A4590 Special casting material
Also known as: specialty casting material, fiberglass cast material
Special casting material for custom applications.
In Plain Language
advanced casting material; modern cast supplies
Clinical Context
Used for specialized casting needs including water-resistant applications. Special materials provide advantages over traditional plaster in specific situations.
RVU Information
CPT A4590 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4590?
CPT A4590 (Special casting material) is a A Codes code. Special casting material for custom applications.
Does Medicare cover A4590?
Medicare coverage for A4590 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for specialized casting needs including water-resistant applications. Special materials provide advantages over traditional plaster in specific situations. A physician order is typically required.
When is CPT A4590 used?
Used for specialized casting needs including water-resistant applications. Special materials provide advantages over traditional plaster in specific situations.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.