CPT® Code 29065

The procedure described by CPT® Code 29065 involves the application of a long arm cast, which is a type of immobilization device used to support and protect the arm from the shoulder or mid-humerus down to the hand. This procedure is essential for treating various injuries, particularly those affecting the distal humerus, elbow, and proximal to middle forearm regions. The casting process begins with the application of a stockinette, which serves as a protective layer over the skin. Following this, padding is added to provide cushioning and prevent skin irritation. The next step involves the use of a plaster or fiberglass roll, which is first immersed in water to activate its setting properties. After saturating the material, excess water is gently squeezed out to ensure it is not overly wet, which could lead to complications. The saturated plaster or fiberglass is then carefully wrapped around the arm, typically starting from the distal (far) end and moving towards the proximal (near) end. This technique allows for a snug fit that conforms to the contours of the arm. The final step in the application process involves smoothing and molding the cast to ensure comfort and effectiveness. The long arm cast is specifically designed to immobilize fractures and dislocations in the distal humerus and elbow, as well as fractures in the middle to proximal forearm, thereby facilitating proper healing and recovery.