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36.4.6 Casting, Splinting, and Strapping
When a casting, splinting, strapping, or traction device is submitted with the same date of service as the surgery, the surgery is considered for reimbursement and the casting, splinting, strapping, or traction device is denied as part of another procedure submitted with the same date of service if the following procedure codes are used:
The replacement of a cast, splint, or strapping, using the procedure codes in the table above, is not included in the original surgical fee and may be paid separately.
Payment for cast removal or repair will be denied if billed within six weeks of the initial cast application, splinting, or strapping by the same provider. The procedure codes for cast removal listed in the table below may be paid to a provider other than the provider who applied the initial cast, splint, or strap.
When casting, splinting, strapping, or wedging is performed without surgery and the appropriate E/M code is billed, both may be paid using the following procedure codes:
Supplies are not separately payable. This includes the procedure code 9-99070.
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