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CPT 29358: Long Leg Brace-Type Cast for Femur Fracture
CPT code 29358 represents application of a long leg brace-type cast used to immobilize and support a femur fracture while preserving knee motion via an integrated brace. Nationally, this code captures a specific orthopedic immobilization technique that balances fracture stability with early joint mobility and potential protected weight-bearing. It is relevant to hospitals, ambulatory surgery centers, emergency departments, and orthopedics practices managing lower-extremity fractures.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for when CPT code 29358 is used, the typical service settings, and implications for care pathways that emphasize mobilization while protecting fracture healing. The publication summarizes common billing considerations, typical sites of service, and the clinical rationale for using a hinged long leg cast for femoral shaft or distal femur fractures.
The report offers benchmarks where available, notes policy or coding updates affecting use of CPT code 29358, and highlights documentation elements important for aligning clinical indication with billing. Data not available in the input is identified explicitly where applicable.
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Billing Code Overview
CPT code 29358 describes application of a long leg brace-type cast designed to immobilize the leg for treatment of a femur fracture. The cast incorporates a built-in brace that permits knee flexion to maintain range of motion during healing and can allow ambulation when the patient is able to bear weight on the affected leg.
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Service type: Orthopedic immobilization with a hinged long leg cast/brace for femur fracture management
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Typical site of service: Hospital inpatient or outpatient orthopedic procedure area, ambulatory surgery center, or emergency department for acute fracture management