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

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 Nevada, Medicare pays $59.05 for 29131 in the office and $30.63 when it’s performed in a hospital or facility.

$59.05Office (non-facility)
$30.63Hospital or facility
−0.7%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 Nevada
  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 Nevada 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. Nevada pays $59.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

29131 in Nevada vs other payment areas
  1. Nevada · this page$59.05
  2. Los Angeles, CA · California$66.39+$7.34
  3. Washington, DC area · District of Columbia$67.63+$8.58
  4. Miami, FL · Florida$65.13+$6.08
  5. Chicago, IL · Illinois$63.23+$4.18
  6. Manhattan, NY · New York$68.45+$9.40
  7. Alaska · Alaska$69.79+$10.74

Other areas in Nevada 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.

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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 29131 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.54× 1.0000.5400
Practice expense1.16× 1.0011.1612
Malpractice0.08× 0.8330.0666
Total RVUs1.7678
Conversion factor× 33.4009

Office rate, Nevada$59.05

Office: (0.54 × 1 + 1.16 × 1.001 + 0.08 × 0.833) × $33.4009 = $59.05

Facility: (0.54 × 1 + 0.31 × 1.001 + 0.08 × 0.833) × $33.4009 = $30.63

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

How 29131 has changed in Nevada

29131 · Office / nonfacility

$59.05

Effective 2026-10-01

The base rate is $4.79 higher than on 2025-10-01, moving from $54.26 to $59.05 (8.8%).

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

    $54.26changed to$59.05

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $54.46changed to$54.26

    • 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

    $53.57changed to$54.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $54.89changed to$53.57

    • 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
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $54.83changed to$54.89

    • 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
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $54.24changed to$54.83

    • 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

    $53.91changed to$54.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.84 changed to 0.88
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $52.94changed to$53.91

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.07 changed to 0.09
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.31changed to$52.94

    • 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

    $52.99changed to$54.31

    • 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
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $53.49changed to$52.99

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $54.06changed to$53.49

    • 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

    $53.79changed to$54.06

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $54.26changed to$53.79

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $55.90changed to$54.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.94 changed to 0.83
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$55.90

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$59.05$30.63RVU26D
2026-07-01$59.05$30.63RVU26C
2026-04-01$59.05$30.63RVU26B
2026-01-01$59.05$30.63RVU26A
2025-10-01$54.26$33.56RVU25D
2025-07-01$54.26$33.56RVU25C
2025-04-01$54.26$33.56RVU25B
2025-01-01$54.26$33.56RVU25A
2024-10-01$54.46$34.15RVU24D
2024-07-01$54.46$34.15RVU24C
2024-04-01$54.46$34.15RVU24B
2024-03-09$54.46$34.15RVU24AR
2024-01-01$53.57$33.59RVU24A
2023-10-01$54.89$35.57RVU23D
2023-07-01$54.89$35.57RVU23C
2023-04-01$54.89$35.57RVU23B
2023-01-01$54.89$35.57RVU23A
2022-10-01$54.83$36.14RVU22D
2022-07-01$54.83$36.14RVU22C
2022-04-01$54.83$36.14RVU22B
2022-01-01$54.83$36.14RVU22A
2021-10-01$54.24$36.09RVU21D
2021-07-01$54.24$36.09RVU21C
2021-04-01$54.24$36.09RVU21B
2021-01-01$54.24$36.09RVU21A
2020-10-01$53.91$35.87RVU20D
2020-07-01$53.91$35.87RVU20C
2020-04-01$53.91$35.87RVU20B
2020-01-01$53.91$35.87RVU20A
2019-10-01$52.94$34.62RVU19D
2019-07-01$52.94$34.62RVU19C
2019-04-01$52.94$34.62RVU19B
2019-01-01$52.94$34.62RVU19A
2018-10-01$54.31$35.27RVU18D
2018-07-01$54.31$35.27RVU18C
2018-04-01$54.31$35.27RVU18B
2018-01-01$54.31$35.27RVU18AR1
2017-10-01$52.99$34.44RVU17D
2017-07-01$52.99$34.44RVU17C
2017-04-01$52.99$34.44RVU17B
2017-01-01$52.99$34.44RVU17A
2016-10-01$53.49$34.29RVU16D
2016-07-01$53.49$34.29RVU16C
2016-04-01$53.49$34.29RVU16B
2016-01-01$53.49$34.29RVU16A
2015-10-01$54.06$34.80RVU15D
2015-07-01$54.06$34.80RVU15C
2015-04-01$53.79$34.62RVU15B
2015-01-01$53.79$34.62RVU15A
2014-10-01$54.26$34.99RVU14D
2014-07-01$54.26$34.99RVU14C
2014-04-01$54.26$34.99RVU14B
2014-01-01$54.26$34.99RVU14A
2013-10-01$55.90$35.38RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29131 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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