Billing code
Z208A — Shoulder spica cast
Shoulder spica cast
Bill for applying a shoulder spica plaster cast, outside surgery and the first 2 weeks of a fracture fee.
Watch for: Not billable when applied at surgery or in the first 2 weeks of a fracture or dislocation with a procedural fee.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $97.35 | $0.00 | $77.46 | $111.72 | $111.72 |
- Code
- Z208A
- Description
- Shoulder spica cast
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2026
- Termination date
- No end date
Explanation
Updated October 26, 2026
Application of a shoulder spica plaster cast.
What it covers
Z208 is application of a shoulder spica cast, one of the cast listings in the Musculoskeletal general fees (N7).
Casts applied at the time of surgery, or in the first 2 weeks after a fracture or dislocation when a procedural fee applies, are part of that fee. Later casts can be claimed from the cast listings (N7).
Billing rules
- Not billable when applied at the time of surgery, or during the first 2 weeks for a fracture or dislocation that has a procedural fee (N7).
- Direct supervision means the physician is physically in the office when the cast is applied, unless all the delegated-procedure conditions on GP62–GP63 are met (N7).
- Casts Z198–Z209 are on the list of delegated procedures that staff can do with the physician off site, if the GP62–GP63 conditions are met (GP63).
- Add E584 when the cast is applied outside a hospital or ICHSC (N7).
- Removal of plaster is a separate code (Z204) only when not associated with a fracture or dislocation within 2 weeks of initial treatment (N7).
- Surgical procedures on children under 16 get the age premium (10–30% by age) (GP64).
Often billed with
- E584 cast applied outside hospital or ICHSC (N7).
Related codes: Z207, Z209, Z205, Z206, Z204, E584
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, General Fees, page N7.
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