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CPT code 29305: Hip spica cast, one leg2026 Medicare rate & RVUs in Washington, DC area

Reports application of a hip spica cast immobilizing the trunk and one leg, commonly for pediatric femur or hip stabilization.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $326.12 for 29305 in the office and $169.52 when it’s performed in a hospital or facility.

$326.12Office (non-facility)
$169.52Hospital or facility
+14.6%vs the national office rate ($284.58)

Check a contract rate as a % of Medicare · 29305 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 29305 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 29305 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 29305 covers

This service covers applying a hip spica cast that stabilizes the pelvis and trunk along with one lower extremity. Orthopedic clinicians commonly use this immobilization for a child with a femoral shaft fracture or after hip reduction when the treatment plan requires the hip and one leg to remain immobilized. The cast is applied in settings equipped to provide the required positioning and casting care.

Report this code for the one-leg cast configuration, not simply because one leg is injured. The record should support the clinical reason for immobilization and show the cast’s extent; use the applicable sibling code when the cast includes more of the opposite leg. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Washington, DC area compares for 29305

Across 109 of 109 payment localities, the office rate for 29305 runs from $248.95 in Arkansas to $375.69 in San Benito County, CA. Washington, DC area pays $326.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

29305 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$326.12
  2. Los Angeles, CA · California$319.98−$6.14
  3. Miami, FL · Florida$314.41−$11.71
  4. Chicago, IL · Illinois$304.23−$21.89
  5. Manhattan, NY · New York$330.14+$4.02
  6. Alaska · Alaska$324.63−$1.49
  7. Alabama · Alabama$252.94−$73.18

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

29305 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$248.95$134.76
ArizonaArizona$276.22$147.40
Bakersfield, CACalifornia$299.97$154.27
Chico, CACalifornia$298.81$153.12
El Centro, CACalifornia$298.88$153.19
Fresno, CACalifornia$298.81$153.12
Hanford, CACalifornia$298.81$153.12
Madera, CACalifornia$298.81$153.12

29305 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.

$248.95

$337.25

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

View every state and territory as a table
29305 office rate range by state
State / territoryOffice rate rangeLocalities
AK$324.631
AL$252.941
AR$248.951
AZ$276.221
CA$298.81–$375.6929
CO$295.381
CT$304.581
DC$326.121
DE$281.041
FL$282.64–$314.413
GA$265.19–$290.862
GU$306.671
HI$306.671
IA$258.741
ID$260.831
IL$274.69–$304.234
IN$262.441
KS$257.991
KY$260.691
LA$260.48–$274.422
MA$293.62–$325.402
MD$286.54–$326.123
ME$262.92–$277.562
MI$268.60–$287.042
MN$280.631
MO$256.00–$274.793
MS$252.501
MT$284.551
NC$265.821
ND$276.241
NE$260.111
NH$291.201
NJ$307.39–$322.402
NM$270.431
NV$282.441
NY$270.19–$339.465
OH$266.901
OK$259.581
OR$279.59–$304.732
PA$267.04–$296.852
PR$286.611
RI$291.061
SC$266.941
SD$275.261
TN$259.481
TX$265.18–$294.968
UT$270.881
VA$276.98–$326.122
VI$286.611
VT$275.601
WA$292.92–$331.722
WI$266.281
WV$263.841
WY$280.931

See 29305 in every payment locality

How the 29305 rate is calculated

Each of 29305’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 · 29305

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.98

1.98 RVUs× 1.000 GPCI

Practice expense6.12

6.12 RVUs× 1.000 GPCI

Malpractice0.42

0.42 RVUs× 1.000 GPCI

Adjusted RVUs

8.5200

Conversion factor

$33.4009

Medicare rate

$284.58

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,285

Code
29305
Physician work
1.98
Practice expense
6.12
Malpractice
0.42

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 29305 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0542.0869
Practice expense6.12× 1.1787.2094
Malpractice0.42× 1.1130.4675
Total RVUs9.7637
Conversion factor× 33.4009

Office rate, Washington, DC area$326.12

Office: (1.98 × 1.054 + 6.12 × 1.178 + 0.42 × 1.113) × $33.4009 = $326.12

Facility: (1.98 × 1.054 + 2.14 × 1.178 + 0.42 × 1.113) × $33.4009 = $169.52

Open 29305 in the RVU calculator

Payment rules and modifiers for 29305

The CMS indicators that decide how 29305 is paid alongside other services.

CMS payment indicators · 29305

Hip spica cast, one leg

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

29305 without 51 · national office

$284.58

Hip spica cast, one leg

29305-51 · Second procedure: 50%

$142.29

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 29305

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

Codes related to 29305
CodeHow it relatesOffice range, Washington, DC area
Same family
29325Hip spica cast, one-and-one-half spicaSibling hip spica cast code for the one-and-one-half-leg configuration.$358.69
Used instead
29345Long-leg cast, standard cast applicationLong leg cast application when hip and trunk immobilization is not required.$169.25
29355Walking cast, long leg, thigh to toesLong leg walking cast application for a different cast extent and treatment need.$175.39

How 29305 has changed in Washington, DC area

29305 · Office / nonfacility

$326.12

Effective 2026-10-01

The base rate is $33.02 higher than on 2025-10-01, moving from $293.10 to $326.12 (11.3%).

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

    $293.10changed to$326.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 5.39 changed to 6.12
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $294.89changed to$293.10

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.23 changed to 5.39
    • Malpractice RVU 0.41 changed to 0.42

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $290.07changed to$294.89

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $296.68changed to$290.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.03 changed to 5.23
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $296.43changed to$296.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.77 changed to 5.03
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $297.19changed to$296.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.72 changed to 4.77
    • Malpractice RVU 0.42 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $293.60changed to$297.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.49 changed to 4.72
    • Malpractice RVU 0.41 changed to 0.42
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $294.00changed to$293.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.57 changed to 4.49
    • Malpractice RVU 0.42 changed to 0.41
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $298.00changed to$294.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.68 changed to 4.57
    • Malpractice RVU 0.41 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $292.69changed to$298.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.57 changed to 4.68
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $295.37changed to$292.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.64 changed to 4.57
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $297.35changed to$295.37

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.43 changed to 0.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $295.87changed to$297.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $289.97changed to$295.87

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.59 changed to 4.64
    • Malpractice RVU 0.37 changed to 0.43
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $294.91changed to$289.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.09 changed to 4.59
    • Malpractice RVU 0.39 changed to 0.37
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $294.91

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$326.12$169.52RVU26D
2026-07-01$326.12$169.52RVU26C
2026-04-01$326.12$169.52RVU26B
2026-01-01$326.12$169.52RVU26A
2025-10-01$293.10$178.20RVU25D
2025-07-01$293.10$178.20RVU25C
2025-04-01$293.10$178.20RVU25B
2025-01-01$293.10$178.20RVU25A
2024-10-01$294.89$180.21RVU24D
2024-07-01$294.89$180.21RVU24C
2024-04-01$294.89$180.21RVU24B
2024-03-09$294.89$180.21RVU24AR
2024-01-01$290.07$177.27RVU24A
2023-10-01$296.68$183.54RVU23D
2023-07-01$296.68$183.54RVU23C
2023-04-01$296.68$183.54RVU23B
2023-01-01$296.68$183.54RVU23A
2022-10-01$296.43$185.65RVU22D
2022-07-01$296.43$185.65RVU22C
2022-04-01$296.43$185.65RVU22B
2022-01-01$296.43$185.65RVU22A
2021-10-01$297.19$187.21RVU21D
2021-07-01$297.19$187.21RVU21C
2021-04-01$297.19$187.21RVU21B
2021-01-01$297.19$187.21RVU21A
2020-10-01$293.60$187.84RVU20D
2020-07-01$293.60$187.84RVU20C
2020-04-01$293.60$187.84RVU20B
2020-01-01$293.60$187.84RVU20A
2019-10-01$294.00$187.60RVU19D
2019-07-01$294.00$187.60RVU19C
2019-04-01$294.00$187.60RVU19B
2019-01-01$294.00$187.60RVU19A
2018-10-01$298.00$188.68RVU18D
2018-07-01$298.00$188.68RVU18C
2018-04-01$298.00$188.68RVU18B
2018-01-01$298.00$188.68RVU18AR1
2017-10-01$292.69$186.73RVU17D
2017-07-01$292.69$186.73RVU17C
2017-04-01$292.69$186.73RVU17B
2017-01-01$292.69$186.73RVU17A
2016-10-01$295.37$187.94RVU16D
2016-07-01$295.37$187.94RVU16C
2016-04-01$295.37$187.94RVU16B
2016-01-01$295.37$187.94RVU16A
2015-10-01$297.35$189.97RVU15D
2015-07-01$297.35$189.97RVU15C
2015-04-01$295.87$189.03RVU15B
2015-01-01$295.87$189.03RVU15A
2014-10-01$289.97$184.04RVU14D
2014-07-01$289.97$184.04RVU14C
2014-04-01$289.97$184.04RVU14B
2014-01-01$289.97$184.04RVU14A
2013-10-01$294.91$182.82RVU13D
2013-07-01$294.91$182.82RVU13C
2013-04-01$294.91$182.82RVU13B
2013-01-01$294.91$182.82RVU13AR

Price 29305 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

29305 billing questions

How is this code distinguished from 29325?

This code describes a hip spica cast involving one leg. Code 29325 is the sibling for a cast involving one and one-half legs; select according to the cast configuration documented.

Can modifier 50 be used when both hips or legs are treated?

No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy. Report the cast configuration that was actually applied.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care. The CMS multiple-procedure reduction may apply when other procedures are performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What documentation supports reporting this code?

Document the indication for immobilization, the clinical treatment plan, and that the hip spica cast encompasses the trunk and one leg. The cast extent supports choosing this code rather than its one-and-one-half-leg sibling.

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 29305PPRRVU2026_Oct_nonQPP.csv, line 3,285 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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