CPT code 29105: Splint application, long arm, shoulder to hand2026 Medicare rate & RVUs in Fresno, CA

Clinician application of an upper-arm-to-hand splint to immobilize the elbow and forearm after selected acute injuries when a long-arm splint is needed.

CMS RVU26DEffective Oct 1, 2026One payment locality21.1K Medicare services in 2024

In Fresno, CA, Medicare pays $101.29 for 29105 in the office and $36.13 when it’s performed in a hospital or facility.

$101.29Office (non-facility)
$36.13Hospital or facility
+4.2%vs the national office rate ($97.20)

Check a contract rate as a % of Medicare · 29105 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 29105 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fresno, CA
  2. What 29105 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 29105 covers

29105 represents application of an upper-extremity splint spanning the upper arm and forearm to the hand, generally holding the elbow in a controlled position. Emergency clinicians, orthopedic clinicians, and other qualified practitioners use it for acute injuries such as elbow or forearm fractures, dislocations after reduction, or significant soft-tissue injuries when elbow motion needs restriction. The splint is molded and secured without forming a full circumferential cast; select the code based on the splint’s actual extent, not just the injury label.

Report the application with documentation identifying the treated side, splint extent, clinical reason for elbow immobilization, and relevant assessment before and after application. The CMS global period is zero days, so same-day preoperative and postoperative care is included. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 bilateral payment is 150%. CMS does not pay an assistant at surgery for this service and does not permit co-surgeons or team surgery.

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 Fresno, CA compares for 29105

Across 109 of 109 payment localities, the office rate for 29105 runs from $85.21 in Arkansas to $126.36 in San Benito County, CA. Fresno, CA pays $101.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

29105 in Fresno, CA vs other payment areas
  1. Fresno, CA · this page$101.29
  2. Bakersfield, CA · California$101.76+$0.47
  3. Chico, CA · California$101.29
  4. El Centro, CA · California$101.32+$0.03
  5. Hanford, CA · California$101.29
  6. Los Angeles, CA · California$108.34+$7.05
  7. Madera, CA · California$101.29

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

Every other payment area

29105 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$101.29$36.13
Modesto, CACalifornia$101.29$36.13
Napa, CACalifornia$116.86$38.50
Oxnard, CACalifornia$107.70$37.43
Redding, CACalifornia$101.29$36.13
Rest of CaliforniaCalifornia$101.29$36.13
Riverside, CACalifornia$103.12$37.95
Sacramento, CACalifornia$106.17$37.03

29105 rates by state

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

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.

$85.21

$113.83

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

View every state and territory as a table
29105 office rate range by state
State / territoryOffice rate rangeLocalities
AK$111.931
AL$86.551
AR$85.211
AZ$94.351
CA$101.29–$126.3629
CO$100.461
CT$103.951
DC$110.901
DE$95.971
FL$97.17–$108.563
GA$91.22–$99.462
GU$103.771
HI$103.771
IA$88.211
ID$88.971
IL$94.70–$105.064
IN$89.501
KS$88.101
KY$89.451
LA$89.43–$94.112
MA$99.93–$110.342
MD$97.78–$110.903
ME$89.81–$94.512
MI$92.23–$98.802
MN$95.101
MO$88.01–$94.073
MS$86.611
MT$97.191
NC$90.761
ND$93.821
NE$88.621
NH$99.171
NJ$104.81–$109.702
NM$92.901
NV$96.311
NY$92.24–$116.105
OH$91.551
OK$88.931
OR$95.25–$103.432
PA$91.52–$101.452
PR$97.831
RI$99.241
SC$91.371
SD$93.431
TN$88.611
TX$90.90–$100.408
UT$92.691
VA$94.41–$110.902
VI$97.831
VT$93.741
WA$99.65–$112.322
WI$90.521
WV$91.071
WY$95.721

See 29105 in every payment locality

How the 29105 rate is calculated

Each of 29105’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 · 29105

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense1.96

1.96 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

2.9100

Conversion factor

$33.4009

Medicare rate

$97.20

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

The exact Fresno, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,276

Code
29105
Physician work
0.78
Practice expense
1.96
Malpractice
0.17

GPCI2026.csv

11

Locality
Fresno, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 29105 in Fresno, CA
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0170.7933
Practice expense1.96× 1.0962.1482
Malpractice0.17× 0.5360.0911
Total RVUs3.0325
Conversion factor× 33.4009

Office rate, Fresno, CA$101.29

Office: (0.78 × 1.017 + 1.96 × 1.096 + 0.17 × 0.536) × $33.4009 = $101.29

Facility: (0.78 × 1.017 + 0.18 × 1.096 + 0.17 × 0.536) × $33.4009 = $36.13

Open 29105 in the RVU calculator

Payment rules and modifiers for 29105

The CMS indicators that decide how 29105 is paid alongside other services.

CMS payment indicators · 29105

Splint application, long arm, 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

29105 without 50 · national office

$97.20

Splint application, long arm, shoulder to hand

29105-50 · Bilateral: 150%

$145.80

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

How 29105 has changed in Fresno, CA

29105 · Office / nonfacility

$101.29

Effective 2026-10-01

The base rate is $15.23 higher than on 2025-10-01, moving from $86.06 to $101.29 (17.7%).

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

    $86.06changed to$101.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 1.61 changed to 1.96
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $87.47changed to$86.06

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.58 changed to 1.61

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $86.04changed to$87.47

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $86.96changed to$86.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.53 changed to 1.58
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $84.77changed to$86.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.45 changed to 1.53
    • Malpractice RVU 0.14 changed to 0.17
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $85.68changed to$84.77

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $85.58changed to$85.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.38 changed to 1.45
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $86.60changed to$85.58

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.42 changed to 1.38
    • Malpractice RVU 0.11 changed to 0.13
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $93.34changed to$86.60

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 0.87 changed to 0.80
    • Practice expense RVU 1.52 changed to 1.42
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $93.29changed to$93.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.51 changed to 1.52
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$93.29

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$101.29$36.13RVU26D
2026-07-01$101.29$36.13RVU26C
2026-04-01$101.29$36.13RVU26B
2026-01-01$101.29$36.13RVU26A
2025-10-01$86.06$39.39RVU25D
2025-07-01$86.06$39.39RVU25C
2025-04-01$86.06$39.39RVU25B
2025-01-01$86.06$39.39RVU25A
2024-10-01$87.47$40.54RVU24D
2024-07-01$87.47$40.54RVU24C
2024-04-01$87.47$40.54RVU24B
2024-03-09$87.47$40.54RVU24AR
2024-01-01$86.04$39.87RVU24A
2023-10-01$86.96$41.62RVU23D
2023-07-01$86.96$41.62RVU23C
2023-04-01$86.96$41.62RVU23B
2023-01-01$86.96$41.62RVU23A
2022-10-01$84.77$41.64RVU22D
2022-07-01$84.77$41.64RVU22C
2022-04-01$84.77$41.64RVU22B
2022-01-01$84.77$41.64RVU22A
2021-10-01$85.68$42.57RVU21D
2021-07-01$85.68$42.57RVU21C
2021-04-01$85.68$42.57RVU21B
2021-01-01$85.68$42.57RVU21A
2020-10-01$85.58$43.10RVU20D
2020-07-01$85.58$43.10RVU20C
2020-04-01$85.58$43.10RVU20B
2020-01-01$85.58$43.10RVU20A
2019-10-01$86.60$49.83RVU19D
2019-07-01$86.60$49.83RVU19C
2019-04-01$86.60$49.83RVU19B
2019-01-01$86.60$49.83RVU19A
2018-10-01$93.34$61.64RVU18D
2018-07-01$93.34$61.64RVU18C
2018-04-01$93.34$61.64RVU18B
2018-01-01$93.34$61.64RVU18AR1
2017-10-01$93.29$62.31RVU17D
2017-07-01$93.29$62.31RVU17C
2017-04-01$93.29$62.31RVU17B
2017-01-01$93.29$62.31RVU17A
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 29105 for an earlier date of service

Where the Fresno, CA rate applies

Fresno, CA is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Fresno
  • Auberry
  • Big Creek
  • Biola
  • Bowles
  • Calwa
  • Cantua Creek
  • Caruthers

Browse all communities in California

29105 billing questions

How does 29105 differ from 29125?

29105 is for a splint that spans the upper arm to the hand and controls elbow motion. 29125 covers a short-arm splint extending from the forearm to the hand.

Can 29105 be reported with fracture treatment?

Do not separately report the application when the definitive fracture-treatment service includes the initial immobilization. Consider 29105 when the splint application is the service being reported rather than part of a more comprehensive treatment service.

What documentation supports 29105?

Document the side, the splint’s extent, why elbow and forearm motion require restriction, and the patient’s relevant status before and after application.

What is the global period for 29105?

It has a zero-day global period. Same-day preoperative and postoperative care is included.

How does Medicare handle bilateral application and other same-session procedures?

Modifier 50 bilateral payment is 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 29105PPRRVU2026_Oct_nonQPP.csv, line 3,276 (RVU26D)
Geographic factors for Fresno, CAGPCI2026.csv, line 11 (RVU26D)

Open CMS sourceHow we calculate rates

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