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

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 Brazoria, TX, Medicare pays $308.45 for 29325 in the office and $164.80 when it’s performed in a hospital or facility.

$308.45Office (non-facility)
$164.80Hospital 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 Brazoria, TX
  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 Brazoria, TX 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. Brazoria, TX pays $308.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

29325 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$308.45
  2. Austin, TX · Texas$324.54+$16.09
  3. Beaumont, TX · Texas$292.20−$16.25
  4. Dallas, TX · Texas$310.86+$2.41
  5. Fort Worth, TX · Texas$308.85+$0.40
  6. Galveston, TX · Texas$309.65+$1.20
  7. Houston, TX · Texas$318.25+$9.80

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

Every other payment area

29325 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$300.45$162.88
Los Angeles, CACalifornia$351.77$180.28
Washington, DC areaDistrict of Columbia$358.69$187.92
Miami, FLFlorida$346.41$195.51
Chicago, ILIllinois$335.27$189.58
Manhattan, NYNew York$363.31$194.87
AlaskaAlaska$358.43$204.05
AlabamaAlabama$278.72$151.88

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 29325 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work2.26× 1.0082.2781
Practice expense6.65× 0.9916.5902
Malpractice0.47× 0.7800.3666
Total RVUs9.2348
Conversion factor× 33.4009

Office rate, Brazoria, TX$308.45

Office: (2.26 × 1.008 + 6.65 × 0.991 + 0.47 × 0.78) × $33.4009 = $308.45

Facility: (2.26 × 1.008 + 2.31 × 0.991 + 0.47 × 0.78) × $33.4009 = $164.80

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, Brazoria, TX
Same family
29305Hip spica cast, one legHip spica cast involving one leg rather than a one-and-one-half spica.$280.18
Used instead
29345Long-leg cast, standard cast applicationLong-leg cast option when treatment does not require hip-spica immobilization.$146.57
29355Walking cast, long leg, thigh to toesWalker-style long-leg cast option for a different immobilization extent.$152.13

How 29325 has changed in Brazoria, TX

29325 · Office / nonfacility

$308.45

Effective 2026-10-01

The base rate is $29.39 higher than on 2025-10-01, moving from $279.06 to $308.45 (10.5%).

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

    $279.06changed to$308.45

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $280.95changed to$279.06

    • 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

    $276.37changed to$280.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $278.53changed to$276.37

    • 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 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $275.18changed to$278.53

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $275.49changed to$275.18

    • 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

    $275.94changed to$275.49

    • 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 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $277.71changed to$275.94

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.96 changed to 4.89
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $282.38changed to$277.71

    • 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

    $278.89changed to$282.38

    • 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 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $277.92changed to$278.89

    • 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 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $281.41changed to$277.92

    • 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

    $280.01changed to$281.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $275.53changed to$280.01

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $279.48changed to$275.53

    • 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 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $279.48

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$308.45$164.80RVU26D
2026-07-01$308.45$164.80RVU26C
2026-04-01$308.45$164.80RVU26B
2026-01-01$308.45$164.80RVU26A
2025-10-01$279.06$174.60RVU25D
2025-07-01$279.06$174.60RVU25C
2025-04-01$279.06$174.60RVU25B
2025-01-01$279.06$174.60RVU25A
2024-10-01$280.95$176.47RVU24D
2024-07-01$280.95$176.47RVU24C
2024-04-01$280.95$176.47RVU24B
2024-03-09$280.95$176.47RVU24AR
2024-01-01$276.37$173.59RVU24A
2023-10-01$278.53$176.82RVU23D
2023-07-01$278.53$176.82RVU23C
2023-04-01$278.53$176.82RVU23B
2023-01-01$278.53$176.82RVU23A
2022-10-01$275.18$176.41RVU22D
2022-07-01$275.18$176.41RVU22C
2022-04-01$275.18$176.41RVU22B
2022-01-01$275.18$176.41RVU22A
2021-10-01$275.49$177.33RVU21D
2021-07-01$275.49$177.33RVU21C
2021-04-01$275.49$177.33RVU21B
2021-01-01$275.49$177.33RVU21A
2020-10-01$275.94$181.53RVU20D
2020-07-01$275.94$181.53RVU20C
2020-04-01$275.94$181.53RVU20B
2020-01-01$275.94$181.53RVU20A
2019-10-01$277.71$182.85RVU19D
2019-07-01$277.71$182.85RVU19C
2019-04-01$277.71$182.85RVU19B
2019-01-01$277.71$182.85RVU19A
2018-10-01$282.38$184.75RVU18D
2018-07-01$282.38$184.75RVU18C
2018-04-01$282.38$184.75RVU18B
2018-01-01$282.38$184.75RVU18AR1
2017-10-01$278.89$183.28RVU17D
2017-07-01$278.89$183.28RVU17C
2017-04-01$278.89$183.28RVU17B
2017-01-01$278.89$183.28RVU17A
2016-10-01$277.92$183.63RVU16D
2016-07-01$277.92$183.63RVU16C
2016-04-01$277.92$183.63RVU16B
2016-01-01$277.92$183.63RVU16A
2015-10-01$281.41$186.08RVU15D
2015-07-01$281.41$186.08RVU15C
2015-04-01$280.01$185.15RVU15B
2015-01-01$280.01$185.15RVU15A
2014-10-01$275.53$181.64RVU14D
2014-07-01$275.53$181.64RVU14C
2014-04-01$275.53$181.64RVU14B
2014-01-01$275.53$181.64RVU14A
2013-10-01$279.48$179.74RVU13D
2013-07-01$279.48$179.74RVU13C
2013-04-01$279.48$179.74RVU13B
2013-01-01$279.48$179.74RVU13AR

Price 29325 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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 Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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