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CPT code 29065: Cast application, shoulder to hand2026 Medicare rate & RVUs in Iowa

Reports application of a long-arm cast extending from the shoulder region to the hand to immobilize the elbow and forearm.

CMS RVU26DEffective Oct 1, 2026One payment locality5.6K Medicare services in 2024

In Iowa, Medicare pays $98.49 for 29065 in the office and $58.46 when it’s performed in a hospital or facility.

$98.49Office (non-facility)
$58.46Hospital or facility
−9.0%vs the national office rate ($108.22)

Check a contract rate as a % of Medicare · 29065 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 29065 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 29065 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 29065 covers

This service applies a rigid long-arm cast extending from the upper arm or shoulder region to the hand to immobilize the elbow and forearm. Orthopedic clinicians and emergency or urgent-care physicians commonly use it for injuries requiring control of elbow motion, such as selected elbow or forearm fractures, when a cast rather than a removable support is chosen. The code represents cast application, not fracture evaluation, reduction, or ongoing fracture management.

Select 29065 by the documented cast extent, not simply the diagnosis: the cast must reach from shoulder to hand. Record the indication, laterality, and extent. When fracture treatment is reported, the initial cast application is part of that treatment and should not be separately reported as 29065. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral application, modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Iowa compares for 29065

Across 109 of 109 payment localities, the office rate for 29065 runs from $95.01 in Arkansas to $141.48 in San Benito County, CA. Iowa pays $98.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

29065 in Iowa vs other payment areas
  1. Iowa · this page$98.49
  2. Los Angeles, CA · California$121.04+$22.55
  3. Washington, DC area · District of Columbia$123.59+$25.10
  4. Miami, FL · Florida$119.94+$21.45
  5. Chicago, IL · Illinois$116.14+$17.65
  6. Manhattan, NY · New York$125.38+$26.89
  7. Alaska · Alaska$124.68+$26.19

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

29065 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$96.49$58.20
ArkansasArkansas$95.01$57.42
ArizonaArizona$105.10$62.70
Bakersfield, CACalifornia$113.66$65.70
Chico, CACalifornia$113.19$65.23
El Centro, CACalifornia$113.21$65.26
Fresno, CACalifornia$113.19$65.23
Hanford, CACalifornia$113.19$65.23

29065 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$95.01

$127.34

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
29065 office rate range by state
State / territoryOffice rate rangeLocalities
AK$124.681
AL$96.491
AR$95.011
AZ$105.101
CA$113.19–$141.4829
CO$112.061
CT$115.691
DC$123.591
DE$106.901
FL$107.81–$119.943
GA$101.30–$110.632
GU$115.991
HI$115.991
IA$98.491
ID$99.291
IL$104.96–$116.144
IN$99.891
KS$98.281
KY$99.511
LA$99.45–$104.622
MA$111.45–$123.142
MD$108.93–$123.593
ME$100.14–$105.462
MI$102.50–$109.522
MN$106.371
MO$97.84–$104.673
MS$96.431
MT$108.211
NC$101.201
ND$104.851
NE$98.981
NH$110.551
NJ$116.73–$122.262
NM$103.211
NV$107.341
NY$102.83–$128.925
OH$101.811
OK$99.021
OR$106.24–$115.452
PA$101.83–$112.872
PR$108.951
RI$110.591
SC$101.731
SD$104.451
TN$98.841
TX$101.14–$111.938
UT$103.191
VA$105.29–$123.592
VI$108.951
VT$104.671
WA$111.16–$125.432
WI$101.181
WV$100.951
WY$106.741

See 29065 in every payment locality

How the 29065 rate is calculated

Each of 29065’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 29065

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.85

0.85 RVUs× 1.000 GPCI

Practice expense2.22

2.22 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

3.2400

Conversion factor

$33.4009

Medicare rate

$108.22

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,272

Code
29065
Physician work
0.85
Practice expense
2.22
Malpractice
0.17

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 29065 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.85× 1.0000.8500
Practice expense2.22× 0.9152.0313
Malpractice0.17× 0.3970.0675
Total RVUs2.9488
Conversion factor× 33.4009

Office rate, Iowa$98.49

Office: (0.85 × 1 + 2.22 × 0.915 + 0.17 × 0.397) × $33.4009 = $98.49

Facility: (0.85 × 1 + 0.91 × 0.915 + 0.17 × 0.397) × $33.4009 = $58.46

Open 29065 in the RVU calculator

Payment rules and modifiers for 29065

The CMS indicators that decide how 29065 is paid alongside other services.

CMS payment indicators · 29065

Cast application, shoulder to hand

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

29065 without 50 · national office

$108.22

Cast application, shoulder to hand

29065-50 · Bilateral: 150%

$162.33

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 29065

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 29065
CodeHow it relatesOffice range, Iowa
Same family
29075Cast application, forearm to handShort-arm cast extends from the elbow to the fingers rather than from the shoulder to the hand.$88.95
29085Gauntlet cast, hand and lower forearmGauntlet cast covers the hand and lower forearm without the full long-arm extent.$97.44
29086Finger cast, finger onlyCast application is limited to a finger rather than the arm.$76.33
Used instead
29105Splint application, long arm, shoulder to handDescribes long-arm splint application when a splint, rather than a cast, is used.$88.21

How 29065 has changed in Iowa

29065 · Office / nonfacility

$98.49

Effective 2026-10-01

The base rate is $9.21 higher than on 2025-10-01, moving from $89.28 to $98.49 (10.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $89.28changed to$98.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.87 changed to 0.85
    • Practice expense RVU 1.99 changed to 2.22
    • Malpractice RVU 0.16 changed to 0.17
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $90.51changed to$89.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.94 changed to 1.99
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $89.03changed to$90.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $89.84changed to$89.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.87 changed to 1.94
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $88.63changed to$89.84

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.78 changed to 1.87
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $88.11changed to$88.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.75 changed to 1.78
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $88.51changed to$88.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.67 changed to 1.75
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $89.21changed to$88.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.70 changed to 1.67
    • Malpractice RVU 0.15 changed to 0.16
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $90.42changed to$89.21

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.74 changed to 1.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $89.37changed to$90.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.72 changed to 1.74
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $89.15changed to$89.37

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $89.80changed to$89.15

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.73 changed to 1.72

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $89.35changed to$89.80

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $88.36changed to$89.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.71 changed to 1.73
    • Malpractice RVU 0.15 changed to 0.16
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $89.12changed to$88.36

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.89 changed to 1.71
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $89.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$98.49$58.46RVU26D
2026-07-01$98.49$58.46RVU26C
2026-04-01$98.49$58.46RVU26B
2026-01-01$98.49$58.46RVU26A
2025-10-01$89.28$61.52RVU25D
2025-07-01$89.28$61.52RVU25C
2025-04-01$89.28$61.52RVU25B
2025-01-01$89.28$61.52RVU25A
2024-10-01$90.51$62.55RVU24D
2024-07-01$90.51$62.55RVU24C
2024-04-01$90.51$62.55RVU24B
2024-03-09$90.51$62.55RVU24AR
2024-01-01$89.03$61.52RVU24A
2023-10-01$89.84$62.70RVU23D
2023-07-01$89.84$62.70RVU23C
2023-04-01$89.84$62.70RVU23B
2023-01-01$89.84$62.70RVU23A
2022-10-01$88.63$62.89RVU22D
2022-07-01$88.63$62.89RVU22C
2022-04-01$88.63$62.89RVU22B
2022-01-01$88.63$62.89RVU22A
2021-10-01$88.11$62.80RVU21D
2021-07-01$88.11$62.80RVU21C
2021-04-01$88.11$62.80RVU21B
2021-01-01$88.11$62.80RVU21A
2020-10-01$88.51$63.96RVU20D
2020-07-01$88.51$63.96RVU20C
2020-04-01$88.51$63.96RVU20B
2020-01-01$88.51$63.96RVU20A
2019-10-01$89.21$63.71RVU19D
2019-07-01$89.21$63.71RVU19C
2019-04-01$89.21$63.71RVU19B
2019-01-01$89.21$63.71RVU19A
2018-10-01$90.42$64.30RVU18D
2018-07-01$90.42$64.30RVU18C
2018-04-01$90.42$64.30RVU18B
2018-01-01$90.42$64.30RVU18AR1
2017-10-01$89.37$64.12RVU17D
2017-07-01$89.37$64.12RVU17C
2017-04-01$89.37$64.12RVU17B
2017-01-01$89.37$64.12RVU17A
2016-10-01$89.15$64.13RVU16D
2016-07-01$89.15$64.13RVU16C
2016-04-01$89.15$64.13RVU16B
2016-01-01$89.15$64.13RVU16A
2015-10-01$89.80$64.36RVU15D
2015-07-01$89.80$64.36RVU15C
2015-04-01$89.35$64.04RVU15B
2015-01-01$89.35$64.04RVU15A
2014-10-01$88.36$63.44RVU14D
2014-07-01$88.36$63.44RVU14C
2014-04-01$88.36$63.44RVU14B
2014-01-01$88.36$63.44RVU14A
2013-10-01$89.12$62.86RVU13D
2013-07-01$89.12$62.86RVU13C
2013-04-01$89.12$62.86RVU13B
2013-01-01$89.12$62.86RVU13AR

Price 29065 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

29065 billing questions

How does 29065 differ from 29075?

29065 describes a long-arm cast extending from the shoulder region to the hand. 29075 is for a short-arm cast extending from the elbow to the fingers.

Can 29065 be reported separately with fracture treatment?

No. When fracture treatment is reported, the initial cast application is part of that treatment and should not be separately reported as 29065.

What documentation supports 29065?

Document the clinical indication, laterality, and cast extent. The record should support that the cast extends from the shoulder region to the hand.

How is bilateral long-arm cast application reported?

For bilateral application, use modifier 50; CMS pays the bilateral procedure at 150%.

What happens when 29065 is performed with another procedure in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others are paid at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 29065PPRRVU2026_Oct_nonQPP.csv, line 3,272 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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