New set of 51 HCPCS codes for casting supplies

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a Medicare-related update on billing for casting and splint supplies, including the introduction of a new HCPCS code set, changes in where claims are submitted, timing of implementation, and related guidance from HCFA. It is relevant to orthopedic practices, physicians, other practitioners, DME suppliers, and facilities that bill for casting and splinting materials.

Why This Topic Matters

The update affects how practices identify, submit, and process claims for casting and splinting supplies under Medicare, including the transition away from earlier miscellaneous codes and the use of a revised HCPCS structure.

Article Sections

  1. Billing and implementation overview

    Discusses the timing of the Medicare update, claim submission channels, and the general scope of the new casting-supply code set.

  2. HCFA guidance and policy background

    Summarizes agency communication about reimbursement, jurisdiction, and the broader policy context for casting and splinting supplies.

  3. CPT-HCPCS code crosswalk for casting supplies

    Provides a crosswalk linking procedure categories to the related HCPCS casting-supply coding structure.

  4. 51 new Q codes and prices for casting supplies

    Lists the new HCPCS casting-supply code set along with pricing and general item groupings.

What You Will Learn

  • How the Medicare casting-supply update is structured
  • What kinds of billing and jurisdiction changes are discussed
  • How the article organizes the relationship between CPT procedures and HCPCS supply codes
  • What general categories are included in the new casting-supply code set

Who Should Read This

  • Orthopedic practices
  • Physicians and other practitioners
  • DME suppliers
  • Medicare billing staff
  • Medical coders and billing administrators

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: Q4001 THROUGH Q4051
  • HCPCS LEVEL II: Q4005 THROUGH Q4008
  • HCPCS LEVEL II: Q4009 THROUGH Q4012
  • HCPCS LEVEL II: Q4013 THROUGH Q4016
  • HCPCS LEVEL II: Q4017 THROUGH Q4020
  • HCPCS LEVEL II: Q4021 THROUGH Q4024
  • HCPCS LEVEL II: Q4025 THROUGH Q4028
  • HCPCS LEVEL II: Q4029 THROUGH Q4032
  • HCPCS LEVEL II: Q4033 THROUGH Q4036
  • HCPCS LEVEL II: Q4037 THROUGH Q4040
  • HCPCS LEVEL II: Q4041 THROUGH Q4044
  • HCPCS LEVEL II: Q4045 THROUGH Q4048

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