Q4012 Cast supplies, short arm cast, pediatric (0-10 years), fiberglass

HCPCS code

#### Name of the Procedure:
- **Common Name(s):** Short Arm Cast
- **Technical Term:** Pediatric Short Arm Cast, Fiberglass
- **HCPCS Code:** Q4012

#### Summary
A pediatric short arm cast made of fiberglass is a specialized medical treatment that immobilizes the arm of a child (aged 0-10 years) to aid the healing of fractures or other injuries. Fiberglass material is used because it is lightweight and durable.

#### Purpose
This procedure primarily addresses fractures, severe sprains, or conditions that require immobilization of the arm for proper healing. The goal is to stabilize the affected area, reduce pain, and facilitate proper bone healing and alignment.

#### Indications
- Fractures of the wrist, forearm, or elbow
- Severe sprains or strains
- Postoperative support for surgical procedures on the arm
- Specific conditions like congenital bone malformations needing stabilization

#### Preparation
- No specific fasting or medication adjustments are generally required.
- Diagnostic imaging (like X-rays) will be taken to assess the extent of the injury.
- The patient's skin will be inspected and cleaned to avoid infections.

#### Procedure Description
1. The child’s arm is gently positioned by the healthcare provider.
2. Protective padding is first applied to the arm for comfort and protection.
3. Fiberglass material is then soaked in water and wrapped around the padded area to form the cast.
4. The cast is molded and shaped to provide the necessary support.
5. It takes a few minutes for the cast to harden completely.

Tools and equipment include protective padding, fiberglass casting material, water, and bandage scissors. Generally, no anesthesia or sedation is required unless the child is extremely uncooperative due to pain or anxiety.

#### Duration
The application of the cast typically takes about 15-30 minutes.

#### Setting
The procedure is usually performed in an outpatient clinic, hospital emergency room, or an orthopedic office.

#### Personnel
- Orthopedic specialist or physician
- Nurse or medical assistant

#### Risks and Complications
- Common risks include discomfort, skin irritation, or itching under the cast.
- Rare complications may involve increased swelling, reduced circulation, or infection. 
- Patients must monitor for signs of poor circulation such as color changes in the fingers or increased pain and report these immediately.

#### Benefits
- Provides essential immobilization for proper bone healing and pain relief.
- Lightweight fiberglass is more comfortable and allows for a more active lifestyle compared to traditional plaster casts.
- Realized benefits often become apparent within a few days as pain decreases and healing progresses.

#### Recovery
- Keep the cast dry and intact. Avoid getting it wet.
- Regular follow-up appointments to monitor the healing process.
- Expected recovery time is generally 4-6 weeks, but this can vary. 

#### Alternatives
- Other options include plaster casts or removable splints.
- Plaster casts are generally heavier and can limit activity more but are sometimes preferred in certain complex fractures.
- Removable splints can be less restrictive but may not provide the same level of immobilization necessary for some fractures.

#### Patient Experience
- The child may initially experience discomfort as they adjust to wearing the cast.
- Care must be taken to keep the cast dry and clean.
- Over-the-counter pain relief can usually manage any minor discomfort.
- Any severe pain, swelling, or changes in circulation should be reported to the medical provider immediately.

Similar Codes