Summary & Overview
HCPCS Q4007: Pediatric Long Arm Plaster Cast Supplies
HCPCS Level II code Q4007 identifies plaster cast supplies for a long arm cast intended for pediatric patients aged 0–10 years. This supply code captures a commonly used item in the immobilization and treatment of pediatric upper extremity fractures, dislocations, and other conditions that require long arm casting. Nationally, accurate reporting of supply codes like Q4007 matters for care documentation, inventory management, and payer reimbursement for outpatient and emergency orthopedic services.
Key payers relevant to this code include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find benchmarks and clinical context related to use of pediatric long arm cast supplies, typical sites of service where the supply is billed, and common billing considerations. The publication outlines how Q4007 is applied in practice, what types of settings most frequently bill the code, and where to look for related coding and policy updates.
This summary provides a national overview useful for coding professionals, billing managers, and clinical staff involved in pediatric orthopedics and emergency care. Data not available in the input for specific payer coverage policies, utilization rates, or associated diagnosis codes.
Billing Code Overview
HCPCS Level II code Q4007 describes cast supplies for a long arm cast, pediatric (0-10 years), plaster. The service type is durable medical supply for cast application, intended for use in immobilizing pediatric upper extremity injuries. The typical site of service is ambulatory clinics, urgent care centers, emergency departments, and outpatient orthopedic or casting suites where pediatric casting is performed.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 6-year-old child presents to a pediatric orthopedics clinic after a playground fall with acute pain, swelling, and deformity of the forearm. Radiographs confirm a distal radius and ulna buckle or minimally displaced greenstick fracture. The child is assessed by a pediatric orthopedist or orthopedic physician assistant; informed consent is obtained from the parent. A long arm plaster cast is applied in the clinic to immobilize the elbow and forearm for fracture healing. The workflow includes pre-procedure pain control, positioning and molding of a pediatric-sized long arm plaster cast, documentation of cast length and laterality, limb neurovascular checks before and after application, patient/caregiver cast care instructions, and scheduling of follow-up radiographs and cast removal or conversion. Typical site of service is an outpatient orthopedic clinic, urgent care, or pediatric ambulatory surgery center when performed under sedation or in a procedure room. The service is specific to pediatric patients aged 0–10 years and uses plaster materials appropriate for that age group.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | When the long arm cast is applied to the left upper extremity |
RT | Right side |