How To Use CPT Code 29505

CPT 29505 describes the application of a long leg splint from the thigh to the ankle or toes. 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 29505?

CPT 29505 can be used to describe the application of a long leg splint to treat injuries of the leg, including fractures, dislocations, and sprains of the leg, knee, and ankle. The splint covers and immobilizes the entire leg from the top of the thigh down to the ankle and/or foot.

2. Official Description

The official description of CPT code 29505 is: ‘Application of long leg splint (thigh to ankle or toes).’ There are no additional notes or modifiers associated with this code.

3. Procedure

1. The healthcare provider applies a 4-inch wide splint to the affected leg, covering the entire leg and wrapping in a U shape around the heel.
2. Another 6-inch splint is applied, covering the area between the posterior upper thigh and plantar surface of the foot for greater stability.

4. Qualifying circumstances

CPT 29505 is used when a long leg splint is applied to treat injuries such as fractures, dislocations, and sprains of the leg, knee, and ankle. The splint immobilizes the entire leg from the top of the thigh down to the ankle and/or foot. There are no specific qualifying circumstances associated with this code.

5. When to use CPT code 29505

CPT code 29505 should be used when a healthcare provider applies a long leg splint from the thigh to the ankle or toes to treat injuries of the leg, including fractures, dislocations, and sprains. This code should not be used if the splint application is performed during the initial treatment of a fracture or dislocation, or as a replacement procedure during or subsequent to the follow-up care period.

6. Documentation requirements

To support a claim for CPT 29505, the healthcare provider must document the following information:

• Specific details of the leg injury, such as the diagnosis and any associated fractures, dislocations, or sprains
• Details of the long leg splint applied, including the dimensions and positioning
• Date and time of the splint application
• Any additional procedures or treatments performed in conjunction with the splint application
• Signature of the healthcare provider who applied the splint

7. Billing guidelines

When billing for CPT 29505, ensure that the healthcare provider applies a long leg splint from the thigh to the ankle or toes. This code should not be reported separately if it is performed during the initial treatment of a fracture or dislocation, or as a replacement procedure during or subsequent to the follow-up care period. It is important to note that CPT code 29505 does not have any specific billing guidelines or modifiers associated with it.

8. Historical information

CPT 29505 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 healthcare provider applies a long leg splint from the thigh to the ankle for a patient with a fractured tibia.
2. A patient presents with a dislocated knee, and a healthcare provider applies a long leg splint to immobilize the leg during transport to the hospital.
3. A soccer player sustains a sprained ankle, and a healthcare provider applies a long leg splint to provide stability and support during the healing process.
4. A patient with a fractured femur undergoes surgery, and a healthcare provider applies a long leg splint postoperatively to aid in immobilization and healing.
5. A healthcare provider applies a long leg splint to a patient with a severe ankle sprain to prevent further injury and promote healing.
6. A child fractures their tibia while playing, and a healthcare provider applies a long leg splint to immobilize the leg and provide support during the healing process.
7. A patient with a dislocated ankle receives a long leg splint to stabilize the joint and prevent further damage.
8. A healthcare provider applies a long leg splint to a patient with a fractured fibula to immobilize the leg and promote healing.
9. A patient sustains a sprained knee ligament, and a healthcare provider applies a long leg splint to provide stability and support during the recovery period.
10. A long leg splint is applied to a patient with a fractured tibia and fibula to immobilize the leg and facilitate proper healing.