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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.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of bivalving or removing a turnbuckle jacket cast is indicated in specific situations where the cast may be causing discomfort or complications for the patient. The following conditions warrant this procedure:
The procedure for bivalving or removing a turnbuckle jacket cast involves several key steps to ensure patient safety and comfort. Each step is critical to the overall success of the procedure.
After the procedure, it is important to monitor the patient for any signs of discomfort or complications. The area where the cast was applied should be observed for swelling, redness, or skin breakdown. The healthcare provider may provide instructions on how to care for the skin and manage any discomfort. Follow-up appointments may be necessary to assess the healing process and determine if further intervention is required. Additionally, the patient should be educated on the importance of reporting any unusual symptoms that may arise after the cast has been bivalved or removed.
Short Descr | REMOVAL/REVISION OF CAST | Medium Descr | REMOVAL/BIVALVING TURNBUCKLE JACKET | Long Descr | Removal or bivalving; turnbuckle jacket | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | Not applicable/unspecified. | CCS Clinical Classification | 163 - Other non-OR therapeutic procedures on musculoskeletal system |
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2015-01-01 | Deleted | Code deleted |
Pre-1990 | Added | Code added. |