with a complex fracture of the hand receives the application of a long arm splint to provide stability and support while awaiting surgical intervention.