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CPT code 29131: Splint application, dynamic finger2026 Medicare rate & RVUs in North Carolina

Report this service when a clinician applies a dynamic finger splint to support controlled movement during care of a finger injury or condition.

CMS RVU26DEffective Oct 1, 2026One payment locality604 Medicare services in 2024

In North Carolina, Medicare pays $55.89 for 29131 in the office and $29.40 when it’s performed in a hospital or facility.

$55.89Office (non-facility)
$29.40Hospital or facility
−6.0%vs the national office rate ($59.45)

Check a contract rate as a % of Medicare · 29131 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 29131 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 29131 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 29131 covers

This service covers fitting and applying a dynamic splint to a finger. Unlike a rigid splint that holds the digit still, a dynamic design permits controlled movement while providing support or directional force. It may be used in office, emergency, or hand-care settings for a finger injury or condition requiring supported motion. A physician or other qualified clinician selects and positions the splint for the treated finger.

Report 29131 for a dynamic finger splint, not a static finger splint or a splint applied to the short arm. Documentation should identify the clinical problem, treated finger, dynamic splint type, and application. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral application, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

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 North Carolina compares for 29131

Across 109 of 109 payment localities, the office rate for 29131 runs from $52.69 in Arkansas to $77.32 in San Benito County, CA. North Carolina pays $55.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

29131 in North Carolina vs other payment areas
  1. North Carolina · this page$55.89
  2. Los Angeles, CA · California$66.39+$10.50
  3. Washington, DC area · District of Columbia$67.63+$11.74
  4. Miami, FL · Florida$65.13+$9.24
  5. Chicago, IL · Illinois$63.23+$7.34
  6. Manhattan, NY · New York$68.45+$12.56
  7. Alaska · Alaska$69.79+$13.90

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

Every other payment area

29131 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$53.45$28.61
ArkansasArkansas$52.69$28.31
ArizonaArizona$57.87$30.36
Bakersfield, CACalifornia$62.47$31.35
Chico, CACalifornia$62.24$31.12
El Centro, CACalifornia$62.25$31.14
Fresno, CACalifornia$62.24$31.12
Hanford, CACalifornia$62.24$31.12

29131 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.

$52.69

$69.79

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
29131 office rate range by state
State / territoryOffice rate rangeLocalities
AK$69.791
AL$53.451
AR$52.691
AZ$57.871
CA$62.24–$77.3229
CO$61.561
CT$63.361
DC$67.631
DE$58.811
FL$59.09–$65.133
GA$55.78–$60.662
GU$63.641
HI$63.641
IA$54.551
ID$54.951
IL$57.59–$63.234
IN$55.251
KS$54.411
KY$54.931
LA$54.89–$57.532
MA$61.25–$67.422
MD$59.88–$67.633
ME$55.34–$58.122
MI$56.43–$59.932
MN$58.701
MO$54.04–$57.603
MS$53.371
MT$59.451
NC$55.891
ND$57.871
NE$54.811
NH$60.711
NJ$64.00–$66.972
NM$56.771
NV$59.051
NY$56.72–$70.225
OH$56.101
OK$54.711
OR$58.51–$63.362
PA$56.13–$61.882
PR$59.841
RI$60.791
SC$56.111
SD$57.681
TN$54.691
TX$55.78–$61.438
UT$56.861
VA$58.01–$67.632
VI$59.841
VT$57.751
WA$61.10–$68.662
WI$55.981
WV$55.531
WY$58.761

See 29131 in every payment locality

How the 29131 rate is calculated

Each of 29131’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 · 29131

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense1.16

1.16 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

1.7800

Conversion factor

$33.4009

Medicare rate

$59.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,280

Code
29131
Physician work
0.54
Practice expense
1.16
Malpractice
0.08

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 29131 in North Carolina
ComponentRVULocality factorAdjusted
Physician work0.54× 1.0000.5400
Practice expense1.16× 0.9331.0823
Malpractice0.08× 0.6390.0511
Total RVUs1.6734
Conversion factor× 33.4009

Office rate, North Carolina$55.89

Office: (0.54 × 1 + 1.16 × 0.933 + 0.08 × 0.639) × $33.4009 = $55.89

Facility: (0.54 × 1 + 0.31 × 0.933 + 0.08 × 0.639) × $33.4009 = $29.40

Open 29131 in the RVU calculator

Payment rules and modifiers for 29131

The CMS indicators that decide how 29131 is paid alongside other services.

CMS payment indicators · 29131

Splint application, dynamic finger

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

29131 without 50 · national office

$59.45

Splint application, dynamic finger

29131-50 · Bilateral: 150%

$89.18

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 29131

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

Codes related to 29131
CodeHow it relatesOffice range, North Carolina
Used instead
29130Finger splint, static applicationStatic finger splint application when the digit is held in position rather than supported for controlled movement.$43.32
Same family
29126Short-arm splint, dynamicDynamic splint application for the short arm rather than a finger.$80.37
29125Short arm splint, staticStatic short-arm splint application; differs in both splint type and treated area.$74.07
29105Splint application, long arm, shoulder to handLong-arm splint application in the splint-application code group.$90.76

How 29131 has changed in North Carolina

29131 · Office / nonfacility

$55.89

Effective 2026-10-01

The base rate is $4.63 higher than on 2025-10-01, moving from $51.26 to $55.89 (9.0%).

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

    $51.26changed to$55.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.55 changed to 0.54
    • Practice expense RVU 1.06 changed to 1.16
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $51.43changed to$51.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.01 changed to 1.06
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $50.59changed to$51.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $51.31changed to$50.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.96 changed to 1.01
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $50.81changed to$51.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.91 changed to 0.96
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $50.26changed to$50.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.88 changed to 0.91

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $50.50changed to$50.26

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.84 changed to 0.88
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $49.76changed to$50.50

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $50.96changed to$49.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.87 changed to 0.84
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $49.31changed to$50.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.83 changed to 0.87
    • Malpractice RVU 0.07 changed to 0.08
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $49.25changed to$49.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $49.77changed to$49.25

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.84 changed to 0.83

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $49.52changed to$49.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $49.42changed to$49.52

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.83 changed to 0.84
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $50.25changed to$49.42

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.94 changed to 0.83
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $50.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$55.89$29.40RVU26D
2026-07-01$55.89$29.40RVU26C
2026-04-01$55.89$29.40RVU26B
2026-01-01$55.89$29.40RVU26A
2025-10-01$51.26$32.09RVU25D
2025-07-01$51.26$32.09RVU25C
2025-04-01$51.26$32.09RVU25B
2025-01-01$51.26$32.09RVU25A
2024-10-01$51.43$32.63RVU24D
2024-07-01$51.43$32.63RVU24C
2024-04-01$51.43$32.63RVU24B
2024-03-09$51.43$32.63RVU24AR
2024-01-01$50.59$32.10RVU24A
2023-10-01$51.31$33.40RVU23D
2023-07-01$51.31$33.40RVU23C
2023-04-01$51.31$33.40RVU23B
2023-01-01$51.31$33.40RVU23A
2022-10-01$50.81$33.47RVU22D
2022-07-01$50.81$33.47RVU22C
2022-04-01$50.81$33.47RVU22B
2022-01-01$50.81$33.47RVU22A
2021-10-01$50.26$33.42RVU21D
2021-07-01$50.26$33.42RVU21C
2021-04-01$50.26$33.42RVU21B
2021-01-01$50.26$33.42RVU21A
2020-10-01$50.50$33.72RVU20D
2020-07-01$50.50$33.72RVU20C
2020-04-01$50.50$33.72RVU20B
2020-01-01$50.50$33.72RVU20A
2019-10-01$49.76$32.98RVU19D
2019-07-01$49.76$32.98RVU19C
2019-04-01$49.76$32.98RVU19B
2019-01-01$49.76$32.98RVU19A
2018-10-01$50.96$33.53RVU18D
2018-07-01$50.96$33.53RVU18C
2018-04-01$50.96$33.53RVU18B
2018-01-01$50.96$33.53RVU18AR1
2017-10-01$49.31$32.60RVU17D
2017-07-01$49.31$32.60RVU17C
2017-04-01$49.31$32.60RVU17B
2017-01-01$49.31$32.60RVU17A
2016-10-01$49.25$32.27RVU16D
2016-07-01$49.25$32.27RVU16C
2016-04-01$49.25$32.27RVU16B
2016-01-01$49.25$32.27RVU16A
2015-10-01$49.77$32.72RVU15D
2015-07-01$49.77$32.72RVU15C
2015-04-01$49.52$32.56RVU15B
2015-01-01$49.52$32.56RVU15A
2014-10-01$49.42$32.45RVU14D
2014-07-01$49.42$32.45RVU14C
2014-04-01$49.42$32.45RVU14B
2014-01-01$49.42$32.45RVU14A
2013-10-01$50.25$32.27RVU13D
2013-07-01$50.25$32.27RVU13C
2013-04-01$50.25$32.27RVU13B
2013-01-01$50.25$32.27RVU13AR

Price 29131 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

29131 billing questions

How is 29131 different from 29130?

29131 is for a dynamic finger splint that permits controlled movement; 29130 is for a static finger splint that holds the finger in position.

When would 29126 be a better choice?

Use 29126 for a dynamic short-arm splint. Code 29131 is specific to application of a dynamic finger splint.

What documentation supports 29131?

Record the indication, which finger was treated, the dynamic splint applied, and how it was positioned to support the intended movement.

How does Medicare handle bilateral application?

The CMS bilateral rule specifies modifier 50, with payment at 150% for a bilateral procedure.

Is same-day care included in the payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

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 29131PPRRVU2026_Oct_nonQPP.csv, line 3,280 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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