Summary & Overview
CPT 29086: Application and Fabrication of Finger Cast
CPT code 29086 is a nationally recognized billing code for the application and fabrication of a finger cast, often used in cases of fractures, contractures, or other musculoskeletal injuries requiring immobilization. This procedure is a routine intervention in orthopaedic and family medicine practices, typically performed in office or outpatient settings. The code is relevant for providers who treat finger injuries and need to ensure accurate billing and compliance with payer policies.
Major payers covering this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides an overview of payer coverage, clinical context, and related coding benchmarks. Readers will gain insight into the clinical indications for the procedure, typical sites of service, and how this code fits within broader musculoskeletal care. The summary also highlights associated diagnoses and related codes for comparative context, supporting informed decision-making for billing and policy teams.
Key updates include payer coverage details, clinical benchmarks, and policy considerations for CPT code 29086. The article is designed for healthcare administrators, billing professionals, and clinical leaders seeking clarity on coding, reimbursement, and regulatory trends for finger cast application procedures.
CPT Code Overview
CPT code 29086 describes the application of a cast to a finger, such as for a contracture, and includes the fabrication of the cast. This procedure is categorized under Surgical Procedures on the Musculoskeletal System – Body and Upper Extremity Application of Casts. It is commonly performed in an office or outpatient setting, such as Office – POS 11. The service is typically provided to stabilize finger injuries or conditions requiring immobilization, ensuring proper healing and function.
Clinical & Coding Specifications
Clinical Context
A patient presents to the office or outpatient clinic with a finger injury, such as a fracture or contracture. After clinical evaluation and imaging, the provider determines that immobilization is necessary. The provider fabricates and applies a finger cast to stabilize the affected area, ensuring proper alignment and healing. The procedure is typically performed by an orthopaedic surgeon, orthopaedic trauma specialist, or family medicine physician. The cast application is documented and coded as 29086.
Coding Specifications
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Modifiers:
Modifier Code Description When Used LTLeft side When the cast is applied to the left finger RTRight side When the cast is applied to the right finger