Cpt Radial Gutter Splint

Splinting technique radial gutter measure from tip of thumb to distal third of forearm.

Cpt radial gutter splint.

The radial gutter splint provides both volar and dorsal splint immobilization of these metacarpal injuries. Transfer of an orthosis from one shoe to another dennis browne splint riveton both shoes continued. Static 29126 dynamic 29130 application of finger splint. This applies to the following codes.

Cpt is a registered. Cut out a 3 or 4 inch splint material to the length necessary to immobilize the wrist and mcp joint. 29105 application of long arm splint shoulder to hand 29125 application of short arm splint forearm to hand. Boxer ulnar gutter splint cpt 29125 vs 29130 timeline initial follow up.

Radial gutter splints are made from the same hard material that is used for ulnar gutter splints. Insert a dry gauze or cotton material between the 2nd and 3rd fingers. L3649 orthopedic shoe modification addition or transfer not otherwise specified l3650 shoulder orthosis figure of eight design abduction restrainer prefabricated off the shelf l3660. When a metacarpal fracture is present a clinical examination for malrotation should also be performed.

Radial gutter splint cast second and third proximal middle phalangeal shaft fractures and select metacarpal fractures proper positioning of mcp joints at 70 to 90 degrees of flexion pip and dip. With the second through fifth fingers slightly flexed the nail beds of adjacent fingers should lie in the same plane. Report a cpt code for the application of a splint regardless of whether the splint was off the shelf or prefabricated. A radial gutter splint is often applied for uncomplicated metacarpal fractures.

Apply padding and splint material e g. Ortho glass as shown to radial aspect of forearm splint runs from radial forearm to beyond dip of index finger with thumb free wrist should be placed in slight extension approximately 20 and mcp should be flexed 70 90 degrees with the dip and pip in slight flexion 1. Bisect the splint longitudinally from the fingertips to the wrist.