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2025 HCPCS code Q4035

Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster.

Bill only one unit of Q4035 per cast. This code is specific to children aged 10 and younger. For similar casts for older individuals, refer to other HCPCS Level II codes. Q-codes represent temporary codes.

In simple words: This code represents the supplies used for a plaster cast that covers a child's leg from the thigh to the ankle, used for broken bones, dislocations, or other injuries.

This code covers a plaster long leg cylinder cast for children ages 10 years and younger. A plaster long leg cylinder cast immobilizes the leg from the upper thigh to the ankle. It does not encase the foot. A cast surrounds, supports, and stabilizes a broken bone or other anatomical structure until healing takes place. A plaster cast consists of cotton bandages and plaster of Paris, or ground gypsum, a mineral that hardens when mixed with water. A plaster cast molds to the fracture site and holds the bone in its normal anatomical position. The uses for a plaster long leg cylinder cast mainly include treatment for knee fractures and dislocations, treating soft tissue injuries of the knee, immobilizing the knee postoperatively, and correcting deformities of the knee.

Example 1: A 7-year-old child sustains a fracture of the femur. A plaster long leg cylinder cast (Q4035) is applied to immobilize the leg., A 9-year-old child has a knee dislocation. After the dislocation is reduced, a Q4035 cast is placed for stabilization. , A 5-year-old child undergoes knee surgery. Postoperatively, a Q4035 cast is applied to immobilize the knee during healing.

Documentation should include the diagnosis, the reason for the cast application, the location of the fracture or injury, the date the cast was applied, and the type of cast material used. 

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