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

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 Minnesota, Medicare pays $308.69 for 29325 in the office and $159.53 when it’s performed in a hospital or facility.

$308.69Office (non-facility)
$159.53Hospital or facility
−1.5%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 Minnesota
  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 Minnesota 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. Minnesota pays $308.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

29325 in Minnesota vs other payment areas
  1. Minnesota · this page$308.69
  2. Los Angeles, CA · California$351.77+$43.08
  3. Washington, DC area · District of Columbia$358.69+$50.00
  4. Miami, FL · Florida$346.41+$37.72
  5. Chicago, IL · Illinois$335.27+$26.58
  6. Manhattan, NY · New York$363.31+$54.62
  7. Alaska · Alaska$358.43+$49.74

Other areas in Minnesota 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 Minnesota 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

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 29325 in Minnesota
ComponentRVULocality factorAdjusted
Physician work2.26× 1.0002.2600
Practice expense6.65× 1.0296.8428
Malpractice0.47× 0.2960.1391
Total RVUs9.2420
Conversion factor× 33.4009

Office rate, Minnesota$308.69

Office: (2.26 × 1 + 6.65 × 1.029 + 0.47 × 0.296) × $33.4009 = $308.69

Facility: (2.26 × 1 + 2.31 × 1.029 + 0.47 × 0.296) × $33.4009 = $159.53

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, Minnesota
Same family
29305Hip spica cast, one legHip spica cast involving one leg rather than a one-and-one-half spica.$280.63
Used instead
29345Long-leg cast, standard cast applicationLong-leg cast option when treatment does not require hip-spica immobilization.$145.60
29355Walking cast, long leg, thigh to toesWalker-style long-leg cast option for a different immobilization extent.$150.83

How 29325 has changed in Minnesota

29325 · Office / nonfacility

$308.69

Effective 2026-10-01

The base rate is $34.93 higher than on 2025-10-01, moving from $273.76 to $308.69 (12.8%).

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

    $273.76changed to$308.69

    • 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 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $275.72changed to$273.76

    • 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

    $271.22changed to$275.72

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $272.24changed to$271.22

    • 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
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300

  5. January 1, 2023

    RVU23A

    $267.62changed to$272.24

    • 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
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $267.95changed to$267.62

    • 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

    $268.38changed to$267.95

    • 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
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $270.46changed to$268.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.96 changed to 4.89
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $275.03changed to$270.46

    • 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

    $272.42changed to$275.03

    • 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
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $270.53changed to$272.42

    • 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
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $274.08changed to$270.53

    • 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

    $272.71changed to$274.08

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $269.36changed to$272.71

    • 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
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $273.66changed to$269.36

    • 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
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$273.66

  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$308.69$159.53RVU26D
2026-07-01$308.69$159.53RVU26C
2026-04-01$308.69$159.53RVU26B
2026-01-01$308.69$159.53RVU26A
2025-10-01$273.76$167.33RVU25D
2025-07-01$273.76$167.33RVU25C
2025-04-01$273.76$167.33RVU25B
2025-01-01$273.76$167.33RVU25A
2024-10-01$275.72$169.27RVU24D
2024-07-01$275.72$169.27RVU24C
2024-04-01$275.72$169.27RVU24B
2024-03-09$275.72$169.27RVU24AR
2024-01-01$271.22$166.50RVU24A
2023-10-01$272.24$170.03RVU23D
2023-07-01$272.24$170.03RVU23C
2023-04-01$272.24$170.03RVU23B
2023-01-01$272.24$170.03RVU23A
2022-10-01$267.62$169.81RVU22D
2022-07-01$267.62$169.81RVU22C
2022-04-01$267.62$169.81RVU22B
2022-01-01$267.62$169.81RVU22A
2021-10-01$267.95$170.74RVU21D
2021-07-01$267.95$170.74RVU21C
2021-04-01$267.95$170.74RVU21B
2021-01-01$267.95$170.74RVU21A
2020-10-01$268.38$173.79RVU20D
2020-07-01$268.38$173.79RVU20C
2020-04-01$268.38$173.79RVU20B
2020-01-01$268.38$173.79RVU20A
2019-10-01$270.46$174.27RVU19D
2019-07-01$270.46$174.27RVU19C
2019-04-01$270.46$174.27RVU19B
2019-01-01$270.46$174.27RVU19A
2018-10-01$275.03$176.03RVU18D
2018-07-01$275.03$176.03RVU18C
2018-04-01$275.03$176.03RVU18B
2018-01-01$275.03$176.03RVU18AR1
2017-10-01$272.42$174.70RVU17D
2017-07-01$272.42$174.70RVU17C
2017-04-01$272.42$174.70RVU17B
2017-01-01$272.42$174.70RVU17A
2016-10-01$270.53$173.39RVU16D
2016-07-01$270.53$173.39RVU16C
2016-04-01$270.53$173.39RVU16B
2016-01-01$270.53$173.39RVU16A
2015-10-01$274.08$175.85RVU15D
2015-07-01$274.08$175.85RVU15C
2015-04-01$272.71$174.97RVU15B
2015-01-01$272.71$174.97RVU15A
2014-10-01$269.36$172.91RVU14D
2014-07-01$269.36$172.91RVU14C
2014-04-01$269.36$172.91RVU14B
2014-01-01$269.36$172.91RVU14A
2013-10-01$273.66$171.39RVU13D
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 Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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 MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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