October 2001 Bulletin

Tell Q code charges in 2002

Update for splints, casts to reduce fractures, dislocations

By Margie Scalley Vaught

The Centers for Medicare and Medicaid Services (CMS) issued a Program Memorandum (AB-01-118) providing charge updates effective Jan 1, 2002. The Q codes for splints and casts are only to be used for splints and casts used to reduce a fracture or dislocation. The amounts have been increased 3.2 percent from 2001 charges. (A full description of the Q codes is in the Coding Corner of the August 2001 Bulletin. The Q code charges for 2000 are in the Coding Corner of the June 2001 Bulletin.)

2002 payment amounts for splints and casts

A4565

$6.30

Q4025

$27.72

Q4001

$35.89

Q4026

$86.53

Q4002

$135.65

Q4027

$13.86

Q4003

$25.78

Q4028

$43.27

Q4004

$89.25

Q4029

$21.19

Q4005

$9.50

Q4030

$55.78

Q4006

$21.42

Q4031

$10.60

Q4007

$4.76

Q4032

$27.89

Q4008

$10.71

Q4033

$19.76

Q4009

$6.34

Q4034

$49.17

Q4010

$14.28

Q4035

$9.89

Q4011

$3.17

Q4036

$24.59

Q4012

$7.14

Q4037

$12.06

Q4013

$11.54

Q4038

$30.21

Q4014

$19.48

Q4039

$6.04

Q4015

$5.77

Q4040

$15.11

Q4016

$9.74

Q4041

$14.66

Q4017

$6.68

Q4042

$25.03

Q4018

$10.65

Q4043

$7.33

Q4019

$3.34

Q4044

$12.52

Q4020

$5.33

Q4045

$8.51

Q4021

$4.94

Q4046

$13.69

Q4022

$8.92

Q4047

$4.25

Q4023

$2.48

Q4048

$6.85

Q4024

$4.46

Q4049

$1.55

Source: The Centers for Medicare and Medicaid Services (CMS)

The effective date and implementation date for this Program Memorandum is Jan. 1, 2002.

Margie Scalley Vaught, CPC, is an independent coding specialist in Ellenburg, Wash. She also is a member of the American Academy of Professional Coders National Advisory Board.


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