CPT code 29355: Walking cast, long leg, thigh to toes2026 Medicare rate & RVUs in Miami, FL

Application of a long-leg walking cast extending from thigh to toes, selected when the cast is configured to permit ambulation during immobilization.

CMS RVU26DEffective Oct 1, 2026One payment locality91 Medicare services in 2024

In Miami, FL, Medicare pays $172.86 for 29355 in the office and $112.71 when it’s performed in a hospital or facility.

$172.86Office (non-facility)
$112.71Hospital or facility
+11.8%vs the national office rate ($154.65)

Check a contract rate as a % of Medicare · 29355 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 29355 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 29355 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 29355 covers

This service covers applying a long-leg cast that extends from the thigh to the toes and is configured to permit walking. Orthopedic surgeons and other clinicians who manage musculoskeletal injuries may apply it in an office or other treatment setting when an injury requires immobilization across the knee and lower leg but the patient can ambulate in the cast. Selected lower-extremity fractures are a typical reason for this form of immobilization.

Report the code when the documented cast spans the thigh to the toes and has a walking configuration; a standard long-leg cast without that feature is distinguished by code 29345. Document the treated side, cast extent, walking design, and clinical reason for immobilization. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. For bilateral application, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; 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 Miami, FL compares for 29355

Across 109 of 109 payment localities, the office rate for 29355 runs from $136.64 in Arkansas to $198.00 in San Benito County, CA. Miami, FL pays $172.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

29355 in Miami, FL vs other payment areas
  1. Miami, FL · this page$172.86
  2. Fort Lauderdale, FL · Florida$163.44−$9.42
  3. Rest of Florida · Florida$155.15−$17.71
  4. Los Angeles, CA · California$171.03−$1.83
  5. Washington, DC area · District of Columbia$175.39+$2.53
  6. Chicago, IL · Illinois$167.58−$5.28
  7. Manhattan, NY · New York$178.79+$5.93

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

Every other payment area

29355 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$181.54$120.00
AlabamaAlabama$138.65$88.09
ArkansasArkansas$136.64$87.01
ArizonaArizona$150.34$94.35
Bakersfield, CACalifornia$161.11$97.77
Chico, CACalifornia$160.32$96.99
El Centro, CACalifornia$160.37$97.04
Fresno, CACalifornia$160.32$96.99

29355 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

$136.64

$181.54

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

View every state and territory as a table
29355 office rate range by state
State / territoryOffice rate rangeLocalities
AK$181.541
AL$138.651
AR$136.641
AZ$150.341
CA$160.32–$198.0029
CO$159.311
CT$164.961
DC$175.391
DE$152.801
FL$155.15–$172.863
GA$146.12–$158.202
GU$163.801
HI$163.801
IA$140.891
ID$142.081
IL$151.60–$167.584
IN$142.871
KS$140.841
KY$143.251
LA$143.27–$150.282
MA$158.61–$174.192
MD$155.52–$175.393
ME$143.47–$150.342
MI$147.54–$157.722
MN$150.831
MO$141.22–$150.083
MS$138.931
MT$154.631
NC$144.871
ND$149.091
NE$141.471
NH$157.391
NJ$166.33–$173.702
NM$148.601
NV$153.181
NY$147.09–$183.905
OH$146.411
OK$142.341
OR$151.49–$163.652
PA$146.30–$161.262
PR$155.561
RI$157.731
SC$145.981
SD$148.441
TN$141.621
TX$145.38–$159.228
UT$147.961
VA$150.27–$175.392
VI$155.561
VT$149.071
WA$158.12–$177.112
WI$144.161
WV$146.161
WY$152.211

See 29355 in every payment locality

How the 29355 rate is calculated

Each of 29355’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 · 29355

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.49

1.49 RVUs× 1.000 GPCI

Practice expense2.86

2.86 RVUs× 1.000 GPCI

Malpractice0.28

0.28 RVUs× 1.000 GPCI

Adjusted RVUs

4.6300

Conversion factor

$33.4009

Medicare rate

$154.65

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,288

Code
29355
Physician work
1.49
Practice expense
2.86
Malpractice
0.28

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 29355 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work1.49× 1.0001.4900
Practice expense2.86× 1.0412.9773
Malpractice0.28× 2.5290.7081
Total RVUs5.1754
Conversion factor× 33.4009

Office rate, Miami, FL$172.86

Office: (1.49 × 1 + 2.86 × 1.041 + 0.28 × 2.529) × $33.4009 = $172.86

Facility: (1.49 × 1 + 1.13 × 1.041 + 0.28 × 2.529) × $33.4009 = $112.71

Open 29355 in the RVU calculator

Payment rules and modifiers for 29355

The CMS indicators that decide how 29355 is paid alongside other services.

CMS payment indicators · 29355

Walking cast, long leg, thigh to toes

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

29355 without 50 · national office

$154.65

Walking cast, long leg, thigh to toes

29355-50 · Bilateral: 150%

$231.98

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

How 29355 has changed in Miami, FL

29355 · Office / nonfacility

$172.86

Effective 2026-10-01

The base rate is $15.35 higher than on 2025-10-01, moving from $157.51 to $172.86 (9.7%).

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

    $157.51changed to$172.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.53 changed to 1.49
    • Practice expense RVU 2.57 changed to 2.86
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $161.36changed to$157.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.50 changed to 2.57
    • Malpractice RVU 0.30 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $158.73changed to$161.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $162.49changed to$158.73

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.46 changed to 2.50
    • Malpractice RVU 0.29 changed to 0.30
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $162.17changed to$162.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.34 changed to 2.46
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $164.43changed to$162.17

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $163.67changed to$164.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.22 changed to 2.34
    • Malpractice RVU 0.28 changed to 0.30
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $162.81changed to$163.67

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.23 changed to 2.22
    • Malpractice RVU 0.27 changed to 0.28
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $161.70changed to$162.81

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $162.46changed to$161.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.22 changed to 2.23
    • Malpractice RVU 0.28 changed to 0.26
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $161.85changed to$162.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $162.81changed to$161.85

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.23 changed to 2.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $162.00changed to$162.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $164.82changed to$162.00

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $168.40changed to$164.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.47 changed to 2.23
    • Malpractice RVU 0.29 changed to 0.28
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $168.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$172.86$112.71RVU26D
2026-07-01$172.86$112.71RVU26C
2026-04-01$172.86$112.71RVU26B
2026-01-01$172.86$112.71RVU26A
2025-10-01$157.51$118.64RVU25D
2025-07-01$157.51$118.64RVU25C
2025-04-01$157.51$118.64RVU25B
2025-01-01$157.51$118.64RVU25A
2024-10-01$161.36$122.73RVU24D
2024-07-01$161.36$122.73RVU24C
2024-04-01$161.36$122.73RVU24B
2024-03-09$161.36$122.73RVU24AR
2024-01-01$158.73$120.73RVU24A
2023-10-01$162.49$123.94RVU23D
2023-07-01$162.49$123.94RVU23C
2023-04-01$162.49$123.94RVU23B
2023-01-01$162.49$123.94RVU23A
2022-10-01$162.17$125.35RVU22D
2022-07-01$162.17$125.35RVU22C
2022-04-01$162.17$125.35RVU22B
2022-01-01$162.17$125.35RVU22A
2021-10-01$164.43$127.67RVU21D
2021-07-01$164.43$127.67RVU21C
2021-04-01$164.43$127.67RVU21B
2021-01-01$164.43$127.67RVU21A
2020-10-01$163.67$128.13RVU20D
2020-07-01$163.67$128.13RVU20C
2020-04-01$163.67$128.13RVU20B
2020-01-01$163.67$128.13RVU20A
2019-10-01$162.81$126.83RVU19D
2019-07-01$162.81$126.83RVU19C
2019-04-01$162.81$126.83RVU19B
2019-01-01$162.81$126.83RVU19A
2018-10-01$161.70$125.77RVU18D
2018-07-01$161.70$125.77RVU18C
2018-04-01$161.70$125.77RVU18B
2018-01-01$161.70$125.77RVU18AR1
2017-10-01$162.46$126.93RVU17D
2017-07-01$162.46$126.93RVU17C
2017-04-01$162.46$126.93RVU17B
2017-01-01$162.46$126.93RVU17A
2016-10-01$161.85$125.98RVU16D
2016-07-01$161.85$125.98RVU16C
2016-04-01$161.85$125.98RVU16B
2016-01-01$161.85$125.98RVU16A
2015-10-01$162.81$126.80RVU15D
2015-07-01$162.81$126.80RVU15C
2015-04-01$162.00$126.17RVU15B
2015-01-01$162.00$126.17RVU15A
2014-10-01$164.82$128.92RVU14D
2014-07-01$164.82$128.92RVU14C
2014-04-01$164.82$128.92RVU14B
2014-01-01$164.82$128.92RVU14A
2013-10-01$168.40$129.32RVU13D
2013-07-01$168.40$129.32RVU13C
2013-04-01$168.40$129.32RVU13B
2013-01-01$168.40$129.32RVU13AR

Price 29355 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

29355 billing questions

How does this differ from code 29345?

Use 29355 when the long-leg cast is configured for walking. Code 29345 describes a long-leg cast without that walking designation.

What documentation supports reporting 29355?

Document that the cast extends from the thigh to the toes, is configured for walking, and is needed for the treated injury. Record the side treated.

Is same-day care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How is bilateral application reported?

Report modifier 50 for bilateral application. CMS pays the bilateral procedure at 150%.

How does the multiple procedure rule affect payment?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.

Can an assistant or surgical team be reported?

Assistant-at-surgery payment is statutorily restricted. 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 29355PPRRVU2026_Oct_nonQPP.csv, line 3,288 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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