In lieu of billing the splint application code, you would bill CPT code 24650, “Closed treatment of radial head or neck fracture; without manipulation” if no manipulation was required, or CPT code 24655, “Closed treatment of radial head or neck fracture; with manipulation” if manipulation was required before applying the splint.
Keep in mind, you should only bill an application code if work is involved in making the cast or splint out of materials such as plaster or fiberglass.
You stabilize the affected extremity by applying a static, short-arm fiberglass splint and refer the patient to an orthopedist for follow-up. Since you are not providing restorative care and have referred the patient on, you can bill both for both the supplies used to make the splint as well as the application, using the following codes:
Encounter for fitting and adjustment of other specified devices. Z46.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encounter for fitting and adjustment of oth devices The 2018/2019 edition of ICD-10-CM Z46.89 became effective on October 1,...
ICD-10 code Z46. 89 for Encounter for fitting and adjustment of other specified devices is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code Z47. 81 (encounter for orthopaedic aftercare following surgical amputation) is used for visits following a surgical amputation and must be accompanied by an additional code that identifies the amputated limb (Table 2).
Z47.89ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.
ICD-10 Code for Other specified postprocedural states- Z98. 89- Codify by AAPC. Factors influencing health status and contact with health services. Persons with potential health hazards related to family and personal history and certain conditions influencing health status.
11 Unilateral primary osteoarthritis, right knee.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
ICD-10: Z47. 1, Aftercare following surgery for joint replacement.
For example, if a patient with severe degenerative osteoarthritis of the hip, underwent hip replacement and the current encounter/admission is for rehabilitation, report code Z47. 1, Aftercare following joint replacement surgery, as the first-listed or principal diagnosis.
Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. Post-op care is different from aftercare.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
811.
5 – Low Back Pain. ICD-Code M54. 5 is a billable ICD-10 code used for healthcare diagnosis reimbursement of chronic low back pain.
Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state. Type 2 Excludes.
The 2022 edition of ICD-10-CM Z48.00 became effective on October 1, 2021.
The 2022 edition of ICD-10-CM T79.6XXA became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
Based on the references above, a nonphysician who is qualified to apply a splint or cast can perform the service as long as there is an order for the service by a physician and direct supervision by the physician. CMS further defines the term “qualified practitioner” as a physician or other individual who is:
A: Yes , you can still bill for the service if the application is performed by someone other than the provider in the clinic. The American Medical Association (AMA) provided guidance on this in the April 2002 issue of Current Procedural Terminology (CPT) Assistant: “You will note that the reference to ‘physician’ has been retained in the clinical examples provided. This inclusion does not infer that the cast/splint/strap procedure was performed solely by the physician, as nurses or ED/orthopaedic technicians also apply casts/splints/straps under the supervision of the physician.” The narrative further explains that the use of “physician” in the clinical scenarios given is to differentiate the individual patient‒physician encounters and the procedures performed in the clinic setting.