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CPT code 29358: Cast brace, long leg, thigh to toes2026 Medicare rate & RVUs in Los Angeles, CA

Reports application of a long-leg cast brace to stabilize the lower extremity when this brace configuration, rather than a standard cast, is used.

CMS RVU26DEffective Oct 1, 2026One payment locality26 Medicare services in 2024

In Los Angeles, CA, Medicare pays $204.91 for 29358 in the office and $101.78 when it’s performed in a hospital or facility.

$204.91Office (non-facility)
$101.78Hospital or facility
+11.9%vs the national office rate ($183.04)

Check a contract rate as a % of Medicare · 29358 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 29358 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 29358 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 29358 covers

This service covers fitting and applying a long-leg cast brace that extends along the lower extremity from the thigh toward the toes. Orthopedic clinicians use this form of immobilization when the treatment plan calls for a cast-brace configuration; it is distinct from a conventional long-leg cast and a walker-type cast. The code describes the application, not a particular diagnosis or fracture-care service.

Select the code based on the device and extent documented. The record should identify the treated side, the long-leg cast-brace configuration, and the clinical reason for using it. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting, modifier 50 is paid at 150%. When performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is 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 Los Angeles, CA compares for 29358

Across 109 of 109 payment localities, the office rate for 29358 runs from $160.44 in Arkansas to $239.75 in San Benito County, CA. Los Angeles, CA pays $204.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

29358 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$204.91
  2. Bakersfield, CA · California$192.32−$12.59
  3. Chico, CA · California$191.52−$13.39
  4. El Centro, CA · California$191.56−$13.35
  5. Fresno, CA · California$191.52−$13.39
  6. Hanford, CA · California$191.52−$13.39
  7. Madera, CA · California$191.52−$13.39

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

Every other payment area

29358 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$191.52$95.97
Modesto, CACalifornia$191.52$95.97
Napa, CACalifornia$221.56$106.66
Oxnard, CACalifornia$203.79$100.74
Redding, CACalifornia$191.52$95.97
Rest of CaliforniaCalifornia$191.52$95.97
Riverside, CACalifornia$194.63$99.09
Sacramento, CACalifornia$200.90$99.52

29358 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.

$160.44

$215.64

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

View every state and territory as a table
29358 office rate range by state
State / territoryOffice rate rangeLocalities
AK$210.151
AL$162.971
AR$160.441
AZ$177.711
CA$191.52–$239.7529
CO$189.601
CT$195.771
DC$209.231
DE$180.771
FL$182.32–$203.053
GA$171.19–$187.152
GU$196.351
HI$196.351
IA$166.411
ID$167.781
IL$177.45–$196.544
IN$168.791
KS$166.051
KY$168.131
LA$168.03–$176.872
MA$188.54–$208.502
MD$184.23–$209.233
ME$169.22–$178.322
MI$173.24–$185.242
MN$179.901
MO$165.27–$176.963
MS$162.871
MT$183.021
NC$171.041
ND$177.281
NE$167.241
NH$187.031
NJ$197.51–$206.932
NM$174.451
NV$181.551
NY$173.81–$218.305
OH$172.071
OK$167.301
OR$179.65–$195.392
PA$172.10–$190.952
PR$184.291
RI$187.061
SC$171.941
SD$176.611
TN$167.001
TX$170.93–$189.398
UT$174.431
VA$178.03–$209.232
VI$184.291
VT$176.981
WA$188.05–$212.402
WI$171.001
WV$170.581
WY$180.521

See 29358 in every payment locality

How the 29358 rate is calculated

Each of 29358’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 · 29358

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.39

1.39 RVUs× 1.000 GPCI

Practice expense3.80

3.80 RVUs× 1.000 GPCI

Malpractice0.29

0.29 RVUs× 1.000 GPCI

Adjusted RVUs

5.4800

Conversion factor

$33.4009

Medicare rate

$183.04

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,289

Code
29358
Physician work
1.39
Practice expense
3.80
Malpractice
0.29

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 29358 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.39× 1.0411.4470
Practice expense3.80× 1.1834.4954
Malpractice0.29× 0.6640.1926
Total RVUs6.1349
Conversion factor× 33.4009

Office rate, Los Angeles, CA$204.91

Office: (1.39 × 1.041 + 3.8 × 1.183 + 0.29 × 0.664) × $33.4009 = $204.91

Facility: (1.39 × 1.041 + 1.19 × 1.183 + 0.29 × 0.664) × $33.4009 = $101.78

Open 29358 in the RVU calculator

Payment rules and modifiers for 29358

The CMS indicators that decide how 29358 is paid alongside other services.

CMS payment indicators · 29358

Cast brace, 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

29358 without 50 · national office

$183.04

Cast brace, long leg, thigh to toes

29358-50 · Bilateral: 150%

$274.56

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 29358

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

Codes related to 29358
CodeHow it relatesOffice range, Los Angeles, CA
Used instead
29345Long-leg cast, standard cast applicationConventional long-leg cast application when a cast brace is not used.$165.22
29355Walking cast, long leg, thigh to toesLong-leg cast application in the walker or ambulatory configuration.$171.03
29365Cylinder cast, knee immobilizationCylinder cast application when that cast configuration is selected instead.$154.93

How 29358 has changed in Los Angeles, CA

29358 · Office / nonfacility

$204.91

Effective 2026-10-01

The base rate is $21.24 higher than on 2025-10-01, moving from $183.67 to $204.91 (11.6%).

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

    $183.67changed to$204.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.43 changed to 1.39
    • Practice expense RVU 3.34 changed to 3.80
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $185.66changed to$183.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.25 changed to 3.34
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $182.63changed to$185.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $183.04changed to$182.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.12 changed to 3.25
    • Malpractice RVU 0.29 changed to 0.30
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $179.82changed to$183.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.96 changed to 3.12
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $179.82changed to$179.82

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.93 changed to 2.96
    • Malpractice RVU 0.28 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $180.20changed to$179.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.80 changed to 2.93
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $181.88changed to$180.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.84 changed to 2.80
    • Malpractice RVU 0.30 changed to 0.28
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $181.13changed to$181.88

    • Malpractice RVU 0.27 changed to 0.30

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $183.97changed to$181.13

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.90 changed to 2.84
    • Malpractice RVU 0.29 changed to 0.27

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $182.48changed to$183.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.87 changed to 2.90
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $182.75changed to$182.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.88 changed to 2.87
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $184.16changed to$182.75

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.89 changed to 2.88
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $183.24changed to$184.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $179.38changed to$183.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.85 changed to 2.89
    • Malpractice RVU 0.28 changed to 0.30
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $180.42changed to$179.38

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.15 changed to 2.85
    • Malpractice RVU 0.29 changed to 0.28
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  17. October 1, 2013

    RVU13D

    No ratechanged to$180.42

  18. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$204.91$101.78RVU26D
2026-07-01$204.91$101.78RVU26C
2026-04-01$204.91$101.78RVU26B
2026-01-01$204.91$101.78RVU26A
2025-10-01$183.67$109.51RVU25D
2025-07-01$183.67$109.51RVU25C
2025-04-01$183.67$109.51RVU25B
2025-01-01$183.67$109.51RVU25A
2024-10-01$185.66$111.34RVU24D
2024-07-01$185.66$111.34RVU24C
2024-04-01$185.66$111.34RVU24B
2024-03-09$185.66$111.34RVU24AR
2024-01-01$182.63$109.52RVU24A
2023-10-01$183.04$111.97RVU23D
2023-07-01$183.04$111.97RVU23C
2023-04-01$183.04$111.97RVU23B
2023-01-01$183.04$111.97RVU23A
2022-10-01$179.82$112.32RVU22D
2022-07-01$179.82$112.32RVU22C
2022-04-01$179.82$112.32RVU22B
2022-01-01$179.82$112.32RVU22A
2021-10-01$179.82$112.99RVU21D
2021-07-01$179.82$112.99RVU21C
2021-04-01$179.82$112.99RVU21B
2021-01-01$179.82$112.99RVU21A
2020-10-01$180.20$114.41RVU20D
2020-07-01$180.20$114.41RVU20C
2020-04-01$180.20$114.41RVU20B
2020-01-01$180.20$114.41RVU20A
2019-10-01$181.88$114.86RVU19D
2019-07-01$181.88$114.86RVU19C
2019-04-01$181.13$114.11RVU19B
2019-01-01$181.13$114.11RVU19A
2018-10-01$183.97$115.75RVU18D
2018-07-01$183.97$115.75RVU18C
2018-04-01$183.97$115.75RVU18B
2018-01-01$183.97$115.75RVU18AR1
2017-10-01$182.48$115.35RVU17D
2017-07-01$182.48$115.35RVU17C
2017-04-01$182.48$115.35RVU17B
2017-01-01$182.48$115.35RVU17A
2016-10-01$182.75$116.24RVU16D
2016-07-01$182.75$116.24RVU16C
2016-04-01$182.75$116.24RVU16B
2016-01-01$182.75$116.24RVU16A
2015-10-01$184.16$116.99RVU15D
2015-07-01$184.16$116.99RVU15C
2015-04-01$183.24$116.41RVU15B
2015-01-01$183.24$116.41RVU15A
2014-10-01$179.38$113.83RVU14D
2014-07-01$179.38$113.83RVU14C
2014-04-01$179.38$113.83RVU14B
2014-01-01$179.38$113.83RVU14A
2013-10-01$180.42$110.92RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29358 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

29358 billing questions

How is this different from 29345?

Use 29358 for application of a long-leg cast brace. Code 29345 describes application of a conventional long-leg cast.

How is this different from 29355?

Code 29355 is for a long-leg cast of the walker or ambulatory type. Choose 29358 when the documented device is a cast brace.

What documentation supports 29358?

Document the treated side, the long-leg cast-brace configuration, and why that form of stabilization was selected. The record should distinguish it from a standard or walker-type cast.

Can both legs be reported?

For bilateral performance, CMS lists modifier 50 and payment at 150%. Document application to both sides.

Does the code include same-day related care?

The code has a 0-day global period, which includes same-day preoperative and postoperative care. Other procedures in the same session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.

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 29358PPRRVU2026_Oct_nonQPP.csv, line 3,289 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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