Is there a Relative Value Scale (RVS) / Current Procedural Terminology (CPT) code for applying a splint?

CPT Coding for Splint Application

Yes, there are specific CPT codes for splint application, and these procedures are separately billable when performed by physicians or qualified healthcare providers.

Available CPT Codes for Splinting

While the provided evidence does not contain the specific CPT code numbers for splint application, the medical coding literature confirms that splinting procedures have designated Current Procedural Terminology (CPT) codes that vary based on:

• Anatomic location (upper extremity vs. lower extremity) 1
• Type of splint applied (short arm, long arm, short leg, long leg, etc.) 1
• Complexity of the procedure 2, 3

Clinical Context for Splinting

Splinting should be performed to reduce pain, prevent further injury, and facilitate safe transport in patients with musculoskeletal trauma 4, 5. The American Heart Association guidelines emphasize:

• Splinting in the position found is recommended unless straightening is necessary to facilitate safe transport 4, 5, 6
• Do not attempt to move or straighten injured extremities as this is a Class III (Harm) recommendation 4, 5
• Protect the injured area with splinting that limits pain and reduces chance for further injury 4

Critical Exception Requiring Immediate Action

If the extremity shows vascular compromise (blue, purple, pale, or pulseless), activate emergency services immediately and consider gentle realignment to restore perfusion while awaiting definitive care 5, 6. This represents a limb-threatening emergency that supersedes standard splinting protocols 5, 6.

Coding Accuracy Considerations

When billing for splint application, be aware that:

• Coding errors are common among physicians, with accuracy rates as low as 44-82% when physicians code their own procedures 2, 3
• Complex cases with multiple CPT codes have higher error rates (24% vs 14% for simpler cases) 2
• Experienced physician coders have significantly higher accuracy (90% vs 75%) compared to other physicians 2
• Professional coding review is recommended before claims submission to minimize regulatory consequences 2, 3

Documentation Requirements

To support proper CPT coding for splint application, ensure documentation includes:

• Neurovascular status before and after splint application 5, 6
• Specific anatomic location and type of splint applied 4
• Indication for splinting (fracture stabilization, soft tissue injury, etc.) 4, 5
• Any complications or need for adjustment 5, 7