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

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 Houston, TX, Medicare pays $99.08 for 29105 in the office and $40.04 when it’s performed in a hospital or facility.

$99.08Office (non-facility)
$40.04Hospital or facility
+1.9%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $99.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

29105 in Houston, TX vs other payment areas
  1. Houston, TX · this page$99.08
  2. Austin, TX · Texas$100.40+$1.32
  3. Beaumont, TX · Texas$90.90−$8.18
  4. Brazoria, TX · Texas$95.57−$3.51
  5. Dallas, TX · Texas$96.36−$2.72
  6. Fort Worth, TX · Texas$95.78−$3.30
  7. Galveston, TX · Texas$95.97−$3.11

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

Every other payment area

29105 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$93.31$36.89
Los Angeles, CACalifornia$108.34$38.00
Washington, DC areaDistrict of Columbia$110.90$40.86
Miami, FLFlorida$108.56$46.67
Chicago, ILIllinois$105.06$45.31
Manhattan, NYNew York$112.80$43.71
AlaskaAlaska$111.93$48.61
AlabamaAlabama$86.55$34.53

29105 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 29105 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0080.7862
Practice expense1.96× 0.9931.9463
Malpractice0.17× 1.3760.2339
Total RVUs2.9664
Conversion factor× 33.4009

Office rate, Houston, TX$99.08

Office: (0.78 × 1.008 + 1.96 × 0.993 + 0.17 × 1.376) × $33.4009 = $99.08

Facility: (0.78 × 1.008 + 0.18 × 0.993 + 0.17 × 1.376) × $33.4009 = $40.04

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

Codes related to 29105

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 29105
CodeHow it relatesOffice range, Houston, TX
Same family
29125Short arm splint, staticShort-arm static splint application, extending from the forearm to the hand.$80.00
29126Short-arm splint, dynamicDynamic short-arm splint application rather than a long-arm splint.$86.39
29130Finger splint, static applicationStatic splint application limited to a finger.$47.04
Used instead
29065Cast application, shoulder to handLong-arm cast application when a cast, rather than a splint, is used.$110.06

How 29105 has changed in Houston, TX

29105 · Office / nonfacility

$99.08

Effective 2026-10-01

The base rate is $13.31 higher than on 2025-10-01, moving from $85.77 to $99.08 (15.5%).

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

    $85.77changed to$99.08

    • 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 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $87.26changed to$85.77

    • 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

    $85.83changed to$87.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $87.06changed to$85.83

    • 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 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $84.57changed to$87.06

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $85.58changed to$84.57

    • 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

    $84.73changed to$85.58

    • 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 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $84.91changed to$84.73

    • 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 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.70changed to$84.91

    • 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

    $90.94changed to$91.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.51 changed to 1.52
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $90.58changed to$90.94

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $91.61changed to$90.58

    • 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

    $91.15changed to$91.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $89.56changed to$91.15

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $90.51changed to$89.56

    • 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 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $90.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$99.08$40.04RVU26D
2026-07-01$99.08$40.04RVU26C
2026-04-01$99.08$40.04RVU26B
2026-01-01$99.08$40.04RVU26A
2025-10-01$85.77$42.94RVU25D
2025-07-01$85.77$42.94RVU25C
2025-04-01$85.77$42.94RVU25B
2025-01-01$85.77$42.94RVU25A
2024-10-01$87.26$44.19RVU24D
2024-07-01$87.26$44.19RVU24C
2024-04-01$87.26$44.19RVU24B
2024-03-09$87.26$44.19RVU24AR
2024-01-01$85.83$43.47RVU24A
2023-10-01$87.06$44.37RVU23D
2023-07-01$87.06$44.37RVU23C
2023-04-01$87.06$44.37RVU23B
2023-01-01$87.06$44.37RVU23A
2022-10-01$84.57$42.90RVU22D
2022-07-01$84.57$42.90RVU22C
2022-04-01$84.57$42.90RVU22B
2022-01-01$84.57$42.90RVU22A
2021-10-01$85.58$43.93RVU21D
2021-07-01$85.58$43.93RVU21C
2021-04-01$85.58$43.93RVU21B
2021-01-01$85.58$43.93RVU21A
2020-10-01$84.73$44.24RVU20D
2020-07-01$84.73$44.24RVU20C
2020-04-01$84.73$44.24RVU20B
2020-01-01$84.73$44.24RVU20A
2019-10-01$84.91$50.26RVU19D
2019-07-01$84.91$50.26RVU19C
2019-04-01$84.91$50.26RVU19B
2019-01-01$84.91$50.26RVU19A
2018-10-01$91.70$61.83RVU18D
2018-07-01$91.70$61.83RVU18C
2018-04-01$91.70$61.83RVU18B
2018-01-01$91.70$61.83RVU18AR1
2017-10-01$90.94$61.97RVU17D
2017-07-01$90.94$61.97RVU17C
2017-04-01$90.94$61.97RVU17B
2017-01-01$90.94$61.97RVU17A
2016-10-01$90.58$61.40RVU16D
2016-07-01$90.58$61.40RVU16C
2016-04-01$90.58$61.40RVU16B
2016-01-01$90.58$61.40RVU16A
2015-10-01$91.61$62.33RVU15D
2015-07-01$91.61$62.33RVU15C
2015-04-01$91.15$62.02RVU15B
2015-01-01$91.15$62.02RVU15A
2014-10-01$89.56$61.15RVU14D
2014-07-01$89.56$61.15RVU14C
2014-04-01$89.56$61.15RVU14B
2014-01-01$89.56$61.15RVU14A
2013-10-01$90.51$60.51RVU13D
2013-07-01$90.51$60.51RVU13C
2013-04-01$90.51$60.51RVU13B
2013-01-01$90.51$60.51RVU13AR

Price 29105 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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