CSHCN Services Program 2010 > Physician > Benefits, Limitations, and Authorization Requirements

   
 

30.2.10 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
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