CSHCN 2009 > Physician > Benefits, Limitations, and Authorization Requirements
29.2.10 Casting
The CSHCN Services Program may reimburse the application of casts, splinting, and strapping in addition to an E/M procedure code when no surgery is performed. If casting, splinting, strapping, or traction is billed the same day as surgery, it is considered part of the surgical procedure.
Supplies used for casting, splinting, and strapping are not reimbursed separately.
Procedure codes 29450 and 29750 are benefits for the following diagnosis codes:
Diagnosis Code
Description
73671
Acquired equinovarus deformity
75450
Congenital talipes varus
75451
Congenital talipes equinovarus
75452
Congenital metatarsus primus varus
75453
Congenital metatarsus varus
75459
Other congenital varus deformity of feet
75460
Congenital talipes valgus
75461
Congenital pes planus
75462
Talipes calcaneovalgus
75469
Other congenital valgus deformity of feet
75470
Unspecified talipes
75471
Talipes cavus
75479
Other congenital deformity of feet
The following procedure codes may be reimbursed for surgery when billing for casting, splinting, or strapping services:
Procedure Codes
Body and upper extremity casts
29000
29010
29015
29020
29025
29035
29040
29044
29046
29049
29055
29058
29065
29075
29085
29086
Body and upper extremity splints
29105
29125
29126
29130
29131
Body and upper extremity strapping
29200
29220
29240
29260
29280
Lower extremity casts
29305
29325
29345
29355
29358
29365
29405
29425
29435
29440
29445
Lower extremity splints
29505
29515
Lower extremity strapping
29520
29530
29540
29550
Cast removal or repair
29700
29705
29710
29715
29720
29730
29740
Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved.
