CPT code 29085: Gauntlet cast, hand and lower forearm2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $104.07 for 29085 in the office and $61.39 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 29085 nationwide

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

What 29085 covers

CPT 29085 represents application of a gauntlet-style cast that covers the hand and lower forearm, leaving the elbow free. It is used when an injury requires immobilization across the wrist and hand, such as selected carpal or metacarpal injuries. Orthopedic clinicians commonly apply this cast in office, emergency, or facility settings. The coverage distinguishes it from a cast that extends from below the elbow to the hand and from a cast limited to a finger.

Select the code from the cast’s extent and configuration, not the diagnosis alone. Document the treated side, the areas immobilized, and why this cast was used; replacement of the cast is included in the service. When cast application is part of fracture treatment that already includes it, do not separately report 29085. The 0-day global includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to bilateral performance, paid at 150%. Assistant-at-surgery payment is restricted; 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 Virginia compares for 29085

Across 109 of 109 payment localities, the office rate for 29085 runs from $93.98 in Arkansas to $139.86 in San Benito County, CA. Virginia pays $104.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

29085 rates by state

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

See 29085 in every payment locality

How the 29085 rate is calculated

Each of 29085’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.

Payment rules and modifiers for 29085

The CMS indicators that decide how 29085 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 29085

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

How 29085 has changed in Virginia

Price 29085 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates