Summary & Overview
CPT 29058: Application of Plaster Velpeau Cast
CPT code 29058 is designated for the application of a plaster Velpeau cast, a specialized orthopedic procedure used to immobilize the shoulder and upper arm. This code is significant in clinical practice, as it addresses the need for effective stabilization following fractures or surgical interventions. The procedure is most often performed in outpatient settings, aligning with current healthcare delivery trends that emphasize efficient, ambulatory care.
Major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare, recognize and reimburse for this service. The publication provides a comprehensive overview of payer coverage, clinical benchmarks, and policy updates relevant to 29058. Readers will gain insight into the clinical indications for the Velpeau cast, typical sites of service, and how this procedure fits within broader orthopedic and trauma care pathways. The summary also highlights related CPT codes for other casting procedures, offering context for coding and billing professionals.
This article is designed to inform healthcare administrators, coding specialists, and clinicians about the national landscape for 29058, including payer policies, clinical context, and recent updates. It serves as a resource for understanding the role of the Velpeau cast in orthopedic practice and its implications for medical billing and reimbursement.
CPT Code Overview
CPT code 29058 represents the application of a plaster Velpeau cast, a procedure commonly performed in orthopedic settings to immobilize the shoulder and upper arm following injury or surgery. This service is classified as an orthopedic casting application and is typically provided in an outpatient setting, such as outpatient surgery centers. The Velpeau cast is used to stabilize fractures or injuries, ensuring proper healing and alignment. This procedure is integral to orthopedic care, supporting recovery and preventing further complications.
Clinical & Coding Specifications
Clinical Context
A patient presents to the outpatient clinic with a closed fracture of the lower end of the radius, such as an injury sustained from a fall. After clinical evaluation and radiographic confirmation, the orthopedic or emergency medicine physician determines that immobilization is required. The provider applies a plaster Velpeau cast to stabilize the fracture and restrict movement, ensuring proper healing. The procedure is performed in an outpatient setting, such as an ambulatory surgery center or hospital outpatient department. Documentation includes the site of injury, laterality, and the application technique.
Coding Specifications
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Modifiers:
Modifier Code Description When to Use LTLeft side When the cast is applied to the left limb RTRight side When the cast is applied to the right limb