CPT code 29131: Splint application, dynamic finger2026 Medicare rate & RVUs in Wyoming
Report this service when a clinician applies a dynamic finger splint to support controlled movement during care of a finger injury or condition.
In Wyoming, Medicare pays $58.76 for 29131 in the office and $30.37 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Wyoming 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. Wyoming pays $58.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Wyoming · this page$58.76
- Los Angeles, CA · California$66.39+$7.63
- Washington, DC area · District of Columbia$67.63+$8.87
- Miami, FL · Florida$65.13+$6.37
- Chicago, IL · Illinois$63.23+$4.47
- Manhattan, NY · New York$68.45+$9.69
- Alaska · Alaska$69.79+$11.03
Other areas in Wyoming first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $62.24 | $31.12 |
| Merced, CACalifornia | $62.24 | $31.12 |
| Modesto, CACalifornia | $62.24 | $31.12 |
| Napa, CACalifornia | $71.60 | $34.18 |
| Oxnard, CACalifornia | $66.00 | $32.44 |
| Redding, CACalifornia | $62.24 | $31.12 |
| Rest of CaliforniaCalifornia | $62.24 | $31.12 |
| Riverside, CACalifornia | $63.10 | $31.99 |
| Sacramento, CACalifornia | $65.18 | $32.16 |
| Salinas, CACalifornia | $64.93 | $32.03 |
| San Diego, CACalifornia | $66.36 | $32.41 |
| Marin County, CACalifornia | $75.61 | $35.58 |
| San Francisco, CACalifornia | $75.52 | $35.49 |
| San Benito County, CACalifornia | $77.32 | $36.38 |
| Santa Clara County, CACalifornia | $76.95 | $36.01 |
| San Luis Obispo, CACalifornia | $63.91 | $31.57 |
| Santa Cruz, CACalifornia | $66.92 | $32.43 |
| Santa Maria, CACalifornia | $65.15 | $32.05 |
| Santa Rosa, CACalifornia | $67.59 | $32.72 |
| Stockton, CACalifornia | $62.24 | $31.12 |
| Vallejo, CACalifornia | $71.47 | $34.05 |
| Visalia, CACalifornia | $62.24 | $31.12 |
| Yuba City, CACalifornia | $62.24 | $31.12 |
| ColoradoColorado | $61.56 | $31.36 |
| ConnecticutConnecticut | $63.36 | $32.78 |
| DelawareDelaware | $58.81 | $30.76 |
| Fort Lauderdale, FLFlorida | $62.12 | $33.36 |
| Rest of FloridaFlorida | $59.09 | $31.95 |
| Atlanta, GAGeorgia | $60.66 | $31.82 |
| Rest of GeorgiaGeorgia | $55.78 | $30.46 |
| Hawaii, Guam, HIHawaii | $63.64 | $31.36 |
| IowaIowa | $54.55 | $28.57 |
| IdahoIdaho | $54.95 | $28.83 |
| East St. Louis, ILIllinois | $59.06 | $32.94 |
| Rest of IllinoisIllinois | $57.59 | $31.67 |
| Suburban Chicago, ILIllinois | $62.69 | $33.53 |
| IndianaIndiana | $55.25 | $28.93 |
| KansasKansas | $54.41 | $28.74 |
| KentuckyKentucky | $54.93 | $29.69 |
| New Orleans, LALouisiana | $57.53 | $30.82 |
| Rest of LouisianaLouisiana | $54.89 | $29.76 |
| Metropolitan Boston, MAMassachusetts | $67.42 | $33.52 |
| Rest of MassachusettsMassachusetts | $61.25 | $31.36 |
| Baltimore area, MDMaryland | $63.20 | $32.74 |
| Rest of MarylandMaryland | $59.88 | $31.15 |
| Rest of MaineMaine | $55.34 | $29.22 |
| Southern Maine, MEMaine | $58.12 | $29.98 |
| Detroit, MIMichigan | $59.93 | $32.53 |
| Rest of MichiganMichigan | $56.43 | $30.51 |
| MinnesotaMinnesota | $58.70 | $29.48 |
| Metropolitan Kansas City, MOMissouri | $57.03 | $30.37 |
| Metropolitan St. Louis, MOMissouri | $57.60 | $30.57 |
| Rest of MissouriMissouri | $54.04 | $29.56 |
| MississippiMississippi | $53.37 | $28.93 |
| MontanaMontana | $59.45 | $31.06 |
| North CarolinaNorth Carolina | $55.89 | $29.40 |
| North DakotaNorth Dakota | $57.87 | $29.48 |
| NebraskaNebraska | $54.81 | $28.60 |
| New HampshireNew Hampshire | $60.71 | $31.15 |
| Northern New JerseyNew Jersey | $66.97 | $34.04 |
| Rest of New JerseyNew Jersey | $64.00 | $33.00 |
| New MexicoNew Mexico | $56.77 | $30.74 |
| NevadaNevada | $59.05 | $30.63 |
| NYC suburbs and Long Island, NYNew York | $70.22 | $36.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $64.51 | $33.42 |
| Queens, NYNew York | $68.84 | $35.28 |
| Rest of New YorkNew York | $56.72 | $29.75 |
| OhioOhio | $56.10 | $30.18 |
| OklahomaOklahoma | $54.71 | $29.36 |
| Portland, OROregon | $63.36 | $31.82 |
| Rest of OregonOregon | $58.51 | $30.23 |
| Metropolitan Philadelphia, PAPennsylvania | $61.88 | $32.33 |
| Rest of PennsylvaniaPennsylvania | $56.13 | $30.07 |
| Puerto RicoPuerto Rico | $59.84 | $31.14 |
| Rhode IslandRhode Island | $60.79 | $31.46 |
| South CarolinaSouth Carolina | $56.11 | $29.88 |
| South DakotaSouth Dakota | $57.68 | $29.29 |
| TennesseeTennessee | $54.69 | $28.88 |
| Austin, TXTexas | $61.43 | $31.39 |
| Beaumont, TXTexas | $55.78 | $29.94 |
| Brazoria, TXTexas | $58.66 | $30.53 |
| Dallas, TXTexas | $59.08 | $30.80 |
| Fort Worth, TXTexas | $58.73 | $30.74 |
| Galveston, TXTexas | $58.87 | $30.68 |
| Houston, TXTexas | $60.33 | $32.14 |
| Rest of TexasTexas | $57.22 | $30.28 |
| UtahUtah | $56.86 | $30.17 |
| VirginiaVirginia | $58.01 | $30.10 |
| Virgin Islands, VIUnited States Virgin Islands | $59.84 | $31.14 |
| VermontVermont | $57.75 | $29.64 |
| Rest of WashingtonWashington | $61.10 | $31.21 |
| King County, WAWashington | $68.66 | $33.83 |
| WisconsinWisconsin | $55.98 | $28.78 |
| West VirginiaWest Virginia | $55.53 | $30.86 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $69.79 | 1 |
| AL | $53.45 | 1 |
| AR | $52.69 | 1 |
| AZ | $57.87 | 1 |
| CA | $62.24–$77.32 | 29 |
| CO | $61.56 | 1 |
| CT | $63.36 | 1 |
| DC | $67.63 | 1 |
| DE | $58.81 | 1 |
| FL | $59.09–$65.13 | 3 |
| GA | $55.78–$60.66 | 2 |
| GU | $63.64 | 1 |
| HI | $63.64 | 1 |
| IA | $54.55 | 1 |
| ID | $54.95 | 1 |
| IL | $57.59–$63.23 | 4 |
| IN | $55.25 | 1 |
| KS | $54.41 | 1 |
| KY | $54.93 | 1 |
| LA | $54.89–$57.53 | 2 |
| MA | $61.25–$67.42 | 2 |
| MD | $59.88–$67.63 | 3 |
| ME | $55.34–$58.12 | 2 |
| MI | $56.43–$59.93 | 2 |
| MN | $58.70 | 1 |
| MO | $54.04–$57.60 | 3 |
| MS | $53.37 | 1 |
| MT | $59.45 | 1 |
| NC | $55.89 | 1 |
| ND | $57.87 | 1 |
| NE | $54.81 | 1 |
| NH | $60.71 | 1 |
| NJ | $64.00–$66.97 | 2 |
| NM | $56.77 | 1 |
| NV | $59.05 | 1 |
| NY | $56.72–$70.22 | 5 |
| OH | $56.10 | 1 |
| OK | $54.71 | 1 |
| OR | $58.51–$63.36 | 2 |
| PA | $56.13–$61.88 | 2 |
| PR | $59.84 | 1 |
| RI | $60.79 | 1 |
| SC | $56.11 | 1 |
| SD | $57.68 | 1 |
| TN | $54.69 | 1 |
| TX | $55.78–$61.43 | 8 |
| UT | $56.86 | 1 |
| VA | $58.01–$67.63 | 2 |
| VI | $59.84 | 1 |
| VT | $57.75 | 1 |
| WA | $61.10–$68.66 | 2 |
| WI | $55.98 | 1 |
| WV | $55.53 | 1 |
| WY | $58.76 | 1 |
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
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 Wyoming 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
112
- Locality
- Wyoming
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.54 | × 1.000 | 0.5400 |
| Practice expense | 1.16 | × 1.000 | 1.1600 |
| Malpractice | 0.08 | × 0.740 | 0.0592 |
| Total RVUs | 1.7592 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Wyoming$58.76
Office: (0.54 × 1 + 1.16 × 1 + 0.08 × 0.74) × $33.4009 = $58.76
Facility: (0.54 × 1 + 0.31 × 1 + 0.08 × 0.74) × $33.4009 = $30.37
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
| 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
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).
How 29131 has changed in Wyoming
29131 · Office / nonfacility
$58.76
Effective 2026-10-01
The base rate is $4.77 higher than on 2025-10-01, moving from $53.99 to $58.76 (8.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$53.99changed to$58.76
- 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
- Malpractice GPCI 0.739 changed to 0.740
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$54.14changed to$53.99
- 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.
March 9, 2024
RVU24AR
$53.26changed to$54.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$53.85changed to$53.26
- 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 0.790 changed to 0.739
January 1, 2023
RVU23A
$53.14changed to$53.85
- 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
- Malpractice GPCI 0.841 changed to 0.790
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$52.54changed to$53.14
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.88 changed to 0.91
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$52.96changed to$52.54
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.84 changed to 0.88
- Malpractice GPCI 0.860 changed to 0.841
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$52.31changed to$52.96
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.07 changed to 0.09
- Malpractice GPCI 0.880 changed to 0.860
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$53.65changed to$52.31
- 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.
January 1, 2018
RVU18AR1
$52.16changed to$53.65
- 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 1.050 changed to 0.880
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$52.47changed to$52.16
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 1.219 changed to 1.050
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$53.01changed to$52.47
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.84 changed to 0.83
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$52.75changed to$53.01
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$52.95changed to$52.75
- 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
- Malpractice GPCI 1.226 changed to 1.219
Held through RVU15B.
January 1, 2014
RVU14A
$54.05changed to$52.95
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.94 changed to 0.83
- Malpractice GPCI 1.233 changed to 1.226
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $54.05
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $58.76 | $30.37 | RVU26D |
| 2026-07-01 | $58.76 | $30.37 | RVU26C |
| 2026-04-01 | $58.76 | $30.37 | RVU26B |
| 2026-01-01 | $58.76 | $30.37 | RVU26A |
| 2025-10-01 | $53.99 | $33.29 | RVU25D |
| 2025-07-01 | $53.99 | $33.29 | RVU25C |
| 2025-04-01 | $53.99 | $33.29 | RVU25B |
| 2025-01-01 | $53.99 | $33.29 | RVU25A |
| 2024-10-01 | $54.14 | $33.84 | RVU24D |
| 2024-07-01 | $54.14 | $33.84 | RVU24C |
| 2024-04-01 | $54.14 | $33.84 | RVU24B |
| 2024-03-09 | $54.14 | $33.84 | RVU24AR |
| 2024-01-01 | $53.26 | $33.28 | RVU24A |
| 2023-10-01 | $53.85 | $34.53 | RVU23D |
| 2023-07-01 | $53.85 | $34.53 | RVU23C |
| 2023-04-01 | $53.85 | $34.53 | RVU23B |
| 2023-01-01 | $53.85 | $34.53 | RVU23A |
| 2022-10-01 | $53.14 | $34.46 | RVU22D |
| 2022-07-01 | $53.14 | $34.46 | RVU22C |
| 2022-04-01 | $53.14 | $34.46 | RVU22B |
| 2022-01-01 | $53.14 | $34.46 | RVU22A |
| 2021-10-01 | $52.54 | $34.39 | RVU21D |
| 2021-07-01 | $52.54 | $34.39 | RVU21C |
| 2021-04-01 | $52.54 | $34.39 | RVU21B |
| 2021-01-01 | $52.54 | $34.39 | RVU21A |
| 2020-10-01 | $52.96 | $34.91 | RVU20D |
| 2020-07-01 | $52.96 | $34.91 | RVU20C |
| 2020-04-01 | $52.96 | $34.91 | RVU20B |
| 2020-01-01 | $52.96 | $34.91 | RVU20A |
| 2019-10-01 | $52.31 | $34.29 | RVU19D |
| 2019-07-01 | $52.31 | $34.29 | RVU19C |
| 2019-04-01 | $52.31 | $34.29 | RVU19B |
| 2019-01-01 | $52.31 | $34.29 | RVU19A |
| 2018-10-01 | $53.65 | $34.93 | RVU18D |
| 2018-07-01 | $53.65 | $34.93 | RVU18C |
| 2018-04-01 | $53.65 | $34.93 | RVU18B |
| 2018-01-01 | $53.65 | $34.93 | RVU18AR1 |
| 2017-10-01 | $52.16 | $34.22 | RVU17D |
| 2017-07-01 | $52.16 | $34.22 | RVU17C |
| 2017-04-01 | $52.16 | $34.22 | RVU17B |
| 2017-01-01 | $52.16 | $34.22 | RVU17A |
| 2016-10-01 | $52.47 | $34.20 | RVU16D |
| 2016-07-01 | $52.47 | $34.20 | RVU16C |
| 2016-04-01 | $52.47 | $34.20 | RVU16B |
| 2016-01-01 | $52.47 | $34.20 | RVU16A |
| 2015-10-01 | $53.01 | $34.69 | RVU15D |
| 2015-07-01 | $53.01 | $34.69 | RVU15C |
| 2015-04-01 | $52.75 | $34.52 | RVU15B |
| 2015-01-01 | $52.75 | $34.52 | RVU15A |
| 2014-10-01 | $52.95 | $34.68 | RVU14D |
| 2014-07-01 | $52.95 | $34.68 | RVU14C |
| 2014-04-01 | $52.95 | $34.68 | RVU14B |
| 2014-01-01 | $52.95 | $34.68 | RVU14A |
| 2013-10-01 | $54.05 | $34.66 | RVU13D |
| 2013-07-01 | $54.05 | $34.66 | RVU13C |
| 2013-04-01 | $54.05 | $34.66 | RVU13B |
| 2013-01-01 | $54.05 | $34.66 | RVU13AR |
Where the Wyoming rate applies
Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.
- Afton
- Albany
- Albin
- Alcova
- Alpine
- Alpine Northeast
- Alpine Northwest
- Alta
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
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