HCPCS Range Cast and Splint Supplies

• 1 Casting supplies, body cast adult, with or without head, plaster ( Q4001 )

• 2 Cast supplies, body cast adult, with or without head, fiberglass ( Q4002 )

• 3 Cast supplies, shoulder cast, adult (11 years +), plaster ( Q4003 )

• 4 Cast supplies, shoulder cast, adult (11 years +), fiberglass ( Q4004 )

• 5 Cast supplies, long arm cast, adult (11 years +), plaster ( Q4005 )

• 6 Cast supplies, long arm cast, adult (11 years +), fiberglass ( Q4006 )

• 7 Cast supplies, long arm cast, pediatric (0-10 years), plaster ( Q4007 )

• 8 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ( Q4008 )

• 9 Cast supplies, short arm cast, adult (11 years +), plaster ( Q4009 )

• 10 Cast supplies, short arm cast, adult (11 years +), fiberglass ( Q4010 )

• 11 Cast supplies, short arm cast, pediatric (0-10 years), plaster ( Q4011 )

• 12 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ( Q4012 )

• 13 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster ( Q4013 )

• 14 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass ( Q4014 )

• 15 Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster ( Q4015 )

• 16 Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass ( Q4016 )

• 17 Cast supplies, long arm splint, adult (11 years +), plaster ( Q4017 )

• 18 Cast supplies, long arm splint, adult (11 years +), fiberglass ( Q4018 )

• 19 Cast supplies, long arm splint, pediatric (0-10 years), plaster ( Q4019 )

• 20 Cast supplies, long arm splint, pediatric (0-10 years), fiberglass ( Q4020 )

• 21 Cast supplies, short arm splint, adult (11 years +), plaster ( Q4021 )

• 22 Cast supplies, short arm splint, adult (11 years +), fiberglass ( Q4022 )

• 23 Cast supplies, short arm splint, pediatric (0-10 years), plaster ( Q4023 )

• 24 Cast supplies, short arm splint, pediatric (0-10 years), fiberglass ( Q4024 )

• 25 Cast supplies, hip spica (one or both legs), adult (11 years +), plaster ( Q4025 )

• 26 Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass ( Q4026 )

• 27 Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster ( Q4027 )

• 28 Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass ( Q4028 )

• 29 Cast supplies, long leg cast, adult (11 years +), plaster ( Q4029 )

• 30 Cast supplies, long leg cast, adult (11 years +), fiberglass ( Q4030 )

• 31 Cast supplies, long leg cast, pediatric (0-10 years), plaster ( Q4031 )

• 32 Cast supplies, long leg cast, pediatric (0-10 years), fiberglass ( Q4032 )

• 33 Cast supplies, long leg cylinder cast, adult (11 years +), plaster ( Q4033 )

• 34 Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass ( Q4034 )

• 35 Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster ( Q4035 )

• 36 Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass ( Q4036 )

• 37 Cast supplies, short leg cast, adult (11 years +), plaster ( Q4037 )

• 38 Cast supplies, short leg cast, adult (11 years +), fiberglass ( Q4038 )

• 39 Cast supplies, short leg cast, pediatric (0-10 years), plaster ( Q4039 )

• 40 Cast supplies, short leg cast, pediatric (0-10 years), fiberglass ( Q4040 )

• 41 Cast supplies, long leg splint, adult (11 years +), plaster ( Q4041 )

• 42 Cast supplies, long leg splint, adult (11 years +), fiberglass ( Q4042 )

• 43 Cast supplies, long leg splint, pediatric (0-10 years), plaster ( Q4043 )

• 44 Cast supplies, long leg splint, pediatric (0-10 years), fiberglass ( Q4044 )

• 45 Cast supplies, short leg splint, adult (11 years +), plaster ( Q4045 )

• 46 Cast supplies, short leg splint, adult (11 years +), fiberglass ( Q4046 )

• 47 Cast supplies, short leg splint, pediatric (0-10 years), plaster ( Q4047 )

• 48 Cast supplies, short leg splint, pediatric (0-10 years), fiberglass ( Q4048 )

• 49 Finger splint, static ( Q4049 )

• 50 Cast supplies, for unlisted types and materials of casts ( Q4050 )

• 51 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) ( Q4051 )