Summary & Overview
CPT 29035: Application of Body Cast, Shoulder to Hips
CPT code 29035 represents the application of a body cast from the shoulder to the hips, with the option to include the head and neck. This procedure is a critical intervention in orthopedic care, often used to stabilize complex fractures and injuries, particularly in cases involving the upper body. The code is recognized by major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare, ensuring broad coverage across the healthcare landscape.
This publication provides a comprehensive overview of CPT code 29035, detailing its clinical context, typical sites of service, and payer coverage. Readers will gain insights into the procedural benchmarks, relevant policy updates, and the role of this code in orthopedic practice. The analysis also highlights associated modifiers and taxonomies, as well as common ICD-10 diagnoses linked to the procedure. By understanding the nuances of CPT code 29035, healthcare professionals and administrators can better navigate billing, reimbursement, and compliance requirements for orthopedic casting procedures.
CPT Code Overview
CPT code 29035 describes the application of a body cast extending from the shoulder to the hips, and may include the head and neck if performed. This procedure is classified as an orthopedic procedure and is typically performed in a hospital outpatient department (Place of Service 19) or an office setting (Place of Service 11). The body cast is used to immobilize and support the body following significant fractures or injuries, ensuring proper healing and alignment.
Clinical & Coding Specifications
Clinical Context
A patient presents to the hospital outpatient department or orthopedic office with a closed fracture involving the upper extremity, such as the humerus, radius, or ulna. The injury may be complex, requiring immobilization of the torso and upper limb to ensure proper healing and alignment. The orthopedic physician evaluates the patient, confirms the diagnosis with imaging, and determines that a body cast from the shoulder to the hips (including head/neck if necessary) is required. The cast is applied to stabilize the fracture and prevent movement during the healing process. Follow-up visits are scheduled to monitor healing and adjust the cast as needed.
Coding Specifications
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Modifiers:
LT: Indicates the procedure was performed on the left side.RT: Indicates the procedure was performed on the right side.
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Provider Taxonomies:
| Taxonomy Code | Specialty Name |
|---|---|
207X00000X |