How to Bill for the Application of Splints

1.

Identify the Current Procedural Terminology (CPT) code for the evaluation and management (E&M) encounter.

2.

Enter the E&M code into box 24d on line one of the Heath Insurance Claim Form (HCFA 1500).

3.

Identify the CPT code for the application of the splint.

4.

Enter the E&M code into box 24d on line two of the HCFA 1500 and complete the remainder of the HCFA 1500 with the patient's information.

5.

Submit the claim to the patient's insurance company either electronically or on paper.

Tips and Warnings

  • Search for the most up-to-date CPT code in a current copy of a CPT coding book, which is published once a year.
  • Document all services provided thoroughly.
  • The application of a splint in a physician's office is a common treatment for a patient who has a broken finger, arm or leg. Many practitioners and medical billers want to know if they can bill Medicare and private insurances for the procedure. If no other treatment was performed, a cast application that is provided during an initial treatment is billable.