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

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 South Dakota, Medicare pays $93.43 for 29105 in the office and $33.97 when it’s performed in a hospital or facility.

$93.43Office (non-facility)
$33.97Hospital or facility
−3.9%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 South Dakota
  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 South Dakota 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. South Dakota pays $93.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

29105 in South Dakota vs other payment areas
  1. South Dakota · this page$93.43
  2. Los Angeles, CA · California$108.34+$14.91
  3. Washington, DC area · District of Columbia$110.90+$17.47
  4. Miami, FL · Florida$108.56+$15.13
  5. Chicago, IL · Illinois$105.06+$11.63
  6. Manhattan, NY · New York$112.80+$19.37
  7. Alaska · Alaska$111.93+$18.50

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

Every other payment area

29105 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 29105 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense1.96× 1.0001.9600
Malpractice0.17× 0.3360.0571
Total RVUs2.7971
Conversion factor× 33.4009

Office rate, South Dakota$93.43

Office: (0.78 × 1 + 1.96 × 1 + 0.17 × 0.336) × $33.4009 = $93.43

Facility: (0.78 × 1 + 0.18 × 1 + 0.17 × 0.336) × $33.4009 = $33.97

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 South Dakota

29105 · Office / nonfacility

$93.43

Effective 2026-10-01

The base rate is $13.50 higher than on 2025-10-01, moving from $79.93 to $93.43 (16.9%).

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

    $79.93changed to$93.43

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $81.26changed to$79.93

    • 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

    $79.93changed to$81.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $81.05changed to$79.93

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $79.55changed to$81.05

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $80.33changed to$79.55

    • 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

    $80.40changed to$80.33

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $81.55changed to$80.40

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $87.86changed to$81.55

    • 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

    $87.26changed to$87.86

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.51 changed to 1.52
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $87.08changed to$87.26

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $87.89changed to$87.08

    • 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

    $87.46changed to$87.89

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $86.48changed to$87.46

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $87.80changed to$86.48

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $87.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$93.43$33.97RVU26D
2026-07-01$93.43$33.97RVU26C
2026-04-01$93.43$33.97RVU26B
2026-01-01$93.43$33.97RVU26A
2025-10-01$79.93$37.23RVU25D
2025-07-01$79.93$37.23RVU25C
2025-04-01$79.93$37.23RVU25B
2025-01-01$79.93$37.23RVU25A
2024-10-01$81.26$38.32RVU24D
2024-07-01$81.26$38.32RVU24C
2024-04-01$81.26$38.32RVU24B
2024-03-09$81.26$38.32RVU24AR
2024-01-01$79.93$37.69RVU24A
2023-10-01$81.05$39.03RVU23D
2023-07-01$81.05$39.03RVU23C
2023-04-01$81.05$39.03RVU23B
2023-01-01$81.05$39.03RVU23A
2022-10-01$79.55$39.06RVU22D
2022-07-01$79.55$39.06RVU22C
2022-04-01$79.55$39.06RVU22B
2022-01-01$79.55$39.06RVU22A
2021-10-01$80.33$39.85RVU21D
2021-07-01$80.33$39.85RVU21C
2021-04-01$80.33$39.85RVU21B
2021-01-01$80.33$39.85RVU21A
2020-10-01$80.40$40.70RVU20D
2020-07-01$80.40$40.70RVU20C
2020-04-01$80.40$40.70RVU20B
2020-01-01$80.40$40.70RVU20A
2019-10-01$81.55$47.31RVU19D
2019-07-01$81.55$47.31RVU19C
2019-04-01$81.55$47.31RVU19B
2019-01-01$81.55$47.31RVU19A
2018-10-01$87.86$58.34RVU18D
2018-07-01$87.86$58.34RVU18C
2018-04-01$87.86$58.34RVU18B
2018-01-01$87.86$58.34RVU18AR1
2017-10-01$87.26$58.55RVU17D
2017-07-01$87.26$58.55RVU17C
2017-04-01$87.26$58.55RVU17B
2017-01-01$87.26$58.55RVU17A
2016-10-01$87.08$58.07RVU16D
2016-07-01$87.08$58.07RVU16C
2016-04-01$87.08$58.07RVU16B
2016-01-01$87.08$58.07RVU16A
2015-10-01$87.89$58.79RVU15D
2015-07-01$87.89$58.79RVU15C
2015-04-01$87.46$58.49RVU15B
2015-01-01$87.46$58.49RVU15A
2014-10-01$86.48$58.18RVU14D
2014-07-01$86.48$58.18RVU14C
2014-04-01$86.48$58.18RVU14B
2014-01-01$86.48$58.18RVU14A
2013-10-01$87.80$57.86RVU13D
2013-07-01$87.80$57.86RVU13C
2013-04-01$87.80$57.86RVU13B
2013-01-01$87.80$57.86RVU13AR

Price 29105 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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