tci ED Coding & Reimbursement Alert - 2008 Issue 7

You Be the Coder: Ulnar Shaft Splinting

Question: The ED physician sees a patient who has just been in a minor car accident (she lost control while driving and her car hit a tree). After a level-four E/M, the physician diagnoses a closed ulnar shaft fracture. The encounter notes indicate that he applied a 4-inch ulnar gutter splint to the injury. Is this a short- or long-arm splint? Minnesota Subscriber Answer: The gutter splint is considered a short-arm splint. On the claim, report the following: - 29125 (Application of short-arm splint [forearm to hand]; static) for the splint application - 99284 (Emergency department visit for the...

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