CPT code 29130 is for the application of a finger splint, used to immobilize and support injured fingers during healing.
CPT code 29130 is the code used for the application of a finger splint. This procedure involves the immobilization of a finger to support healing after an injury or surgery. The splint is typically applied to stabilize the finger joint and prevent movement, which can aid in recovery and reduce pain.
When billing for CPT code 29130 (Application of finger splint), the following modifiers may be applicable:
1. Modifier 50 - Bilateral Procedure: Use this modifier if the splint is applied to both fingers simultaneously.
2. Modifier 51 - Multiple Procedures: This modifier is appropriate if the application of the finger splint is performed in conjunction with other procedures on the same day.
3. Modifier 59 - Distinct Procedural Service: This modifier should be used if the finger splint application is performed on a different finger or site that is not part of the primary procedure.
4. Modifier RT - Right Side: Use this modifier if the splint is applied to the right finger.
5. Modifier LT - Left Side: Use this modifier if the splint is applied to the left finger.
6. Modifier 76 - Repeat Procedure by Same Physician: This modifier is applicable if the finger splint application is performed again on the same finger by the same provider on the same day.
7. Modifier 77 - Repeat Procedure by Another Physician: Use this modifier if a different physician applies the finger splint on the same finger on the same day.
8. Modifier 22 - Increased Procedural Services: This modifier may be used if the application of the finger splint required significantly more work than typically required.
9. Modifier 32 - Mandated Services: This modifier is appropriate if the splint application is required by a third party, such as an insurance company or legal entity.
10. Modifier 95 - Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System: Use this modifier if the splint application is discussed or managed via telemedicine.
Each of these modifiers serves to provide additional context for the procedure performed and may affect reimbursement and claims processing.
The CPT code 29130 is reimbursed by Medicare, but it is essential to verify its inclusion in the Medicare Physician Fee Schedule (MPFS) for the specific year in question. The MPFS provides a comprehensive list of services covered by Medicare and their corresponding reimbursement rates.
Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) have the authority to make local coverage determinations. Therefore, it is advisable to consult the relevant MAC for your area to confirm the specific reimbursement details for CPT code 29130.
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