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CPT code 29355: Walking cast, long leg, thigh to toes2026 Medicare rate & RVUs in Hawaii, Guam, HI

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 Hawaii, Guam, HI, Medicare pays $163.80 for 29355 in the office and $98.10 when it’s performed in a hospital or facility.

$163.80Office (non-facility)
$98.10Hospital or facility
+5.9%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 Hawaii, Guam, HI
  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 Hawaii, Guam, HI 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. Hawaii, Guam, HI pays $163.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

29355 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$163.80
  2. Los Angeles, CA · California$171.03+$7.23
  3. Washington, DC area · District of Columbia$175.39+$11.59
  4. Miami, FL · Florida$172.86+$9.06
  5. Chicago, IL · Illinois$167.58+$3.78
  6. Manhattan, NY · New York$178.79+$14.99
  7. Alaska · Alaska$181.54+$17.74

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

Every other payment area

29355 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, CACalifornia$160.32$96.99

29355 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.

$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 Hawaii, Guam, HI 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

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 29355 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work1.49× 1.0001.4900
Practice expense2.86× 1.1373.2518
Malpractice0.28× 0.5790.1621
Total RVUs4.9039
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$163.80

Office: (1.49 × 1 + 2.86 × 1.137 + 0.28 × 0.579) × $33.4009 = $163.80

Facility: (1.49 × 1 + 1.13 × 1.137 + 0.28 × 0.579) × $33.4009 = $98.10

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

Codes related to 29355

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

Codes related to 29355
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
29345Long-leg cast, standard cast applicationLong-leg cast application without the walking-cast designation.$158.26
Used instead
29358Cast brace, long leg, thigh to toesLong-leg cast brace application for a different form of immobilization.$196.35
29365Cylinder cast, knee immobilizationCylinder cast application when the cast does not extend to the toes.$148.43
29425Walking cast, short legWalking cast for the lower leg and foot rather than a long-leg cast.$86.66

How 29355 has changed in Hawaii, Guam, HI

29355 · Office / nonfacility

$163.80

Effective 2026-10-01

The base rate is $13.71 higher than on 2025-10-01, moving from $150.09 to $163.80 (9.1%).

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

    $150.09changed to$163.80

    • 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 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $152.15changed to$150.09

    • 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

    $149.67changed to$152.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $153.61changed to$149.67

    • 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
    • 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

    $152.81changed to$153.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.34 changed to 2.46
    • 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

    $154.31changed to$152.81

    • 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

    $153.71changed to$154.31

    • 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
    • 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

    $153.27changed to$153.71

    • 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
    • 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

    $152.88changed to$153.27

    • 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

    $153.15changed to$152.88

    • 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
    • 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

    $153.50changed to$153.15

    • Conversion factor 35.8043 changed to 35.8887
    • 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

    $154.47changed to$153.50

    • 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

    $153.71changed to$154.47

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $154.04changed to$153.71

    • Conversion factor 35.8228 changed to 35.7547
    • 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

    $155.94changed to$154.04

    • 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
    • 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$155.94

  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$163.80$98.10RVU26D
2026-07-01$163.80$98.10RVU26C
2026-04-01$163.80$98.10RVU26B
2026-01-01$163.80$98.10RVU26A
2025-10-01$150.09$106.60RVU25D
2025-07-01$150.09$106.60RVU25C
2025-04-01$150.09$106.60RVU25B
2025-01-01$150.09$106.60RVU25A
2024-10-01$152.15$108.93RVU24D
2024-07-01$152.15$108.93RVU24C
2024-04-01$152.15$108.93RVU24B
2024-03-09$152.15$108.93RVU24AR
2024-01-01$149.67$107.15RVU24A
2023-10-01$153.61$110.50RVU23D
2023-07-01$153.61$110.50RVU23C
2023-04-01$153.61$110.50RVU23B
2023-01-01$153.61$110.50RVU23A
2022-10-01$152.81$111.67RVU22D
2022-07-01$152.81$111.67RVU22C
2022-04-01$152.81$111.67RVU22B
2022-01-01$152.81$111.67RVU22A
2021-10-01$154.31$113.23RVU21D
2021-07-01$154.31$113.23RVU21C
2021-04-01$154.31$113.23RVU21B
2021-01-01$154.31$113.23RVU21A
2020-10-01$153.71$114.08RVU20D
2020-07-01$153.71$114.08RVU20C
2020-04-01$153.71$114.08RVU20B
2020-01-01$153.71$114.08RVU20A
2019-10-01$153.27$113.21RVU19D
2019-07-01$153.27$113.21RVU19C
2019-04-01$153.27$113.21RVU19B
2019-01-01$153.27$113.21RVU19A
2018-10-01$152.88$112.86RVU18D
2018-07-01$152.88$112.86RVU18C
2018-04-01$152.88$112.86RVU18B
2018-01-01$152.88$112.86RVU18AR1
2017-10-01$153.15$113.39RVU17D
2017-07-01$153.15$113.39RVU17C
2017-04-01$153.15$113.39RVU17B
2017-01-01$153.15$113.39RVU17A
2016-10-01$153.50$113.15RVU16D
2016-07-01$153.50$113.15RVU16C
2016-04-01$153.50$113.15RVU16B
2016-01-01$153.50$113.15RVU16A
2015-10-01$154.47$113.97RVU15D
2015-07-01$154.47$113.97RVU15C
2015-04-01$153.71$113.40RVU15B
2015-01-01$153.71$113.40RVU15A
2014-10-01$154.04$114.21RVU14D
2014-07-01$154.04$114.21RVU14C
2014-04-01$154.04$114.21RVU14B
2014-01-01$154.04$114.21RVU14A
2013-10-01$155.94$113.14RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29355 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

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 Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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