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CPT code 29325: Hip spica cast, one-and-one-half spica2026 Medicare rate & RVUs in Hawaii, Guam, HI

Report this service when a hip spica cast extends over the pelvis, one full leg, and part of the opposite leg for orthopedic immobilization.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Hawaii, Guam, HI, Medicare pays $337.12 for 29325 in the office and $172.30 when it’s performed in a hospital or facility.

$337.12Office (non-facility)
$172.30Hospital or facility
+7.6%vs the national office rate ($313.30)

Check a contract rate as a % of Medicare · 29325 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 29325 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 29325 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 29325 covers

This service covers applying a hip spica cast that extends over the pelvis and trunk, one full leg, and part of the opposite leg. Orthopedic surgeons and other qualified clinicians use this extent of immobilization when treatment must control the hip and pelvis as well as the injured lower extremity. A common clinical setting is immobilization of a child's femoral fracture when a spica cast is selected.

Choose this code based on the cast's extent, rather than the diagnosis alone; a cast involving only one leg is reported with 29305. The record should identify the treated condition, the need for immobilization, and the cast's actual extent. The procedure 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 is paid in full and the others at 50%. 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 Hawaii, Guam, HI compares for 29325

Across 109 of 109 payment localities, the office rate for 29325 runs from $274.37 in Arkansas to $412.50 in San Benito County, CA. Hawaii, Guam, HI pays $337.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

29325 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$337.12
  2. Los Angeles, CA · California$351.77+$14.65
  3. Washington, DC area · District of Columbia$358.69+$21.57
  4. Miami, FL · Florida$346.41+$9.29
  5. Chicago, IL · Illinois$335.27−$1.85
  6. Manhattan, NY · New York$363.31+$26.19
  7. Alaska · Alaska$358.43+$21.31

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

Every other payment area

29325 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$278.72$151.88
ArkansasArkansas$274.37$149.85
ArizonaArizona$304.15$163.69
Bakersfield, CACalifornia$329.92$171.04
Chico, CACalifornia$328.62$169.75
El Centro, CACalifornia$328.70$169.83
Fresno, CACalifornia$328.62$169.75
Hanford, CACalifornia$328.62$169.75

29325 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.

$274.37

$370.56

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

View every state and territory as a table
29325 office rate range by state
State / territoryOffice rate rangeLocalities
AK$358.431
AL$278.721
AR$274.371
AZ$304.151
CA$328.62–$412.5029
CO$324.981
CT$335.211
DC$358.691
DE$309.431
FL$311.42–$346.413
GA$292.33–$320.242
GU$337.121
HI$337.121
IA$284.951
ID$287.261
IL$302.81–$335.274
IN$289.021
KS$284.191
KY$287.311
LA$287.10–$302.332
MA$323.09–$357.762
MD$315.43–$358.693
ME$289.60–$305.512
MI$296.00–$316.302
MN$308.691
MO$282.24–$302.673
MS$278.331
MT$313.271
NC$292.751
ND$303.981
NE$286.431
NH$320.441
NJ$338.28–$354.662
NM$298.021
NV$310.901
NY$297.53–$373.575
OH$294.101
OK$286.031
OR$307.75–$335.142
PA$294.22–$326.802
PR$315.511
RI$320.371
SC$294.061
SD$302.881
TN$285.821
TX$292.20–$324.548
UT$298.371
VA$304.91–$358.692
VI$315.511
VT$303.321
WA$322.30–$364.622
WI$293.111
WV$290.971
WY$309.221

See 29325 in every payment locality

How the 29325 rate is calculated

Each of 29325’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 · 29325

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.26

2.26 RVUs× 1.000 GPCI

Practice expense6.65

6.65 RVUs× 1.000 GPCI

Malpractice0.47

0.47 RVUs× 1.000 GPCI

Adjusted RVUs

9.3800

Conversion factor

$33.4009

Medicare rate

$313.30

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,286

Code
29325
Physician work
2.26
Practice expense
6.65
Malpractice
0.47

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 29325 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work2.26× 1.0002.2600
Practice expense6.65× 1.1377.5611
Malpractice0.47× 0.5790.2721
Total RVUs10.0932
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$337.12

Office: (2.26 × 1 + 6.65 × 1.137 + 0.47 × 0.579) × $33.4009 = $337.12

Facility: (2.26 × 1 + 2.31 × 1.137 + 0.47 × 0.579) × $33.4009 = $172.30

Open 29325 in the RVU calculator

Payment rules and modifiers for 29325

The CMS indicators that decide how 29325 is paid alongside other services.

CMS payment indicators · 29325

Hip spica cast, one-and-one-half spica

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

29325 without 51 · national office

$313.30

Hip spica cast, one-and-one-half spica

29325-51 · Second procedure: 50%

$156.65

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 29325

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

Codes related to 29325
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
29305Hip spica cast, one legHip spica cast involving one leg rather than a one-and-one-half spica.$306.67
Used instead
29345Long-leg cast, standard cast applicationLong-leg cast option when treatment does not require hip-spica immobilization.$158.26
29355Walking cast, long leg, thigh to toesWalker-style long-leg cast option for a different immobilization extent.$163.80

How 29325 has changed in Hawaii, Guam, HI

29325 · Office / nonfacility

$337.12

Effective 2026-10-01

The base rate is $35.76 higher than on 2025-10-01, moving from $301.36 to $337.12 (11.9%).

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

    $301.36changed to$337.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.32 changed to 2.26
    • Practice expense RVU 5.85 changed to 6.65
    • Malpractice RVU 0.49 changed to 0.47
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $303.25changed to$301.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.68 changed to 5.85
    • Malpractice RVU 0.47 changed to 0.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $298.30changed to$303.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $300.53changed to$298.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.46 changed to 5.68
    • Malpractice RVU 0.46 changed to 0.47
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $296.96changed to$300.53

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.18 changed to 5.46
    • Malpractice RVU 0.47 changed to 0.46
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $297.19changed to$296.96

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.13 changed to 5.18
    • Malpractice RVU 0.46 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $297.04changed to$297.19

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.89 changed to 5.13
    • Malpractice RVU 0.47 changed to 0.46
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $298.95changed to$297.04

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.96 changed to 4.89
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $304.20changed to$298.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.09 changed to 4.96
    • Malpractice RVU 0.48 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $301.89changed to$304.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.04 changed to 5.09
    • Malpractice RVU 0.44 changed to 0.48
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $301.35changed to$301.89

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.98 changed to 5.04
    • Malpractice RVU 0.49 changed to 0.44
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $305.36changed to$301.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.05 changed to 4.98

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $303.84changed to$305.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $300.43changed to$303.84

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.99 changed to 5.05
    • Malpractice RVU 0.43 changed to 0.49
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $306.77changed to$300.43

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.53 changed to 4.99
    • Malpractice RVU 0.45 changed to 0.43
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$306.77

  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$337.12$172.30RVU26D
2026-07-01$337.12$172.30RVU26C
2026-04-01$337.12$172.30RVU26B
2026-01-01$337.12$172.30RVU26A
2025-10-01$301.36$182.05RVU25D
2025-07-01$301.36$182.05RVU25C
2025-04-01$301.36$182.05RVU25B
2025-01-01$301.36$182.05RVU25A
2024-10-01$303.25$183.92RVU24D
2024-07-01$303.25$183.92RVU24C
2024-04-01$303.25$183.92RVU24B
2024-03-09$303.25$183.92RVU24AR
2024-01-01$298.30$180.92RVU24A
2023-10-01$300.53$185.57RVU23D
2023-07-01$300.53$185.57RVU23C
2023-04-01$300.53$185.57RVU23B
2023-01-01$300.53$185.57RVU23A
2022-10-01$296.96$186.60RVU22D
2022-07-01$296.96$186.60RVU22C
2022-04-01$296.96$186.60RVU22B
2022-01-01$296.96$186.60RVU22A
2021-10-01$297.19$187.52RVU21D
2021-07-01$297.19$187.52RVU21C
2021-04-01$297.19$187.52RVU21B
2021-01-01$297.19$187.52RVU21A
2020-10-01$297.04$190.11RVU20D
2020-07-01$297.04$190.11RVU20C
2020-04-01$297.04$190.11RVU20B
2020-01-01$297.04$190.11RVU20A
2019-10-01$298.95$189.91RVU19D
2019-07-01$298.95$189.91RVU19C
2019-04-01$298.95$189.91RVU19B
2019-01-01$298.95$189.91RVU19A
2018-10-01$304.20$191.99RVU18D
2018-07-01$304.20$191.99RVU18C
2018-04-01$304.20$191.99RVU18B
2018-01-01$304.20$191.99RVU18AR1
2017-10-01$301.89$190.90RVU17D
2017-07-01$301.89$190.90RVU17C
2017-04-01$301.89$190.90RVU17B
2017-01-01$301.89$190.90RVU17A
2016-10-01$301.35$190.68RVU16D
2016-07-01$301.35$190.68RVU16C
2016-04-01$301.35$190.68RVU16B
2016-01-01$301.35$190.68RVU16A
2015-10-01$305.36$193.46RVU15D
2015-07-01$305.36$193.46RVU15C
2015-04-01$303.84$192.49RVU15B
2015-01-01$303.84$192.49RVU15A
2014-10-01$300.43$190.50RVU14D
2014-07-01$300.43$190.50RVU14C
2014-04-01$300.43$190.50RVU14B
2014-01-01$300.43$190.50RVU14A
2013-10-01$306.77$190.16RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29325 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

29325 billing questions

How does 29325 differ from 29305?

29325 describes a one-and-one-half spica, extending over one full leg and part of the other. Use 29305 when the spica involves one leg.

Can 29305 and 29325 be reported for the same cast application?

No. They distinguish the extent of the hip spica application; select the code matching the cast that was actually applied.

Does modifier 50 apply when both legs are involved?

No. Modifier 50 is inappropriate for 29325; the one-and-one-half spica extent is represented by this code.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

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 29325PPRRVU2026_Oct_nonQPP.csv, line 3,286 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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