Application, cast; shoulder to hand (long arm)

CPT 29065 is the billing code for "Application, cast; shoulder to hand (long arm)". For application of long arm cast from shoulder to hand

Medicare pays approximately $97.69 for CPT 29065 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 29065 has a total RVU of 4.55, broken down as: Work RVU 2.50, Practice Expense RVU 1.80, and Malpractice RVU 0.25. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 29065 include: Indication for long arm cast; Type of cast applied; Cast material used; Patient positioning. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 29065: Includes cast application. Includes cast materials Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 29065 include: 50 (Bilateral procedure when both arms casted same session), 51 (Multiple procedures performed same session), LT (Left side procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 29065 is 15-30 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.