FeeBase
Log inGet started
Menu

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

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 Virginia, Medicare pays $80.98 for 29086 in the office and $45.19 when it’s performed in a hospital or facility.

$80.98Office (non-facility)
$45.19Hospital or facility
−1.8%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 Virginia
  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 Virginia 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. Virginia pays $80.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

29086 in Virginia vs other payment areas
  1. Virginia · this page$80.98
  2. Los Angeles, CA · California$93.89+$12.91
  3. Washington, DC area · District of Columbia$94.59+$13.61
  4. Miami, FL · Florida$87.55+$6.57
  5. Chicago, IL · Illinois$85.11+$4.13
  6. Manhattan, NY · New York$94.61+$13.63
  7. Alaska · Alaska$95.72+$14.74

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 29086 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense1.82× 0.9831.7891
Malpractice0.05× 0.7060.0353
Total RVUs2.4244
Conversion factor× 33.4009

Office rate, Virginia$80.98

Office: (0.6 × 1 + 1.82 × 0.983 + 0.05 × 0.706) × $33.4009 = $80.98

Facility: (0.6 × 1 + 0.73 × 0.983 + 0.05 × 0.706) × $33.4009 = $45.19

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, Virginia
Same family
29085Gauntlet cast, hand and lower forearmCast application extends over the hand and lower forearm rather than being limited to a finger.$104.07
29075Cast application, forearm to handCast application covers the elbow-to-finger region, a broader extent than a finger cast.$95.00
Used instead
29130Finger splint, static applicationUsed for static finger splint application when immobilization is provided with a splint instead of a cast.$44.85

How 29086 has changed in Virginia

29086 · Office / nonfacility

$80.98

Effective 2026-10-01

The base rate is $4.28 higher than on 2025-10-01, moving from $76.70 to $80.98 (5.6%).

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

    $76.70changed to$80.98

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $77.14changed to$76.70

    • 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

    $75.88changed to$77.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $76.98changed to$75.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.61 changed to 1.67
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $76.62changed to$76.98

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $74.55changed to$76.62

    • 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

    $79.31changed to$74.55

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $79.71changed to$79.31

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $81.37changed to$79.71

    • 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. January 1, 2018

    RVU18AR1

    $76.70changed to$81.37

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.47 changed to 1.59
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $78.76changed to$76.70

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.54 changed to 1.47
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $78.10changed to$78.76

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.53 changed to 1.54
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $77.71changed to$78.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $78.15changed to$77.71

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.08 changed to 0.06
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $79.26changed to$78.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.69 changed to 1.53
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $79.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$80.98$45.19RVU26D
2026-07-01$80.98$45.19RVU26C
2026-04-01$80.98$45.19RVU26B
2026-01-01$80.98$45.19RVU26A
2025-10-01$76.70$47.73RVU25D
2025-07-01$76.70$47.73RVU25C
2025-04-01$76.70$47.73RVU25B
2025-01-01$76.70$47.73RVU25A
2024-10-01$77.14$48.64RVU24D
2024-07-01$77.14$48.64RVU24C
2024-04-01$77.14$48.64RVU24B
2024-03-09$77.14$48.64RVU24AR
2024-01-01$75.88$47.85RVU24A
2023-10-01$76.98$49.14RVU23D
2023-07-01$76.98$49.14RVU23C
2023-04-01$76.98$49.14RVU23B
2023-01-01$76.98$49.14RVU23A
2022-10-01$76.62$49.42RVU22D
2022-07-01$76.62$49.42RVU22C
2022-04-01$76.62$49.42RVU22B
2022-01-01$76.62$49.42RVU22A
2021-10-01$74.55$48.51RVU21D
2021-07-01$74.55$48.51RVU21C
2021-04-01$74.55$48.51RVU21B
2021-01-01$74.55$48.51RVU21A
2020-10-01$79.31$52.49RVU20D
2020-07-01$79.31$52.49RVU20C
2020-04-01$79.31$52.49RVU20B
2020-01-01$79.31$52.49RVU20A
2019-10-01$79.71$51.64RVU19D
2019-07-01$79.71$51.64RVU19C
2019-04-01$79.71$51.64RVU19B
2019-01-01$79.71$51.64RVU19A
2018-10-01$81.37$52.98RVU18D
2018-07-01$81.37$52.98RVU18C
2018-04-01$81.37$52.98RVU18B
2018-01-01$81.37$52.98RVU18AR1
2017-10-01$76.70$50.54RVU17D
2017-07-01$76.70$50.54RVU17C
2017-04-01$76.70$50.54RVU17B
2017-01-01$76.70$50.54RVU17A
2016-10-01$78.76$51.66RVU16D
2016-07-01$78.76$51.66RVU16C
2016-04-01$78.76$51.66RVU16B
2016-01-01$78.76$51.66RVU16A
2015-10-01$78.10$50.90RVU15D
2015-07-01$78.10$50.90RVU15C
2015-04-01$77.71$50.65RVU15B
2015-01-01$77.71$50.65RVU15A
2014-10-01$78.15$51.12RVU14D
2014-07-01$78.15$51.12RVU14C
2014-04-01$78.15$51.12RVU14B
2014-01-01$78.15$51.12RVU14A
2013-10-01$79.26$51.34RVU13D
2013-07-01$79.26$51.34RVU13C
2013-04-01$79.26$51.34RVU13B
2013-01-01$79.26$51.34RVU13AR

Price 29086 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

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 29086 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 29086 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist