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CPT code 29345: Long-leg cast, standard cast application2026 Medicare rate & RVUs in Santa Clara County, CA

Reports application of a rigid long-leg cast that immobilizes the knee and lower leg, extending from the thigh to the foot.

CMS RVU26DEffective Oct 1, 2026One payment locality955 Medicare services in 2024

In Santa Clara County, CA, Medicare pays $190.54 for 29345 in the office and $107.70 when it’s performed in a hospital or facility.

$190.54Office (non-facility)
$107.70Hospital or facility
+27.9%vs the national office rate ($148.97)

Check a contract rate as a % of Medicare · 29345 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 29345 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 29345 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 29345 covers

A long-leg cast immobilizes the knee along with the lower leg and foot, typically extending from the upper thigh to the foot. It may be used to stabilize a lower-extremity fracture or protect the leg after treatment of an injury involving the knee or lower leg. The service is performed by a clinician who applies and molds the cast; it may occur in an office, emergency department, or other treatment setting.

Report this code when the long-leg cast application is not included in a separately reported fracture-treatment service. Documentation should identify the treated side, clinical reason for immobilization, and the cast applied. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral application, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.

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 Santa Clara County, CA compares for 29345

Across 109 of 109 payment localities, the office rate for 29345 runs from $131.43 in Arkansas to $191.75 in San Benito County, CA. Santa Clara County, CA pays $190.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

29345 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$190.54
  2. Bakersfield, CA · California$155.52−$35.02
  3. Chico, CA · California$154.79−$35.75
  4. El Centro, CA · California$154.83−$35.71
  5. Fresno, CA · California$154.79−$35.75
  6. Hanford, CA · California$154.79−$35.75
  7. Los Angeles, CA · California$165.22−$25.32

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

Every other payment area

29345 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$154.79$91.83
Merced, CACalifornia$154.79$91.83
Modesto, CACalifornia$154.79$91.83
Napa, CACalifornia$177.64$101.92
Oxnard, CACalifornia$164.18$96.27
Redding, CACalifornia$154.79$91.83
Rest of CaliforniaCalifornia$154.79$91.83
Riverside, CACalifornia$157.59$94.62

29345 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.

$131.43

$174.09

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

View every state and territory as a table
29345 office rate range by state
State / territoryOffice rate rangeLocalities
AK$174.091
AL$133.381
AR$131.431
AZ$144.791
CA$154.79–$191.7529
CO$153.661
CT$158.991
DC$169.251
DE$147.191
FL$149.18–$166.123
GA$140.43–$152.362
GU$158.261
HI$158.261
IA$135.701
ID$136.831
IL$145.63–$161.014
IN$137.601
KS$135.591
KY$137.741
LA$137.73–$144.572
MA$152.95–$168.232
MD$149.85–$169.253
ME$138.12–$144.912
MI$141.86–$151.622
MN$145.601
MO$135.70–$144.453
MS$133.561
MT$148.951
NC$139.501
ND$143.811
NE$136.291
NH$151.761
NJ$160.34–$167.572
NM$142.871
NV$147.611
NY$141.66–$177.205
OH$140.811
OK$136.921
OR$146.01–$157.972
PA$140.74–$155.342
PR$149.881
RI$152.021
SC$140.481
SD$143.201
TN$136.351
TX$139.84–$153.558
UT$142.411
VA$144.81–$169.252
VI$149.881
VT$143.731
WA$152.50–$171.122
WI$138.991
WV$140.331
WY$146.711

See 29345 in every payment locality

How the 29345 rate is calculated

Each of 29345’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 · 29345

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.37

1.37 RVUs× 1.000 GPCI

Practice expense2.83

2.83 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

4.4600

Conversion factor

$33.4009

Medicare rate

$148.97

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

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,287

Code
29345
Physician work
1.37
Practice expense
2.83
Malpractice
0.26

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 29345 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work1.37× 1.1101.5207
Practice expense2.83× 1.4424.0809
Malpractice0.26× 0.3970.1032
Total RVUs5.7048
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$190.54

Office: (1.37 × 1.11 + 2.83 × 1.442 + 0.26 × 0.397) × $33.4009 = $190.54

Facility: (1.37 × 1.11 + 1.11 × 1.442 + 0.26 × 0.397) × $33.4009 = $107.70

Open 29345 in the RVU calculator

Payment rules and modifiers for 29345

The CMS indicators that decide how 29345 is paid alongside other services.

CMS payment indicators · 29345

Long-leg cast, standard cast application

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

29345 without 50 · national office

$148.97

Long-leg cast, standard cast application

29345-50 · Bilateral: 150%

$223.46

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).

When to use modifier 50

Codes related to 29345

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

Codes related to 29345
CodeHow it relatesOffice range, Santa Clara County, CA
Same family
29355Walking cast, long leg, thigh to toesWalking long-leg cast application; differs from the standard cast reported with 29345.$196.70
29358Cast brace, long leg, thigh to toesLong-leg cast brace application, rather than a standard long-leg cast.$238.40
Used instead
29365Cylinder cast, knee immobilizationCylinder cast application for knee immobilization without the same long-leg cast configuration.$179.58
29405Short leg cast, nonwalking castShort-leg cast application when immobilization does not extend above the knee.$113.48
29425Walking cast, short legWalking short-leg cast application when a below-knee walking cast is appropriate.$104.77

How 29345 has changed in Santa Clara County, CA

29345 · Office / nonfacility

$190.54

Effective 2026-10-01

The base rate is $19.62 higher than on 2025-10-01, moving from $170.92 to $190.54 (11.5%).

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

    $170.92changed to$190.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.40 changed to 1.37
    • Practice expense RVU 2.53 changed to 2.83
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $172.88changed to$170.92

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.47 changed to 2.53
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $170.06changed to$172.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $170.98changed to$170.06

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.41 changed to 2.47
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $167.05changed to$170.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.30 changed to 2.41
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $166.84changed to$167.05

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.27 changed to 2.30
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $166.64changed to$166.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.18 changed to 2.27
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $165.49changed to$166.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.20 changed to 2.18
    • Malpractice RVU 0.25 changed to 0.27
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $167.75changed to$165.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.25 changed to 2.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $166.92changed to$167.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.24 changed to 2.25
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $166.44changed to$166.92

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $167.68changed to$166.44

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.25 changed to 2.24
    • Malpractice RVU 0.27 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $166.84changed to$167.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $165.38changed to$166.84

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.22 changed to 2.25
    • Malpractice RVU 0.26 changed to 0.27
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $167.94changed to$165.38

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.46 changed to 2.22
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$167.94

  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$190.54$107.70RVU26D
2026-07-01$190.54$107.70RVU26C
2026-04-01$190.54$107.70RVU26B
2026-01-01$190.54$107.70RVU26A
2025-10-01$170.92$116.14RVU25D
2025-07-01$170.92$116.14RVU25C
2025-04-01$170.92$116.14RVU25B
2025-01-01$170.92$116.14RVU25A
2024-10-01$172.88$117.95RVU24D
2024-07-01$172.88$117.95RVU24C
2024-04-01$172.88$117.95RVU24B
2024-03-09$172.88$117.95RVU24AR
2024-01-01$170.06$116.03RVU24A
2023-10-01$170.98$117.98RVU23D
2023-07-01$170.98$117.98RVU23C
2023-04-01$170.98$117.98RVU23B
2023-01-01$170.98$117.98RVU23A
2022-10-01$167.05$116.79RVU22D
2022-07-01$167.05$116.79RVU22C
2022-04-01$167.05$116.79RVU22B
2022-01-01$167.05$116.79RVU22A
2021-10-01$166.84$117.62RVU21D
2021-07-01$166.84$117.62RVU21C
2021-04-01$166.84$117.62RVU21B
2021-01-01$166.84$117.62RVU21A
2020-10-01$166.64$118.22RVU20D
2020-07-01$166.64$118.22RVU20C
2020-04-01$166.64$118.22RVU20B
2020-01-01$166.64$118.22RVU20A
2019-10-01$165.49$117.67RVU19D
2019-07-01$165.49$117.67RVU19C
2019-04-01$165.49$117.67RVU19B
2019-01-01$165.49$117.67RVU19A
2018-10-01$167.75$119.00RVU18D
2018-07-01$167.75$119.00RVU18C
2018-04-01$167.75$119.00RVU18B
2018-01-01$167.75$119.00RVU18AR1
2017-10-01$166.92$118.92RVU17D
2017-07-01$166.92$118.92RVU17C
2017-04-01$166.92$118.92RVU17B
2017-01-01$166.92$118.92RVU17A
2016-10-01$166.44$118.21RVU16D
2016-07-01$166.44$118.21RVU16C
2016-04-01$166.44$118.21RVU16B
2016-01-01$166.44$118.21RVU16A
2015-10-01$167.68$119.27RVU15D
2015-07-01$167.68$119.27RVU15C
2015-04-01$166.84$118.68RVU15B
2015-01-01$166.84$118.68RVU15A
2014-10-01$165.38$118.27RVU14D
2014-07-01$165.38$118.27RVU14C
2014-04-01$165.38$118.27RVU14B
2014-01-01$165.38$118.27RVU14A
2013-10-01$167.94$117.45RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29345 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

29345 billing questions

How is this different from a walking long-leg cast?

Use 29345 for a standard long-leg cast. Code 29355 describes the walking version of the long-leg cast.

Can the cast application be reported with fracture treatment?

Do not separately report the cast application when it is included in the definitive fracture-treatment service. Report 29345 when the application is not included in another reported service.

What documentation supports 29345?

Document the reason for immobilization, the side treated, and that a long-leg cast was applied. The record should distinguish the standard cast from a walking cast, cast brace, or cylinder cast.

How is bilateral application reported?

For casts applied to both legs, report modifier 50; CMS pays the bilateral procedure at 150%.

How does the multiple procedure reduction affect payment?

When other procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

Is an assistant or co-surgeon payable?

CMS does not pay an assistant at surgery for 29345 and does not permit co-surgeon or team-surgery billing.

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 29345PPRRVU2026_Oct_nonQPP.csv, line 3,287 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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