CPT^® 29445, Under Lower Extremity Application of Casts

The Current Procedural Terminology (CPT^®) code 29445 as maintained by American Medical Association, is a medical procedural code under the range - Lower Extremity Application of Casts.

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Summary

The provider applies a short leg walking cast, called a total contact cast, or TCC, that covers the lower leg, ankle, and foot to treat diabetic ulcers. The TCC is formed to fit a removable cast shoe that straps on or is embedded with a footplate and rubber heel to permit walking.

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TCC wound care

Can a certified wound nurse perform and bill for CPT Code 29445 total contact cast? We are wondering if we can bill this out both on the professional side and facility side or if we just bill the pro... [ Read More ]

Ulcer Debridement with TCC

Yes, bill 11042 with appropriate icd10 and then add 29445 with 59 modifier and appropriate icd10. In [I]CPT Assistant [/I](September 2011), the AMA wrote: “CPT code 29445, Application of rigid tot... [ Read More ]

Ulcer Debridement with TCC

29445 (application of total contact cast) denying/bundling with 11042. Is 59 modifier appropriate in this case? Wound has to be be debrided before cast is applied.... [ Read More ]

29445 for diabetic foot ulcer

I have a physician who placed a patient in the full cast for her diabetic foot wound. From what I can find, this is not an appropriate billable diagnosis code. I am having a hard time finding the LC... [ Read More ]

Wound Care ??-Not sure where this should go....

If there is a separate procedure note for a Total Contact Cast after a Debridement note, can you still code the Total Contact Cast? One answer I received was NO they were MUE, cast included with de... [ Read More ]

Bundling Issues

[b]Modal[/b] Hello hbarney1, For MCR if the debridement and Una boot were in the same location than only the debridement will be paid ([I]check out the CMS NCCI Manual, in Chapter 4, Section G, para... [ Read More ]

Billing TCC 29445 and 11042 together

The guideline is stated clearly in the NCCI Policy Manual, Chapter IV, Section G, Paragraph 3 [I]Debridement CPT codes (e.g., 11042-11047, 97597) and grafting CPT codes (e.g., 15040-15776) should not... [ Read More ]

Billing TCC 29445 and 11042 together

I am receiving conflicting information and need a specific guideline that tells my physicians they can not bill these together if performed on same site. our physicians are putting TCC 29445 on DFU p... [ Read More ]

Cpt 29580

NCCI Edit due to Standards of medical / surgical practice. Only if performed on opposite side. From NCCI Manual. [QUOTE]Casting/splinting/strapping shall not be reported separately if a restorative t... [ Read More ]

Debridement and Unna/Compression CPTs for different wound conditions

[b]TCC exception[/b] Thank you, Thomas. I also should have been more clear about the casting side that I was talking about Total Contact Casting, 29445. This is allowed, see this CC: Contact cast a... [ Read More ]

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