Effective July1Dec. 31, 2001
|
Code |
Code definition |
|
Q4001 |
Cast supplies, body cast adult, with or without head, plaster |
|
Q4002 |
Cast supplies, body cast adult, with or without head, fiberglass |
|
Q4003 |
Cast supplies, application of shoulder cast, adult (11 years +), plaster |
|
Q4004 |
Cast supplies, application of shoulder cast, adult (11 years +), fiberglass |
|
Q4005 |
Cast supplies, long arm cast, adult (11 years +), plaster |
|
Q4006 |
Cast supplies, long arm cast, adult (11 years +), fiberglass |
|
Q4007 |
Cast supplies, long arm cast, pediatric (0-10 years), plaster |
|
Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
|
Q4009 |
Cast supplies, short arm cast, adult (11 years +), plaster |
|
Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
|
Q4011 |
Cast supplies, short arm cast, pediatric (0-10 years), plaster |
|
Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
|
Q4013 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster |
|
Q4014 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
|
Q4015 |
Cast supplies, gauntlet cast (includes lower forearm and hand, pediatric (0-10 years), plaster |
|
Q4016 |
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass |
|
Q4017 |
Cast supplies, long arm splint, adult (11 years +), plaster |
|
Q4018 |
Cast supplies, long arm splint, adult (11 years +), fiberglass |
|
Q4019 |
Cast supplies, long arm splint, pediatric (0-10 years), plaster |
|
Q4020 |
Cast supplies, long arm splint, pediatric (0-10 years), fiberglass |
|
Q4021 |
Cast supplies, short arm splint, adult (11 years +), plaster |
|
Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
|
Q4023 |
Cast supplies, short arm splint, pediatric (0-10 years), plaster |
|
Q4024 |
Cast supplies, short arm splint, pediatric (0-10 years), fiberglass |
|
Q4025 |
Cast supplies, hip spica (one or both legs), adult (11 years +), plaster |
|
Q4026 |
Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass |
|
Q4027 |
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster |
|
Q4028 |
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass |
|
Q4029 |
Cast supplies, long leg cast, adult (11 years +), plaster |
|
Q4030 |
Cast supplies, long leg cast, adult (11 years +), fiberglass |
|
Q4031 |
Cast supplies, long leg cast, pediatric (0-10 years), plaster |
|
Q4032 |
Cast supplies, long leg cast, pediatric (0-10 years), fiberglass |
|
Q4033 |
Cast supplies, long leg cylinder cast, adult (11 years +), plaster |
|
Q4034 |
Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass |
|
Q4035 |
Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster |
|
Q4036 |
Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass |
|
Q4037 |
Cast supplies, short leg cast, adult (11 years +), plaster |
|
Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
|
Q4039 |
Cast supplies, short leg cast, pediatric (0-10 years), plaster |
|
Q4040 |
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass |
|
Q4041 |
Cast supplies, long leg splint, adult (11 years +), plaster |
|
Q4042 |
Cast supplies, long leg splint, adult (11 years +), fiberglass |
|
Q4043 |
Cast supplies, long leg splint, pediatric (0-10 years), plaster |
|
Q4044 |
Cast supplies, long leg splint, pediatric (0-10 years), fiberglass |
|
Q4045 |
Cast supplies, short leg splint, adult (11 years +), plaster |
|
Q4046 |
Cast supplies, short leg splint, adult (11 years +), fiberglass |
|
Q4047 |
Cast supplies, short leg splint, pediatric (0-10 years), plaster |
|
Q4048 |
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass |
|
Q4049 |
Finger splint, static |
|
Q4050 |
Cast supplies, for unlisted types and material of casts |
|
Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
|
A4565 |
Slings (paid by carriers for physicians; DMERCs for suppliers) |
Source: The Program Memo AB-01-60