2025 HCPCS code Q4028
(Active) Effective Date: N/A Medical/Surgical Supplies - Cast and Splint Supplies Q4001-Q4051 Temporary Codes Q0035-Q9992 Feed
Fiberglass hip spica cast for pediatric patients (0-10 years).
Medical necessity must be established for the use of Q4028. This is typically done by documenting the underlying condition requiring the hip spica cast, such as a fracture, dislocation, or dysplasia, and demonstrating the medical rationale for its use.
The application of the hip spica cast is the responsibility of the healthcare provider. This involves proper sizing, fitting, and securing the cast to ensure immobilization of the hip and thigh, promoting healing of the affected area.
In simple words: This code covers a special fiberglass cast used for children 10 years old or younger. It's designed to keep their hip and leg still to help broken bones heal or to help with hip problems.
This code represents cast supplies for a hip spica cast, made of fiberglass, specifically designed for pediatric patients aged 0-10 years. The cast can encompass one or both legs.
Example 1: A 5-year-old child sustains a femoral fracture and requires a hip spica cast for immobilization and healing., An 8-year-old child with developmental hip dysplasia needs a hip spica cast to maintain proper hip alignment and promote normal development., A 2-year-old child undergoes a surgical procedure for a hip fracture and requires a post-operative hip spica cast.
Documentation should include the diagnosis necessitating the cast, the type of cast applied, the location (one or both legs), and the age of the patient. Supporting documentation such as X-rays or operative reports may also be necessary.
- Specialties:Orthopedics, Pediatric Orthopedics, Pediatrics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Ambulatory Surgical Center