CPT code 29105: Splint application, long arm, shoulder to hand2026 Medicare rate & RVUs in Rhode Island
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.
In Rhode Island, Medicare pays $99.24 for 29105 in the office and $37.82 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Rhode Island 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. Rhode Island pays $99.24. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$99.24
- Los Angeles, CA · California$108.34+$9.10
- Washington, DC area · District of Columbia$110.90+$11.66
- Miami, FL · Florida$108.56+$9.32
- Chicago, IL · Illinois$105.06+$5.82
- Manhattan, NY · New York$112.80+$13.56
- Alaska · Alaska$111.93+$12.69
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $86.55 | $34.53 |
| ArkansasArkansas | $85.21 | $34.14 |
| ArizonaArizona | $94.35 | $36.74 |
| Bakersfield, CACalifornia | $101.76 | $36.60 |
| Chico, CACalifornia | $101.29 | $36.13 |
| El Centro, CACalifornia | $101.32 | $36.16 |
| Fresno, CACalifornia | $101.29 | $36.13 |
| Hanford, CACalifornia | $101.29 | $36.13 |
| Madera, CACalifornia | $101.29 | $36.13 |
| 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 |
| Salinas, CACalifornia | $105.78 | $36.87 |
| San Diego, CACalifornia | $108.21 | $37.10 |
| Marin County, CACalifornia | $123.44 | $39.61 |
| San Francisco, CACalifornia | $123.25 | $39.42 |
| San Benito County, CACalifornia | $126.36 | $40.63 |
| Santa Clara County, CACalifornia | $125.57 | $39.84 |
| San Luis Obispo, CACalifornia | $104.10 | $36.39 |
| Santa Cruz, CACalifornia | $109.18 | $36.95 |
| Santa Maria, CACalifornia | $106.16 | $36.84 |
| Santa Rosa, CACalifornia | $110.27 | $37.26 |
| Stockton, CACalifornia | $101.29 | $36.13 |
| Vallejo, CACalifornia | $116.58 | $38.22 |
| Visalia, CACalifornia | $101.29 | $36.13 |
| Yuba City, CACalifornia | $101.29 | $36.13 |
| ColoradoColorado | $100.46 | $37.20 |
| ConnecticutConnecticut | $103.95 | $39.92 |
| DelawareDelaware | $95.97 | $37.23 |
| Fort Lauderdale, FLFlorida | $102.64 | $42.41 |
| Rest of FloridaFlorida | $97.17 | $40.33 |
| Atlanta, GAGeorgia | $99.46 | $39.06 |
| Rest of GeorgiaGeorgia | $91.22 | $38.18 |
| Hawaii, Guam, HIHawaii | $103.77 | $36.18 |
| IowaIowa | $88.21 | $33.81 |
| IdahoIdaho | $88.97 | $34.27 |
| East St. Louis, ILIllinois | $97.72 | $43.02 |
| Rest of IllinoisIllinois | $94.70 | $40.42 |
| Suburban Chicago, ILIllinois | $103.53 | $42.47 |
| IndianaIndiana | $89.50 | $34.39 |
| KansasKansas | $88.10 | $34.35 |
| KentuckyKentucky | $89.45 | $36.59 |
| New Orleans, LALouisiana | $94.11 | $38.16 |
| Rest of LouisianaLouisiana | $89.43 | $36.81 |
| Metropolitan Boston, MAMassachusetts | $110.34 | $39.35 |
| Rest of MassachusettsMassachusetts | $99.93 | $37.33 |
| Baltimore area, MDMaryland | $103.74 | $39.94 |
| Rest of MarylandMaryland | $97.78 | $37.61 |
| Rest of MaineMaine | $89.81 | $35.12 |
| Southern Maine, MEMaine | $94.51 | $35.59 |
| Detroit, MIMichigan | $98.80 | $41.43 |
| Rest of MichiganMichigan | $92.23 | $37.95 |
| MinnesotaMinnesota | $95.10 | $33.92 |
| Metropolitan Kansas City, MOMissouri | $93.07 | $37.25 |
| Metropolitan St. Louis, MOMissouri | $94.07 | $37.47 |
| Rest of MissouriMissouri | $88.01 | $36.77 |
| MississippiMississippi | $86.61 | $35.43 |
| MontanaMontana | $97.19 | $37.73 |
| North CarolinaNorth Carolina | $90.76 | $35.29 |
| North DakotaNorth Dakota | $93.82 | $34.37 |
| NebraskaNebraska | $88.62 | $33.75 |
| New HampshireNew Hampshire | $99.17 | $37.28 |
| Northern New JerseyNew Jersey | $109.70 | $40.73 |
| Rest of New JerseyNew Jersey | $104.81 | $39.89 |
| New MexicoNew Mexico | $92.90 | $38.39 |
| NevadaNevada | $96.31 | $36.80 |
| NYC suburbs and Long Island, NYNew York | $116.10 | $45.41 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $105.78 | $40.68 |
| Queens, NYNew York | $113.29 | $43.01 |
| Rest of New YorkNew York | $92.24 | $35.76 |
| OhioOhio | $91.55 | $37.27 |
| OklahomaOklahoma | $88.93 | $35.83 |
| Portland, OROregon | $103.43 | $37.37 |
| Rest of OregonOregon | $95.25 | $36.03 |
| Metropolitan Philadelphia, PAPennsylvania | $101.45 | $39.55 |
| Rest of PennsylvaniaPennsylvania | $91.52 | $36.94 |
| Puerto RicoPuerto Rico | $97.83 | $37.72 |
| South CarolinaSouth Carolina | $91.37 | $36.43 |
| South DakotaSouth Dakota | $93.43 | $33.97 |
| TennesseeTennessee | $88.61 | $34.57 |
| Austin, TXTexas | $100.40 | $37.50 |
| Beaumont, TXTexas | $90.90 | $36.80 |
| Brazoria, TXTexas | $95.57 | $36.65 |
| Dallas, TXTexas | $96.36 | $37.15 |
| Fort Worth, TXTexas | $95.78 | $37.16 |
| Galveston, TXTexas | $95.97 | $36.93 |
| Houston, TXTexas | $99.08 | $40.04 |
| Rest of TexasTexas | $93.31 | $36.89 |
| UtahUtah | $92.69 | $36.80 |
| VirginiaVirginia | $94.41 | $35.97 |
| Virgin Islands, VIUnited States Virgin Islands | $97.83 | $37.72 |
| VermontVermont | $93.74 | $34.88 |
| Rest of WashingtonWashington | $99.65 | $37.04 |
| King County, WAWashington | $112.32 | $39.37 |
| WisconsinWisconsin | $90.52 | $33.56 |
| West VirginiaWest Virginia | $91.07 | $39.40 |
| WyomingWyoming | $95.72 | $36.27 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $111.93 | 1 |
| AL | $86.55 | 1 |
| AR | $85.21 | 1 |
| AZ | $94.35 | 1 |
| CA | $101.29–$126.36 | 29 |
| CO | $100.46 | 1 |
| CT | $103.95 | 1 |
| DC | $110.90 | 1 |
| DE | $95.97 | 1 |
| FL | $97.17–$108.56 | 3 |
| GA | $91.22–$99.46 | 2 |
| GU | $103.77 | 1 |
| HI | $103.77 | 1 |
| IA | $88.21 | 1 |
| ID | $88.97 | 1 |
| IL | $94.70–$105.06 | 4 |
| IN | $89.50 | 1 |
| KS | $88.10 | 1 |
| KY | $89.45 | 1 |
| LA | $89.43–$94.11 | 2 |
| MA | $99.93–$110.34 | 2 |
| MD | $97.78–$110.90 | 3 |
| ME | $89.81–$94.51 | 2 |
| MI | $92.23–$98.80 | 2 |
| MN | $95.10 | 1 |
| MO | $88.01–$94.07 | 3 |
| MS | $86.61 | 1 |
| MT | $97.19 | 1 |
| NC | $90.76 | 1 |
| ND | $93.82 | 1 |
| NE | $88.62 | 1 |
| NH | $99.17 | 1 |
| NJ | $104.81–$109.70 | 2 |
| NM | $92.90 | 1 |
| NV | $96.31 | 1 |
| NY | $92.24–$116.10 | 5 |
| OH | $91.55 | 1 |
| OK | $88.93 | 1 |
| OR | $95.25–$103.43 | 2 |
| PA | $91.52–$101.45 | 2 |
| PR | $97.83 | 1 |
| RI | $99.24 | 1 |
| SC | $91.37 | 1 |
| SD | $93.43 | 1 |
| TN | $88.61 | 1 |
| TX | $90.90–$100.40 | 8 |
| UT | $92.69 | 1 |
| VA | $94.41–$110.90 | 2 |
| VI | $97.83 | 1 |
| VT | $93.74 | 1 |
| WA | $99.65–$112.32 | 2 |
| WI | $90.52 | 1 |
| WV | $91.07 | 1 |
| WY | $95.72 | 1 |
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
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 Rhode Island 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
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.019 | 0.7948 |
| Practice expense | 1.96 | × 1.033 | 2.0247 |
| Malpractice | 0.17 | × 0.892 | 0.1516 |
| Total RVUs | 2.9711 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Rhode Island$99.24
Office: (0.78 × 1.019 + 1.96 × 1.033 + 0.17 × 0.892) × $33.4009 = $99.24
Facility: (0.78 × 1.019 + 0.18 × 1.033 + 0.17 × 0.892) × $33.4009 = $37.82
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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).
How 29105 has changed in Rhode Island
29105 · Office / nonfacility
$99.24
Effective 2026-10-01
The base rate is $14.21 higher than on 2025-10-01, moving from $85.03 to $99.24 (16.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$85.03changed to$99.24
- 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 1.025 changed to 1.019
- Practice expense GPCI 1.039 changed to 1.033
- Malpractice GPCI 0.849 changed to 0.892
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$86.46changed to$85.03
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.58 changed to 1.61
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$85.05changed to$86.46
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$87.13changed to$85.05
- 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 1.023 changed to 1.025
- Practice expense GPCI 1.044 changed to 1.039
- Malpractice GPCI 0.915 changed to 0.849
January 1, 2023
RVU23A
$85.61changed to$87.13
- 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 1.021 changed to 1.023
- Practice expense GPCI 1.048 changed to 1.044
- Malpractice GPCI 0.981 changed to 0.915
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$86.66changed to$85.61
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.15 changed to 0.14
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$86.45changed to$86.66
- 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 1.021
- Practice expense GPCI 1.049 changed to 1.048
- Malpractice GPCI 0.990 changed to 0.981
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$87.30changed to$86.45
- 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 1.027 changed to 1.024
- Practice expense GPCI 1.050 changed to 1.049
- Malpractice GPCI 0.999 changed to 0.990
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$94.30changed to$87.30
- 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.
January 1, 2018
RVU18AR1
$93.11changed to$94.30
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.51 changed to 1.52
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.052 changed to 1.050
- Malpractice GPCI 0.879 changed to 0.999
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$92.30changed to$93.11
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.022 changed to 1.025
- Practice expense GPCI 1.053 changed to 1.052
- Malpractice GPCI 0.759 changed to 0.879
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$93.28changed to$92.30
- 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.
July 1, 2015
RVU15C
$92.82changed to$93.28
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$92.53changed to$92.82
- 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 1.020 changed to 1.022
- Malpractice GPCI 0.973 changed to 0.759
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$92.53
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $99.24 | $37.82 | RVU26D |
| 2026-07-01 | $99.24 | $37.82 | RVU26C |
| 2026-04-01 | $99.24 | $37.82 | RVU26B |
| 2026-01-01 | $99.24 | $37.82 | RVU26A |
| 2025-10-01 | $85.03 | $40.66 | RVU25D |
| 2025-07-01 | $85.03 | $40.66 | RVU25C |
| 2025-04-01 | $85.03 | $40.66 | RVU25B |
| 2025-01-01 | $85.03 | $40.66 | RVU25A |
| 2024-10-01 | $86.46 | $41.85 | RVU24D |
| 2024-07-01 | $86.46 | $41.85 | RVU24C |
| 2024-04-01 | $86.46 | $41.85 | RVU24B |
| 2024-03-09 | $86.46 | $41.85 | RVU24AR |
| 2024-01-01 | $85.05 | $41.16 | RVU24A |
| 2023-10-01 | $87.13 | $43.26 | RVU23D |
| 2023-07-01 | $87.13 | $43.26 | RVU23C |
| 2023-04-01 | $87.13 | $43.26 | RVU23B |
| 2023-01-01 | $87.13 | $43.26 | RVU23A |
| 2022-10-01 | $85.61 | $43.17 | RVU22D |
| 2022-07-01 | $85.61 | $43.17 | RVU22C |
| 2022-04-01 | $85.61 | $43.17 | RVU22B |
| 2022-01-01 | $85.61 | $43.17 | RVU22A |
| 2021-10-01 | $86.66 | $44.24 | RVU21D |
| 2021-07-01 | $86.66 | $44.24 | RVU21C |
| 2021-04-01 | $86.66 | $44.24 | RVU21B |
| 2021-01-01 | $86.66 | $44.24 | RVU21A |
| 2020-10-01 | $86.45 | $44.81 | RVU20D |
| 2020-07-01 | $86.45 | $44.81 | RVU20C |
| 2020-04-01 | $86.45 | $44.81 | RVU20B |
| 2020-01-01 | $86.45 | $44.81 | RVU20A |
| 2019-10-01 | $87.30 | $51.36 | RVU19D |
| 2019-07-01 | $87.30 | $51.36 | RVU19C |
| 2019-04-01 | $87.30 | $51.36 | RVU19B |
| 2019-01-01 | $87.30 | $51.36 | RVU19A |
| 2018-10-01 | $94.30 | $63.30 | RVU18D |
| 2018-07-01 | $94.30 | $63.30 | RVU18C |
| 2018-04-01 | $94.30 | $63.30 | RVU18B |
| 2018-01-01 | $94.30 | $63.30 | RVU18AR1 |
| 2017-10-01 | $93.11 | $62.91 | RVU17D |
| 2017-07-01 | $93.11 | $62.91 | RVU17C |
| 2017-04-01 | $93.11 | $62.91 | RVU17B |
| 2017-01-01 | $93.11 | $62.91 | RVU17A |
| 2016-10-01 | $92.30 | $61.76 | RVU16D |
| 2016-07-01 | $92.30 | $61.76 | RVU16C |
| 2016-04-01 | $92.30 | $61.76 | RVU16B |
| 2016-01-01 | $92.30 | $61.76 | RVU16A |
| 2015-10-01 | $93.28 | $62.63 | RVU15D |
| 2015-07-01 | $93.28 | $62.63 | RVU15C |
| 2015-04-01 | $92.82 | $62.32 | RVU15B |
| 2015-01-01 | $92.82 | $62.32 | RVU15A |
| 2014-10-01 | $92.53 | $62.73 | RVU14D |
| 2014-07-01 | $92.53 | $62.73 | RVU14C |
| 2014-04-01 | $92.53 | $62.73 | RVU14B |
| 2014-01-01 | $92.53 | $62.73 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
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
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