CPT code 29105: Splint application, long arm, shoulder to hand2026 Medicare rate & RVUs in Los Angeles, 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 Los Angeles, CA, Medicare pays $108.34 for 29105 in the office and $38.00 when it’s performed in a hospital or facility.

$108.34Office (non-facility)
$38.00Hospital or facility
+11.5%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 Los Angeles, 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 Los Angeles, 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. Los Angeles, CA pays $108.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

29105 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$108.34
  2. Bakersfield, CA · California$101.76−$6.58
  3. Chico, CA · California$101.29−$7.05
  4. El Centro, CA · California$101.32−$7.02
  5. Fresno, CA · California$101.29−$7.05
  6. Hanford, CA · California$101.29−$7.05
  7. Madera, CA · California$101.29−$7.05

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 Los Angeles, 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

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 29105 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0410.8120
Practice expense1.96× 1.1832.3187
Malpractice0.17× 0.6640.1129
Total RVUs3.2435
Conversion factor× 33.4009

Office rate, Los Angeles, CA$108.34

Office: (0.78 × 1.041 + 1.96 × 1.183 + 0.17 × 0.664) × $33.4009 = $108.34

Facility: (0.78 × 1.041 + 0.18 × 1.183 + 0.17 × 0.664) × $33.4009 = $38.00

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 Los Angeles, CA

29105 · Office / nonfacility

$108.34

Effective 2026-10-01

The base rate is $15.62 higher than on 2025-10-01, moving from $92.72 to $108.34 (16.8%).

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

    $92.72changed to$108.34

    • 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 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $94.22changed to$92.72

    • 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

    $92.68changed to$94.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $93.94changed to$92.68

    • 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 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690
  5. January 1, 2023

    RVU23A

    $91.64changed to$93.94

    • 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 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $92.67changed to$91.64

    • 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

    $92.20changed to$92.67

    • 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 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $93.14changed to$92.20

    • 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 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $100.41changed to$93.14

    • 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

    $99.78changed to$100.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.51 changed to 1.52
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $99.61changed to$99.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $100.71changed to$99.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.52 changed to 1.51
    • Malpractice RVU 0.14 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $100.21changed to$100.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $97.89changed to$100.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.49 changed to 1.52
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $98.51changed to$97.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.65 changed to 1.49
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$98.51

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$108.34$38.00RVU26D
2026-07-01$108.34$38.00RVU26C
2026-04-01$108.34$38.00RVU26B
2026-01-01$108.34$38.00RVU26A
2025-10-01$92.72$41.74RVU25D
2025-07-01$92.72$41.74RVU25C
2025-04-01$92.72$41.74RVU25B
2025-01-01$92.72$41.74RVU25A
2024-10-01$94.22$42.95RVU24D
2024-07-01$94.22$42.95RVU24C
2024-04-01$94.22$42.95RVU24B
2024-03-09$94.22$42.95RVU24AR
2024-01-01$92.68$42.25RVU24A
2023-10-01$93.94$44.15RVU23D
2023-07-01$93.94$44.15RVU23C
2023-04-01$93.94$44.15RVU23B
2023-01-01$93.94$44.15RVU23A
2022-10-01$91.64$44.07RVU22D
2022-07-01$91.64$44.07RVU22C
2022-04-01$91.64$44.07RVU22B
2022-01-01$91.64$44.07RVU22A
2021-10-01$92.67$45.11RVU21D
2021-07-01$92.67$45.11RVU21C
2021-04-01$92.67$45.11RVU21B
2021-01-01$92.67$45.11RVU21A
2020-10-01$92.20$45.51RVU20D
2020-07-01$92.20$45.51RVU20C
2020-04-01$92.20$45.51RVU20B
2020-01-01$92.20$45.51RVU20A
2019-10-01$93.14$52.85RVU19D
2019-07-01$93.14$52.85RVU19C
2019-04-01$93.14$52.85RVU19B
2019-01-01$93.14$52.85RVU19A
2018-10-01$100.41$65.67RVU18D
2018-07-01$100.41$65.67RVU18C
2018-04-01$100.41$65.67RVU18B
2018-01-01$100.41$65.67RVU18AR1
2017-10-01$99.78$66.22RVU17D
2017-07-01$99.78$66.22RVU17C
2017-04-01$99.78$66.22RVU17B
2017-01-01$99.78$66.22RVU17A
2016-10-01$99.61$65.94RVU16D
2016-07-01$99.61$65.94RVU16C
2016-04-01$99.61$65.94RVU16B
2016-01-01$99.61$65.94RVU16A
2015-10-01$100.71$66.92RVU15D
2015-07-01$100.71$66.92RVU15C
2015-04-01$100.21$66.59RVU15B
2015-01-01$100.21$66.59RVU15A
2014-10-01$97.89$65.12RVU14D
2014-07-01$97.89$65.12RVU14C
2014-04-01$97.89$65.12RVU14B
2014-01-01$97.89$65.12RVU14A
2013-10-01$98.51$63.96RVU13D
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 Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

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 Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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