How To Use CPT Code 29131

CPT 29131 describes the application of a dynamic splint to the hand and finger by a healthcare provider. 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 29131?

CPT 29131 can be used to describe the application of a dynamic splint to the hand and finger by a healthcare provider. This code is used when the provider applies a hinged splint to stretch a stiff finger joint, improving the range of motion after a surgical procedure or injury. It can also be used to improve flexion contractures in chronic neurologic or orthopedic conditions.

2. Official Description

The official description of CPT code 29131 is: ‘Application of finger splint; dynamic.’

3. Procedure

1. The healthcare provider positions the hand and fingers for optimal healing.
2. They apply the dynamic splint and adjust the straps, struts, and pads to ensure a proper fit.
3. The provider checks the range of motion of the joint and makes adjustments to the tension in the dynamic splint.

4. Qualifying circumstances

Patients eligible to receive CPT 29131 services are those who require the application of a dynamic splint to improve the range of motion of a stiff finger joint or flexion contractures in chronic neurologic or orthopedic conditions. The procedure must be performed by a healthcare provider who is trained in applying splints and has the necessary expertise to adjust the splint for optimal fit and tension.

5. When to use CPT code 29131

CPT code 29131 should be used when a healthcare provider applies a dynamic splint to the hand and finger to stretch a stiff joint or improve flexion contractures. It is important to note that this code should not be used if the splint application is included in the primary code for an associated surgical procedure. Additionally, if the splint is replaced at a later date, it may be separately reportable or included in the global period of the surgical procedure. It is recommended to check with the payer for confirmation.

6. Documentation requirements

To support a claim for CPT 29131, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the dynamic splint application
• Date and time of the procedure
• Details of the splint applied, including any adjustments made
• Range of motion measurements before and after the procedure
• Any additional services provided during the same visit
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 29131, ensure that the procedure is performed by a qualified healthcare provider who has the necessary expertise in applying splints. It is important to follow the payer’s guidelines regarding reporting CPT 29131 with other codes, as it may be included in the primary code for an associated surgical procedure or separately reportable. If an evaluation and management (E/M) service is also provided, the appropriate E/M code should be reported with modifier 25 to indicate a separately identifiable service.

8. Historical information

CPT 29131 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 physical therapist applies a dynamic splint to stretch a stiff finger joint in a patient recovering from hand surgery.
2. An orthopedic surgeon applies a dynamic splint to improve flexion contractures in a patient with chronic neurologic conditions.
3. A hand therapist applies a dynamic splint to improve the range of motion in a patient with a finger injury.
4. A neurologist applies a dynamic splint to improve flexion contractures in a patient with a chronic orthopedic condition.
5. A occupational therapist applies a dynamic splint to stretch a stiff finger joint in a patient with limited range of motion.
6. A hand surgeon applies a dynamic splint to improve flexion contractures in a patient with a neurologic condition.
7. A physical therapist applies a dynamic splint to stretch a stiff finger joint in a patient recovering from hand surgery.
8. An orthopedic surgeon applies a dynamic splint to improve flexion contractures in a patient with chronic neurologic conditions.
9. A hand therapist applies a dynamic splint to improve the range of motion in a patient with a finger injury.
10. A neurologist applies a dynamic splint to improve flexion contractures in a patient with a chronic orthopedic condition.