1.22 Application of Casts and Strapping
Casts and splints serve to immobilize a body part
  1. This can be done to allow swelling to decrease and to immobilize areas for healing. Casts are made of various materials including plaster, fiberglass or synthetic materials. Splints often involve bracing on one side with splints held in place by tape or bandages. These treatments can be temporary or definitive. Casts and splints can be used for fractures, strains or sprains. They are also commonly used following surgical repair.
  1. Application of the first cast or a strapping device is part of the global surgical care for these procedures. This is true regardless of whether the cast is applied to treat a fracture or to immobilize an extremity following surgery.
  1. The type of fracture does not dictate the type of treatment. If additional or replacement casts are required, this will need to be reported separately. When a cast or strapping are reapplied, the removal of the old cast or strap in included. When a physician applies a temporary cast, splint or strapping and another physician provides the definitive treatment of a fracture, each physician may report for the services they provided.
  1. Use these codes when physician
    • Applies an initial cast/strapping/splint prior to definitive treatment by another physician
    • Applies a subsequent cast, strapping or splint
    • Treats a sprain and doesn't expect to provide other type of treatment