Application of short arm splint (forearm to hand); dynamic

CPT 29126 is the billing code for "Application of short arm splint (forearm to hand); dynamic". For application of dynamic short arm splint

Medicare pays approximately $79.25 for CPT 29126 (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 29126 has a total RVU of 4.02, broken down as: Work RVU 2.20, Practice Expense RVU 1.60, and Malpractice RVU 0.22. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 29126 include: Indication for dynamic short arm splint; Type of splint applied; Splint material used; Dynamic components. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 29126: Includes dynamic splint application. Includes splint materials Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 29126 include: 50 (Bilateral procedure when both arms splinted 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 29126 is 15-25 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.