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CPT code 29075: Cast application, forearm to hand2026 Medicare rate & RVUs in North Carolina

Reports application of a short arm cast extending from forearm to hand when cast placement is separately reportable for wrist or forearm immobilization.

CMS RVU26DEffective Oct 1, 2026One payment locality50.7K Medicare services in 2024

In North Carolina, Medicare pays $91.30 for 29075 in the office and $55.15 when it’s performed in a hospital or facility.

$91.30Office (non-facility)
$55.15Hospital or facility
−6.4%vs the national office rate ($97.53)

Check a contract rate as a % of Medicare · 29075 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 29075 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 29075 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 29075 covers

This service covers applying a short arm cast that extends from the forearm to the hand and stops below the elbow. Orthopedic clinicians, emergency physicians, and other qualified practitioners may apply it to immobilize wrist or forearm injuries, including when a cast is needed as part of fracture care. The code describes cast application, not the fracture treatment itself.

Report the code when the short arm cast is separately reportable; cast application is generally included in a fracture treatment service that includes casting. Document the treated side, cast extent, and clinical reason for immobilization. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 North Carolina compares for 29075

Across 109 of 109 payment localities, the office rate for 29075 runs from $85.70 in Arkansas to $128.09 in San Benito County, CA. North Carolina pays $91.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

29075 in North Carolina vs other payment areas
  1. North Carolina · this page$91.30
  2. Los Angeles, CA · California$109.39+$18.09
  3. Washington, DC area · District of Columbia$111.48+$20.18
  4. Miami, FL · Florida$107.46+$16.16
  5. Chicago, IL · Illinois$104.10+$12.80
  6. Manhattan, NY · New York$112.86+$21.56
  7. Alaska · Alaska$112.36+$21.06

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

Every other payment area

29075 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$87.03$53.12
ArkansasArkansas$85.70$52.42
ArizonaArizona$94.76$57.21
Bakersfield, CACalifornia$102.69$60.22
Chico, CACalifornia$102.30$59.83
El Centro, CACalifornia$102.32$59.85
Fresno, CACalifornia$102.30$59.83
Hanford, CACalifornia$102.30$59.83

29075 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.

$85.70

$115.20

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

View every state and territory as a table
29075 office rate range by state
State / territoryOffice rate rangeLocalities
AK$112.361
AL$87.031
AR$85.701
AZ$94.761
CA$102.30–$128.0929
CO$101.151
CT$104.231
DC$111.481
DE$96.371
FL$96.90–$107.463
GA$91.11–$99.632
GU$104.851
HI$104.851
IA$88.951
ID$89.641
IL$94.26–$104.104
IN$90.181
KS$88.701
KY$89.611
LA$89.54–$94.172
MA$100.58–$111.202
MD$98.21–$111.483
ME$90.34–$95.192
MI$92.23–$98.372
MN$96.201
MO$88.05–$94.293
MS$86.891
MT$97.521
NC$91.301
ND$94.751
NE$89.401
NH$99.731
NJ$105.22–$110.282
NM$92.841
NV$96.821
NY$92.75–$115.965
OH$91.671
OK$89.231
OR$95.87–$104.262
PA$91.71–$101.662
PR$98.211
RI$99.741
SC$91.681
SD$94.431
TN$89.201
TX$91.10–$100.988
UT$92.991
VA$95.00–$111.482
VI$98.211
VT$94.541
WA$100.33–$113.322
WI$91.451
WV$90.661
WY$96.311

See 29075 in every payment locality

How the 29075 rate is calculated

Each of 29075’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 · 29075

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.75

0.75 RVUs× 1.000 GPCI

Practice expense2.03

2.03 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

2.9200

Conversion factor

$33.4009

Medicare rate

$97.53

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,273

Code
29075
Physician work
0.75
Practice expense
2.03
Malpractice
0.14

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 29075 in North Carolina
ComponentRVULocality factorAdjusted
Physician work0.75× 1.0000.7500
Practice expense2.03× 0.9331.8940
Malpractice0.14× 0.6390.0895
Total RVUs2.7334
Conversion factor× 33.4009

Office rate, North Carolina$91.30

Office: (0.75 × 1 + 2.03 × 0.933 + 0.14 × 0.639) × $33.4009 = $91.30

Facility: (0.75 × 1 + 0.87 × 0.933 + 0.14 × 0.639) × $33.4009 = $55.15

Open 29075 in the RVU calculator

Payment rules and modifiers for 29075

The CMS indicators that decide how 29075 is paid alongside other services.

CMS payment indicators · 29075

Cast application, forearm 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

29075 without 50 · national office

$97.53

Cast application, forearm to hand

29075-50 · Bilateral: 150%

$146.30

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 29075

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

Codes related to 29075
CodeHow it relatesOffice range, North Carolina
Used instead
29065Cast application, shoulder to handUsed for a long arm cast extending from the shoulder to the hand.$101.20
29085Gauntlet cast, hand and lower forearmUsed for a cast covering the hand and lower forearm.$100.05
29086Finger cast, finger onlyUsed when the cast application is limited to a finger.$77.82
29125Short arm splint, staticReports short arm splint application rather than a cast.$74.07

How 29075 has changed in North Carolina

29075 · Office / nonfacility

$91.30

Effective 2026-10-01

The base rate is $8.44 higher than on 2025-10-01, moving from $82.86 to $91.30 (10.2%).

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

    $82.86changed to$91.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.77 changed to 0.75
    • Practice expense RVU 1.82 changed to 2.03
    • Malpractice RVU 0.16 changed to 0.14
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $83.51changed to$82.86

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.77 changed to 1.82
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $82.15changed to$83.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $84.08changed to$82.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.71 changed to 1.77
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $82.96changed to$84.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.63 changed to 1.71
    • Malpractice RVU 0.14 changed to 0.17
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $83.61changed to$82.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.62 changed to 1.63
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $82.69changed to$83.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.53 changed to 1.62
    • Malpractice RVU 0.13 changed to 0.15
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $83.35changed to$82.69

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.56 changed to 1.53
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $84.26changed to$83.35

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.59 changed to 1.56

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $83.84changed to$84.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.58 changed to 1.59
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $83.70changed to$83.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.57 changed to 1.58
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $84.33changed to$83.70

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.58 changed to 1.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $83.91changed to$84.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $82.91changed to$83.91

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.56 changed to 1.58
    • Malpractice RVU 0.13 changed to 0.14
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $83.76changed to$82.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.72 changed to 1.56
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $83.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$91.30$55.15RVU26D
2026-07-01$91.30$55.15RVU26C
2026-04-01$91.30$55.15RVU26B
2026-01-01$91.30$55.15RVU26A
2025-10-01$82.86$58.30RVU25D
2025-07-01$82.86$58.30RVU25C
2025-04-01$82.86$58.30RVU25B
2025-01-01$82.86$58.30RVU25A
2024-10-01$83.51$58.85RVU24D
2024-07-01$83.51$58.85RVU24C
2024-04-01$83.51$58.85RVU24B
2024-03-09$83.51$58.85RVU24AR
2024-01-01$82.15$57.89RVU24A
2023-10-01$84.08$59.90RVU23D
2023-07-01$84.08$59.90RVU23C
2023-04-01$84.08$59.90RVU23B
2023-01-01$84.08$59.90RVU23A
2022-10-01$82.96$59.52RVU22D
2022-07-01$82.96$59.52RVU22C
2022-04-01$82.96$59.52RVU22B
2022-01-01$82.96$59.52RVU22A
2021-10-01$83.61$60.30RVU21D
2021-07-01$83.61$60.30RVU21C
2021-04-01$83.61$60.30RVU21B
2021-01-01$83.61$60.30RVU21A
2020-10-01$82.69$60.21RVU20D
2020-07-01$82.69$60.21RVU20C
2020-04-01$82.69$60.21RVU20B
2020-01-01$82.69$60.21RVU20A
2019-10-01$83.35$60.20RVU19D
2019-07-01$83.35$60.20RVU19C
2019-04-01$83.35$60.20RVU19B
2019-01-01$83.35$60.20RVU19A
2018-10-01$84.26$60.80RVU18D
2018-07-01$84.26$60.80RVU18C
2018-04-01$84.26$60.80RVU18B
2018-01-01$84.26$60.80RVU18AR1
2017-10-01$83.84$60.79RVU17D
2017-07-01$83.84$60.79RVU17C
2017-04-01$83.84$60.79RVU17B
2017-01-01$83.84$60.79RVU17A
2016-10-01$83.70$60.72RVU16D
2016-07-01$83.70$60.72RVU16C
2016-04-01$83.70$60.72RVU16B
2016-01-01$83.70$60.72RVU16A
2015-10-01$84.33$61.27RVU15D
2015-07-01$84.33$61.27RVU15C
2015-04-01$83.91$60.97RVU15B
2015-01-01$83.91$60.97RVU15A
2014-10-01$82.91$60.28RVU14D
2014-07-01$82.91$60.28RVU14C
2014-04-01$82.91$60.28RVU14B
2014-01-01$82.91$60.28RVU14A
2013-10-01$83.76$59.79RVU13D
2013-07-01$83.76$59.79RVU13C
2013-04-01$83.76$59.79RVU13B
2013-01-01$83.76$59.79RVU13AR

Price 29075 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

29075 billing questions

When should 29075 be reported instead of a fracture treatment code?

Report 29075 for the short arm cast application when it is separately reportable. When the fracture treatment service includes cast application, do not separately report the cast application.

What cast extent supports 29075?

The cast extends from the forearm to the hand and stops below the elbow. A cast extending from the shoulder to the hand is a different application.

Can 29075 be reported for casts on both arms?

CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when bilateral reporting applies. Document the cast application on each side.

Does the 0-day global period include same-day follow-up care?

Same-day preoperative and postoperative care is included in the 0-day global period. The global period does not extend beyond the day of the procedure.

Can an assistant or co-surgeon be billed for 29075?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

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 29075PPRRVU2026_Oct_nonQPP.csv, line 3,273 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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