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CPT code 29086: Finger cast, finger only2026 Medicare rate & RVUs in Tennessee

Reports rigid cast application limited to a finger when an injured digit, such as one with a phalangeal fracture, needs immobilization.

CMS RVU26DEffective Oct 1, 2026One payment locality485 Medicare services in 2024

In Tennessee, Medicare pays $76.20 for 29086 in the office and $43.10 when it’s performed in a hospital or facility.

$76.20Office (non-facility)
$43.10Hospital or facility
−7.6%vs the national office rate ($82.50)

Check a contract rate as a % of Medicare · 29086 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 29086 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 29086 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 29086 covers

Code 29086 represents a clinician applying a rigid cast to immobilize an injured finger, commonly after a phalangeal fracture when circumferential immobilization is selected instead of a splint. The service is limited to the finger; casts extending to the hand or forearm belong to broader cast-application codes. It is commonly performed in an office, emergency department, or other setting where acute hand injuries are treated.

Report the service when documentation identifies the injured digit, the clinical reason for immobilization, and the cast applied. A cast application included in definitive fracture treatment is not separately reported for the same work. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral service, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 Tennessee compares for 29086

Across 109 of 109 payment localities, the office rate for 29086 runs from $73.12 in Arkansas to $110.80 in San Benito County, CA. Tennessee pays $76.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

29086 in Tennessee vs other payment areas
  1. Tennessee · this page$76.20
  2. Los Angeles, CA · California$93.89+$17.69
  3. Washington, DC area · District of Columbia$94.59+$18.39
  4. Miami, FL · Florida$87.55+$11.35
  5. Chicago, IL · Illinois$85.11+$8.91
  6. Manhattan, NY · New York$94.61+$18.41
  7. Alaska · Alaska$95.72+$19.52

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

Every other payment area

29086 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$74.18$42.32
ArkansasArkansas$73.12$41.85
ArizonaArizona$80.38$45.10
Bakersfield, CACalifornia$88.06$48.16
Chico, CACalifornia$87.90$48.00
El Centro, CACalifornia$87.91$48.01
Fresno, CACalifornia$87.90$48.00
Hanford, CACalifornia$87.90$48.00

29086 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.

$73.12

$99.35

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

View every state and territory as a table
29086 office rate range by state
State / territoryOffice rate rangeLocalities
AK$95.721
AL$74.181
AR$73.121
AZ$80.381
CA$87.90–$110.8029
CO$86.271
CT$87.931
DC$94.591
DE$81.701
FL$80.67–$87.553
GA$76.26–$83.872
GU$90.131
HI$90.131
IA$76.331
ID$76.761
IL$78.15–$85.574
IN$77.201
KS$75.841
KY$75.611
LA$75.44–$79.142
MA$85.70–$94.932
MD$83.29–$94.593
ME$77.01–$81.342
MI$77.43–$81.522
MN$83.091
MO$74.07–$79.593
MS$73.611
MT$82.501
NC$77.821
ND$81.511
NE$76.781
NH$84.781
NJ$89.06–$93.602
NM$77.791
NV$82.281
NY$78.96–$96.705
OH$77.221
OK$75.621
OR$81.76–$89.142
PA$77.42–$85.682
PR$83.141
RI$84.711
SC$77.631
SD$81.391
TN$76.201
TX$76.91–$85.888
UT$78.681
VA$80.98–$94.592
VI$83.141
VT$81.071
WA$85.58–$97.002
WI$78.791
WV$75.261
WY$82.071

See 29086 in every payment locality

How the 29086 rate is calculated

Each of 29086’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 · 29086

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense1.82

1.82 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

2.4700

Conversion factor

$33.4009

Medicare rate

$82.50

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

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,275

Code
29086
Physician work
0.60
Practice expense
1.82
Malpractice
0.05

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 29086 in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense1.82× 0.9091.6544
Malpractice0.05× 0.5370.0269
Total RVUs2.2812
Conversion factor× 33.4009

Office rate, Tennessee$76.20

Office: (0.6 × 1 + 1.82 × 0.909 + 0.05 × 0.537) × $33.4009 = $76.20

Facility: (0.6 × 1 + 0.73 × 0.909 + 0.05 × 0.537) × $33.4009 = $43.10

Open 29086 in the RVU calculator

Payment rules and modifiers for 29086

The CMS indicators that decide how 29086 is paid alongside other services.

CMS payment indicators · 29086

Finger cast, finger only

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

29086 without 50 · national office

$82.50

Finger cast, finger only

29086-50 · Bilateral: 150%

$123.75

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 29086

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

Codes related to 29086
CodeHow it relatesOffice range, Tennessee
Same family
29085Gauntlet cast, hand and lower forearmCast application extends over the hand and lower forearm rather than being limited to a finger.$97.75
29075Cast application, forearm to handCast application covers the elbow-to-finger region, a broader extent than a finger cast.$89.20
Used instead
29130Finger splint, static applicationUsed for static finger splint application when immobilization is provided with a splint instead of a cast.$42.39

How 29086 has changed in Tennessee

29086 · Office / nonfacility

$76.20

Effective 2026-10-01

The base rate is $4.84 higher than on 2025-10-01, moving from $71.36 to $76.20 (6.8%).

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

    $71.36changed to$76.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.62 changed to 0.60
    • Practice expense RVU 1.74 changed to 1.82
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $71.71changed to$71.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.67 changed to 1.74
    • Malpractice RVU 0.07 changed to 0.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $70.54changed to$71.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $71.01changed to$70.54

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.61 changed to 1.67
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544

  5. January 1, 2023

    RVU23A

    $70.05changed to$71.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.53 changed to 1.61
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $68.42changed to$70.05

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.47 changed to 1.53
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $72.91changed to$68.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.51 changed to 1.47
    • Malpractice RVU 0.09 changed to 0.06
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $74.00changed to$72.91

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.55 changed to 1.51
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $75.41changed to$74.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.59 changed to 1.55
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$75.41

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$76.20$43.10RVU26D
2026-07-01$76.20$43.10RVU26C
2026-04-01$76.20$43.10RVU26B
2026-01-01$76.20$43.10RVU26A
2025-10-01$71.36$44.99RVU25D
2025-07-01$71.36$44.99RVU25C
2025-04-01$71.36$44.99RVU25B
2025-01-01$71.36$44.99RVU25A
2024-10-01$71.71$45.77RVU24D
2024-07-01$71.71$45.77RVU24C
2024-04-01$71.71$45.77RVU24B
2024-03-09$71.71$45.77RVU24AR
2024-01-01$70.54$45.02RVU24A
2023-10-01$71.01$45.87RVU23D
2023-07-01$71.01$45.87RVU23C
2023-04-01$71.01$45.87RVU23B
2023-01-01$71.01$45.87RVU23A
2022-10-01$70.05$45.66RVU22D
2022-07-01$70.05$45.66RVU22C
2022-04-01$70.05$45.66RVU22B
2022-01-01$70.05$45.66RVU22A
2021-10-01$68.42$45.07RVU21D
2021-07-01$68.42$45.07RVU21C
2021-04-01$68.42$45.07RVU21B
2021-01-01$68.42$45.07RVU21A
2020-10-01$72.91$48.63RVU20D
2020-07-01$72.91$48.63RVU20C
2020-04-01$72.91$48.63RVU20B
2020-01-01$72.91$48.63RVU20A
2019-10-01$74.00$48.35RVU19D
2019-07-01$74.00$48.35RVU19C
2019-04-01$74.00$48.35RVU19B
2019-01-01$74.00$48.35RVU19A
2018-10-01$75.41$49.46RVU18D
2018-07-01$75.41$49.46RVU18C
2018-04-01$75.41$49.46RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29086 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

29086 billing questions

When should 29086 be used instead of a finger splint code?

Use 29086 for a rigid cast applied to a finger. A static finger splint is reported with 29130 rather than this cast-application code.

Can 29086 be billed separately with fracture treatment?

When cast application is included in the definitive fracture-treatment service, do not separately report 29086 for that same work.

What documentation supports 29086?

Document the injured finger, the reason for immobilization, and the cast applied. The record should make clear that the service was a finger cast, not a splint or a cast extending to the hand or forearm.

How is bilateral application reported?

For bilateral service, report modifier 50; CMS pays the bilateral procedure at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or surgical team be reported?

An assistant at surgery is not paid for 29086. 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 29086PPRRVU2026_Oct_nonQPP.csv, line 3,275 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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