CPT® Code 29715

Deleted

Bivalving a cast is a procedure that involves creating openings on both sides of a cast to alleviate excessive pressure that may arise due to swelling or distension of the body part that has been immobilized. This technique is particularly important in managing patient comfort and preventing complications associated with tight casts, such as skin breakdown or impaired circulation. The procedure typically employs an oscillating saw, which is specifically designed to safely cut through the cast material and the underlying padding without causing harm to the skin or the underlying tissues. The cuts are strategically made to ensure that the cast continues to provide adequate support to the injured area while allowing for necessary adjustments as swelling decreases. Following the bivalving, an elastic wrap is applied over the cast to maintain stability and can be adjusted as the patient's condition improves. In cases where complete removal of the cast is required, the oscillating saw is again utilized to cut the cast on both sides, followed by the careful cutting of the padding and stockinette with scissors. After the cast is removed, it is essential to inspect the skin for any signs of breakdown or irritation, ensuring that the patient’s recovery can proceed without further complications.