29058 application cast plaster velpeau
Also known as: Velpeau cast, immobilizer cast
Application of a Velpeau plaster cast, a restrictive immobilization device that encompasses the shoulder, arm, and torso to maintain reduced position of shoulder fractures or dislocations.
In Plain Language
shoulder and arm cast; restrictive arm cast; body wrap cast
Clinical Context
Used for initial management of proximal humerus fractures, anterior shoulder dislocations, and rotator cuff repairs to prevent arm motion during early healing.
RVU Breakdown
| Work RVU | 1.28 |
| Total RVU | 1.28 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.28, this code ranks in the 7th percentile among Surgery codes — 6.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 29058?
CPT 29058 (application cast plaster velpeau) is a Surgery code. Application of a Velpeau plaster cast, a restrictive immobilization device that encompasses the shoulder, arm, and torso to maintain reduced position of shoulder fractures or dislocations.
What is the wRVU value for CPT 29058?
The work RVU for CPT 29058 is 1.28. This code is primarily used by Orthopedic Surgery, Emergency Medicine, Primary Care.
When is CPT 29058 used?
Used for initial management of proximal humerus fractures, anterior shoulder dislocations, and rotator cuff repairs to prevent arm motion during early healing.
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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.