Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

Q4001 - Q4051  Supplies, Cast (CMS Temporary Codes)

Q4001
Casting supplies, body cast adult, with or without head, plaster
shortCast sup body cast plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4002
Cast supplies, body cast adult, with or without head, fiberglass
shortCast sup body cast fiberglas
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4003
Cast supplies, shoulder cast, adult (11 years +), plaster
shortCast sup shoulder cast plstr
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4004
Cast supplies, shoulder cast, adult (11 years +), fiberglass
shortCast sup shoulder cast fbrgl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4005
Cast supplies, long arm cast, adult (11 years +), plaster
shortCast sup long arm adult plst
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4006
Cast supplies, long arm cast, adult (11 years +), fiberglass
shortCast sup long arm adult fbrg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4007
Cast supplies, long arm cast, pediatric (0-10 years), plaster
shortCast sup long arm ped plster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4008
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass
shortCast sup long arm ped fbrgls
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4009
Cast supplies, short arm cast, adult (11 years +), plaster
shortCast sup sht arm adult plstr
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4010
Cast supplies, short arm cast, adult (11 years +), fiberglass
shortCast sup sht arm adult fbrgl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4011
Cast supplies, short arm cast, pediatric (0-10 years), plaster
shortCast sup sht arm ped plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4012
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass
shortCast sup sht arm ped fbrglas
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4013
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster
shortCast sup gauntlet plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4014
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass
shortCast sup gauntlet fiberglass
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4015
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster
shortCast sup gauntlet ped plster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4016
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
shortCast sup gauntlet ped fbrgls
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4017
Cast supplies, long arm splint, adult (11 years +), plaster
shortCast sup lng arm splint plst
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4018
Cast supplies, long arm splint, adult (11 years +), fiberglass
shortCast sup lng arm splint fbrg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4019
Cast supplies, long arm splint, pediatric (0-10 years), plaster
shortCast sup lng arm splnt ped p
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4020
Cast supplies, long arm splint, pediatric (0-10 years), fiberglass
shortCast sup lng arm splnt ped f
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4021
Cast supplies, short arm splint, adult (11 years +), plaster
shortCast sup sht arm splint plst
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4022
Cast supplies, short arm splint, adult (11 years +), fiberglass
shortCast sup sht arm splint fbrg
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4023
Cast supplies, short arm splint, pediatric (0-10 years), plaster
shortCast sup sht arm splnt ped p
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4024
Cast supplies, short arm splint, pediatric (0-10 years), fiberglass
shortCast sup sht arm splnt ped f
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4025
Cast supplies, hip spica (one or both legs), adult (11 years +), plaster
shortCast sup hip spica plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4026
Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass
shortCast sup hip spica fiberglas
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4027
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster
shortCast sup hip spica ped plstr
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4028
Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass
shortCast sup hip spica ped fbrgl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4029
Cast supplies, long leg cast, adult (11 years +), plaster
shortCast sup long leg plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4030
Cast supplies, long leg cast, adult (11 years +), fiberglass
shortCast sup long leg fiberglass
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4031
Cast supplies, long leg cast, pediatric (0-10 years), plaster
shortCast sup lng leg ped plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4032
Cast supplies, long leg cast, pediatric (0-10 years), fiberglass
shortCast sup lng leg ped fbrgls
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4033
Cast supplies, long leg cylinder cast, adult (11 years +), plaster
shortCast sup lng leg cylinder pl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4034
Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
shortCast sup lng leg cylinder fb
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4035
Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
shortCast sup lngleg cylndr ped p
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4036
Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
shortCast sup lngleg cylndr ped f
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4037
Cast supplies, short leg cast, adult (11 years +), plaster
shortCast sup shrt leg plaster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4038
Cast supplies, short leg cast, adult (11 years +), fiberglass
shortCast sup shrt leg fiberglass
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4039
Cast supplies, short leg cast, pediatric (0-10 years), plaster
shortCast sup shrt leg ped plster
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4040
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
shortCast sup shrt leg ped fbrgls
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4041
Cast supplies, long leg splint, adult (11 years +), plaster
shortCast sup lng leg splnt plstr
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4042
Cast supplies, long leg splint, adult (11 years +), fiberglass
shortCast sup lng leg splnt fbrgl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4043
Cast supplies, long leg splint, pediatric (0-10 years), plaster
shortCast sup lng leg splnt ped p
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4044
Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
shortCast sup lng leg splnt ped f
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4045
Cast supplies, short leg splint, adult (11 years +), plaster
shortCast sup sht leg splnt plstr
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4046
Cast supplies, short leg splint, adult (11 years +), fiberglass
shortCast sup sht leg splnt fbrgl
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4047
Cast supplies, short leg splint, pediatric (0-10 years), plaster
shortCast sup sht leg splnt ped p
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4048
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
shortCast sup sht leg splnt ped f
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4049
Finger splint, static
shortFinger splint, static
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
DME0.03 Date of Service Edit: ClinicalCMS Policy
Q4050
Cast supplies, for unlisted types and materials of casts
shortCast supplies unlisted
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data
Q4051
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
shortSplint supplies misc
RVU
CPT ModifierPhysician ComponentFacility PracticeNonfacility PracticeProfessional Liability InsuranceTotal FacilityTotal NonfacilityGlobal Period
0.00.00.00.00.00.0XXX
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: Data
OPH2.03 Date of Service Edit: ClinicalClinical: Data