Summary & Overview
CPT 29355: Application of Long Leg Cast (Thigh to Toes)
CPT code 29355: Application of long leg cast (thigh to toes) is a widely utilized procedure in orthopedic surgery for immobilizing the lower extremity after fractures or injuries. This code is relevant across the United States, reflecting standard care practices in both ambulatory and office-based settings. The procedure is essential for ensuring proper healing and alignment of the leg, particularly following tibial fractures.
Major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare, recognize and reimburse for CPT code 29355. The publication provides a comprehensive overview of payer coverage, clinical context, and policy benchmarks related to this code. Readers will gain insights into typical use cases, associated diagnoses, and relevant modifiers, as well as comparisons to related CPT codes such as 29345 and 29358.
Key topics include the clinical indications for long leg cast application, payer-specific coverage policies, and the role of this procedure in orthopedic trauma and sports medicine. The summary also highlights the importance of accurate coding and documentation for optimal reimbursement and compliance. This resource is designed for healthcare professionals, billing specialists, and policy analysts seeking up-to-date information on CPT code 29355 and its place in orthopedic care.
CPT Code Overview
CPT code 29355 describes the application of a long leg cast, extending from the thigh to the toes. This procedure is commonly performed in the field of orthopedic surgery to immobilize the lower extremity following fractures or other injuries. The typical site of service for this procedure is an ambulatory setting, most often an office environment (Place of Service 11). The application of a long leg cast is a critical intervention for ensuring proper healing and alignment of the affected limb.
Clinical & Coding Specifications
Clinical Context
A patient presents to an orthopedic surgery clinic after sustaining a closed fracture of the tibia, either at the shaft or lower end, or a pathological fracture. The orthopedic surgeon evaluates the injury and determines that immobilization with a long leg cast (from thigh to toes) is necessary to promote healing and prevent further injury. The procedure is performed in an ambulatory setting, such as an office (Place of Service 11). The cast is applied by the orthopedic provider, ensuring proper alignment and immobilization of the affected limb. The workflow includes assessment, imaging confirmation, cast application, and post-procedure instructions for care and follow-up.
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 | Orthopedic Surgery |