CPT code 29105: Splint application, long arm, shoulder to hand2026 Medicare rate & RVUs in Texas
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.
Medicare pays $90.90–$100.40 for 29105 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 29105 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$90.90 to $100.40
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $100.40 | $37.50 |
| Beaumont, TX | $90.90 | $36.80 |
| Brazoria, TX | $95.57 | $36.65 |
| Dallas, TX | $96.36 | $37.15 |
| Fort Worth, TX | $95.78 | $37.16 |
| Galveston, TX | $95.97 | $36.93 |
| Houston, TX | $99.08 | $40.04 |
| Rest of Texas | $93.31 | $36.89 |
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.
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).
29105 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 29125Short arm splintStatic
- Use 29105 when the splint extends along the upper arm to the hand to control the elbow. Use 29125 for a short-arm splint from the forearm to the hand.
- 29126Short-arm splintDynamic
- 29126 describes a dynamic short-arm splint. 29105 is for a long-arm splint that spans the upper arm and controls elbow motion.
- 29065Cast applicationShoulder to hand
- Both services involve long-arm immobilization, but 29065 is for cast application. 29105 is for a splint rather than a circumferential cast.
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
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