Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
A body cast is a type of orthopedic cast that is applied to immobilize the torso and may extend from the shoulder to the hips, potentially including both thighs. This procedure is typically performed to treat various conditions that require stabilization of the upper body and lower extremities. The application process begins with the placement of a stockinette over the area that will be casted, which serves as a protective layer for the skin. Following this, padding is added to provide cushioning and comfort. The casting material, which can be either plaster or fiberglass, is then prepared by immersing it in water until it is fully saturated. After excess water is removed, the casting material is carefully wrapped around the torso, extending over the neck and head, and/or one or both thighs as necessary. During the application, the material is smoothed and molded to ensure a proper fit and to provide adequate support. It is important to note that specific codes are designated for different types of body casts, such as code 29035 for a shoulder to hip cast, 29040 for a Minerva type cast that includes the torso and head, and 29044 for a body cast that includes one thigh. Code 29046 is specifically used for a body cast that encompasses both thighs.
© Copyright 2026 Coding Ahead. All rights reserved.
The application of a body cast, specifically coded as CPT® 29046, is indicated for various orthopedic conditions that necessitate immobilization of the torso and both thighs. This procedure is typically performed in cases where there is a need to stabilize fractures, support post-surgical recovery, or manage severe soft tissue injuries in the upper and lower body. The use of a body cast is crucial in ensuring proper alignment and healing of the affected areas, thereby preventing further injury or complications.
The procedure for applying a body cast begins with the preparation of the patient and the materials needed for casting. First, a stockinette is applied over the area to be casted, which serves as a protective barrier for the skin. Following this, padding is placed over the stockinette to provide additional comfort and protection. The next step involves preparing the casting material, which can be either plaster or fiberglass. The casting roll is immersed in water until it is fully saturated, and then excess water is gently squeezed out to ensure the material is not overly wet. Once prepared, the casting material is wrapped around the torso, extending over the neck and head, and/or both thighs as required by the specific condition being treated. As the casting material is applied, it is simultaneously smoothed and molded to conform to the patient's body, ensuring a secure and supportive fit. This careful application is essential for the effectiveness of the cast in immobilizing the targeted areas.
After the application of the body cast, it is essential to monitor the patient for any signs of complications, such as circulation issues or skin irritation. The cast should be allowed to dry completely, which may take several hours depending on the material used. Patients are typically advised on how to care for the cast, including keeping it dry and avoiding any pressure that could cause it to crack or break. Follow-up appointments are necessary to assess the healing process and to make any adjustments to the cast if required. Additionally, patients may need guidance on mobility and the use of assistive devices during the recovery period.
| Short Descr | APPLICATION OF BODY CAST | Medium Descr | APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS | Long Descr | Application of body cast, shoulder to hips; including both thighs | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 214 - Traction, splints, and other wound care |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.