Summary & Overview
HCPCS Q4019: Pediatric Long Arm Plint, Plaster
HCPCS Level II code Q4019 represents plaster long arm splint supplies for pediatric patients aged 0–10 years. This supply-level code captures nonoperative immobilization devices used in outpatient, emergency, and ambulatory settings to stabilize upper-extremity injuries in young children. Nationally, accurate coding of device supplies supports appropriate billing, inventory control, and clinical documentation across diverse care settings.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find context on the clinical use of pediatric long arm splints, common billing considerations for HCPCS Level II supply codes, and the types of benchmarks and policy elements typically reviewed when evaluating reimbursement and coverage for nonimplant cast supplies. The publication covers typical sites of service for Q4019, the role of supply codes in claims processing, and where Data not available in the input limits specific payer policy details.
This summary serves clinicians, billing professionals, and policy analysts seeking a concise reference for HCPCS Level II code Q4019 and its role in pediatric upper-extremity immobilization supply reporting.
Billing Code Overview
HCPCS Level II code Q4019 describes cast supplies, long arm splint, pediatric (0-10 years), plaster. This item represents a prefabricated or custom cast supply used to immobilize the long arm in pediatric patients up to 10 years of age. The service type is supply of a pediatric long arm splint in plaster form. The typical site of service is outpatient clinic, emergency department, urgent care, or any ambulatory setting where nonoperative immobilization is provided.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A pediatric patient, age 6, presents to an urgent care clinic after a playground fall with localized forearm pain, swelling, and limited wrist/ elbow movement. Examination and point-of-care radiographs demonstrate a nondisplaced distal radius or ulna fracture or a stable buckle/torus fracture of the forearm. The clinician determines that immobilization with a long arm plaster splint is appropriate for pain control and fracture stabilization while avoiding full circumferential casting to allow for swelling.
The clinical workflow: the patient is evaluated by a family medicine or pediatric provider or an orthopaedic clinician; weight and neurovascular status are documented; radiographs are reviewed; informed consent is obtained from the parent or guardian; the arm is prepared, padded, and a plaster long arm splint is molded to the pediatric limb. The splint is allowed to set and the patient/family receive discharge instructions on elevation, activity restrictions, signs of complication, and a follow-up orthopaedic appointment within 1–2 weeks for reassessment and possible conversion to a circumferential cast or continued immobilization.
Typical site of service is an urgent care clinic, outpatient clinic, pediatric emergency department, or ambulatory orthopaedic clinic. Service type is application of cast supplies for a pediatric long arm plaster splint (for ages 0–10 years) corresponding to HCPCS Level II material supply billing.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT |