How To Use CPT Code 29305

CPT 29305 describes the application of a hip spica cast on one leg to aid in healing a hip fracture. 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 29305?

CPT 29305 can be used to describe the application of a hip spica cast on one leg. This procedure is performed to immobilize the hip and thigh in order to facilitate the healing process of a hip fracture. The provider applies a body cast that encases the trunk and extends down to the ankle or foot of the affected leg.

2. Official Description

The official description of CPT code 29305 is: ‘Application of hip spica cast; one leg.’

3. Procedure

1. The provider positions the lower body and affected hip and lower extremity for optimal healing.
2. A complete neurovascular exam of the affected region is performed before applying the cast.
3. The trunk is covered with stockinette, a loose knit fabric, and cotton or synthetic padding is applied to protect the skin.
4. Wet casting material, such as plaster of Paris or fiberglass, is then applied in strips over the padding, wrapping the material in a V pattern.
5. The underlying stockinette is rolled over the openings in the cast to smooth out the edges.
6. The cast is allowed to dry, and its fit is reassessed, with trimming if necessary.

4. Qualifying circumstances

CPT 29305 is performed on patients with a hip fracture that requires immobilization using a hip spica cast. The procedure is typically carried out by a healthcare provider who has the necessary expertise in applying casts. A complete neurovascular exam is performed prior to the application of the cast to ensure the patient’s safety and well-being.

5. When to use CPT code 29305

CPT code 29305 should be used when a hip spica cast is applied to immobilize one leg in cases of hip fractures. It is important to ensure that the procedure is performed by a qualified healthcare provider and that the cast is applied correctly to provide the necessary support and stability for the healing process.

6. Documentation requirements

To support a claim for CPT 29305, the healthcare provider must document the following information:

• Patient’s diagnosis of a hip fracture
• Performance of a complete neurovascular exam
• Date of the procedure
• Details of the cast application process
• Assessment of the cast’s fit and any necessary adjustments
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 29305, it is important to ensure that the procedure is performed according to the official description. The cast should be applied to one leg only, and the documentation should support the medical necessity of the procedure. It is also important to check with the payer for any specific guidelines or requirements for reporting CPT 29305.

8. Historical information

CPT 29305 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2010, with the description being updated to specify the application of a hip spica cast on one leg.

9. Examples

1. A healthcare provider applies a hip spica cast on one leg to immobilize a patient’s hip fracture.
2. A patient with a hip fracture undergoes the application of a hip spica cast on one leg to aid in the healing process.
3. A healthcare provider performs the procedure of applying a hip spica cast on one leg for a patient with a hip fracture.
4. A hip spica cast is applied on one leg by a qualified healthcare provider to immobilize a patient’s hip fracture.
5. The application of a hip spica cast on one leg is performed by a healthcare provider to assist in the healing of a hip fracture.
6. A patient’s hip fracture is treated with the application of a hip spica cast on one leg by a healthcare provider.
7. A healthcare provider applies a hip spica cast on one leg to immobilize a patient’s fractured hip.
8. The procedure of applying a hip spica cast on one leg is performed by a qualified healthcare provider for a patient with a hip fracture.
9. A patient with a hip fracture undergoes the application of a hip spica cast on one leg to aid in the healing process.
10. A healthcare provider performs the procedure of applying a hip spica cast on one leg for a patient with a hip fracture.