Summary & Overview
CPT 29425: Application of Static Short Arm Splint (Forearm to Hand)
CPT code 29425 is a nationally recognized billing code for the application of a static short arm splint, spanning from the forearm to the hand. This procedure is a cornerstone in orthopedic care, frequently used to immobilize fractures, sprains, and other injuries to the lower arm and hand. The code is relevant across a variety of clinical settings, with the office being the most common site of service.
Major payers including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare provide coverage for this procedure, making it widely accessible for patients requiring orthopedic intervention. The publication offers a comprehensive overview of clinical indications, payer coverage, and policy updates related to 29425. Readers will gain insight into typical use cases, associated diagnoses, and how this code fits within broader orthopedic billing practices. Benchmarks and recent policy changes are also discussed, providing context for reimbursement and compliance trends.
This summary serves as a resource for understanding the clinical and administrative significance of CPT code 29425, including its role in orthopedic treatment protocols and its impact on payer coverage nationwide.
CPT Code Overview
CPT code 29425 represents the application of a short arm splint (forearm to hand) in a static position. This procedure is commonly performed in orthopedic settings to immobilize injuries such as fractures or sprains of the forearm, wrist, or hand. The service type is Orthopedics, and the typical site of service is the office (Place of Service 11). The static splint helps stabilize the affected area, promoting proper healing and reducing movement that could worsen the injury.
Clinical & Coding Specifications
Clinical Context
A patient presents to the orthopedic office after sustaining a closed fracture of the distal radius or hand, such as from a fall or sports injury. The provider evaluates the injury, confirms the diagnosis with clinical examination and imaging, and determines that immobilization is required. The provider applies a static short arm splint from the forearm to the hand to stabilize the fracture and promote healing. The procedure is performed in the office setting, and the splint is applied to either the left or right side, depending on the injury location.
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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Associated Provider Taxonomies:
| Taxonomy Code | Specialty Name |
|---|---|
| 207X00000X | Orthopaedic Surgery |
| 207XX0004X |