How To Use CPT Code 29126

CPT 29126 describes the application of a dynamic splint to the lower arm, specifically from the elbow to the palm, to improve the range of motion of a stiff joint. 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 29126?

CPT 29126 can be used to describe the application of a dynamic splint to the lower arm, specifically from the elbow to the palm. This splint is used to stretch a stiff joint and improve the range of motion after a surgical procedure or injury. It can also be used to address flexion contractures in chronic neurologic or orthopedic conditions.

2. Official Description

The official description of CPT code 29126 is the application of a short arm splint (forearm to hand) that is dynamic in nature. This means that the splint is hinged and allows for movement of the joint. The purpose of this splint is to improve the range of motion of the joint after a surgical procedure or injury.

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. The provider applies the dynamic splint to the lower arm, from the elbow to the palm, ensuring a proper fit by adjusting the straps, struts, and pads.
3. The provider checks the range of motion of the joint and makes any necessary adjustments to the tension in the dynamic splint.

4. Qualifying circumstances

CPT 29126 is typically used for patients who have a stiff joint that requires stretching and improved range of motion. This can be due to a surgical procedure, injury, or chronic neurologic or orthopedic condition. The splint is applied by a qualified healthcare provider and must be dynamic in nature, allowing for movement of the joint.

5. When to use CPT code 29126

CPT code 29126 should be used when a dynamic splint is applied to the lower arm, specifically from the elbow to the palm, to improve the range of motion of a stiff joint. It is important to ensure that the splint is hinged and allows for movement of the joint. If the splint is not dynamic, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 29126, the healthcare provider must document the following information:

• The patient’s diagnosis or reason for the application of the dynamic splint
• The specific details of the splint, including its size and any adjustments made to ensure a proper fit
• The date and time of the application of the splint
• The range of motion of the joint before and after the application of the splint
• Any additional instructions or recommendations given to the patient
• The provider’s signature

7. Billing guidelines

When billing for CPT 29126, it is important to ensure that the splint applied is dynamic in nature and allows for movement of the joint. The procedure should be documented appropriately, and any necessary supporting documentation should be included. It is also important to follow any specific billing guidelines provided by the payer.

8. Historical information

CPT 29126 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 physical therapist applies a dynamic splint to a patient’s lower arm to improve the range of motion of their elbow joint after a surgical procedure.
2. An occupational therapist applies a dynamic splint to a patient’s lower arm to address a flexion contracture caused by a chronic orthopedic condition.
3. A hand therapist applies a dynamic splint to a patient’s lower arm to improve the range of motion of their wrist joint after an injury.
4. An orthopedic surgeon applies a dynamic splint to a patient’s lower arm to stretch a stiff joint following a fracture.
5. A neurologist applies a dynamic splint to a patient’s lower arm to improve the range of motion of their elbow joint in a chronic neurologic condition.
6. A physical therapist applies a dynamic splint to a patient’s lower arm to address a flexion contracture caused by a stroke.
7. An occupational therapist applies a dynamic splint to a patient’s lower arm to improve the range of motion of their wrist joint after a tendon repair surgery.
8. A hand therapist applies a dynamic splint to a patient’s lower arm to stretch a stiff joint following a dislocation.
9. An orthopedic surgeon applies a dynamic splint to a patient’s lower arm to improve the range of motion of their elbow joint after a ligament reconstruction surgery.
10. A neurologist applies a dynamic splint to a patient’s lower arm to address a flexion contracture caused by a spinal cord injury.