Cpt 5th Radial Gutter Splint

Correct coding for casts splints and strapping.

Cpt 5th radial gutter splint.

This splint is the equivalent of the ulnar gutter splint except that is placed along the radial aspect of the wrist and sandwiches the 2nd and 3rd fingers. With manipulation if manipulation was required before applying the splint. This splint however unnecessarily immobilizes the 4th and 5th fingers. The hcpcs codes used for reporting off the shelf braces also called prefabricated.

In lieu of billing the splint application code you would bill cpt code 24650 closed treatment of radial head or neck fracture. Ulnar gutter splints are used for fractures and severe sprains to the fourth and fifth metacarpals and phalanges ring and pinky fingers. Much of the confusion is related to what type of materials are classified as casts splints or strapping. Without manipulation if no manipulation was required or cpt code 24655 closed treatment of radial head or neck fracture.

Nondisplaced fractures of the head neck and shaft of the second or third metacarpal without. Ulnar gutter splint cast fourth and fifth proximal middle. It makes gripping things with your hand difficult. 4th and 5th metacarpal fractures tips.

Trick of the trade. Whether the cpt application codes or the hcpcs level ii codes should be. Radial gutter splint common uses. Radial gutter splint thumb spica splint indications l fractures and soft tissue injuries of 5th digit l fractures of the neck shaft and base of 4th and 5th metacarpals construction l start at mid forearm l extend down ulnar forearm l end at mid distal phalanx l include the 4th and 5th digits application l hand in position of function l.

The splint application cpt codes are used when a physician or provider such as a pt or ot creates a splint from raw materials such as plaster fiberglass padding and ace bandages. Wrist in functional position flex 90 degrees at 4th 5th mcp. Cpt 29125 vs 29130 4 5 splinting material 3 4 wrap indications. Radial gutter or buddy taping 4th or 5th proximal or middle phalanx fracture ulnar gutter or buddy taping acceptable if the injury is a non displaced fracture through the phalangeal shaft.

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