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CPT code 29405: Short leg cast, nonwalking cast2026 Medicare rate & RVUs in Tennessee

Reports application of a below-knee cast extending to the toes when a nonwalking short leg cast is needed and its application is separately reportable.

CMS RVU26DEffective Oct 1, 2026One payment locality31.1K Medicare services in 2024

In Tennessee, Medicare pays $80.61 for 29405 in the office and $51.46 when it’s performed in a hospital or facility.

$80.61Office (non-facility)
$51.46Hospital or facility
−8.2%vs the national office rate ($87.84)

Check a contract rate as a % of Medicare · 29405 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 29405 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 29405 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 29405 covers

CPT 29405 represents applying a short leg cast that extends from below the knee to the toes and is not designed as a walking cast. Orthopedic clinicians, emergency physicians, and other qualified providers may apply one to immobilize an ankle or foot injury or condition. The code describes the cast application, not the underlying diagnosis or a separate fracture-treatment service.

Choose this code when the applied cast is a nonwalking short leg cast; use the walking-cast code when the cast is designed for ambulation. Document the indication, the cast’s extent and type, and whether it is intended for walking. Cast application may be included in a definitive fracture-treatment service, so report 29405 separately only when the applicable coding instructions support separate reporting. CMS assigns 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. 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 Tennessee compares for 29405

Across 109 of 109 payment localities, the office rate for 29405 runs from $77.64 in Arkansas to $114.09 in San Benito County, CA. Tennessee pays $80.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

29405 in Tennessee vs other payment areas
  1. Tennessee · this page$80.61
  2. Los Angeles, CA · California$97.97+$17.36
  3. Washington, DC area · District of Columbia$99.97+$19.36
  4. Miami, FL · Florida$96.84+$16.23
  5. Chicago, IL · Illinois$93.94+$13.33
  6. Manhattan, NY · New York$101.36+$20.75
  7. Alaska · Alaska$102.66+$22.05

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

Every other payment area

29405 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$78.78$50.72
ArkansasArkansas$77.64$50.09
ArizonaArizona$85.44$54.37
Bakersfield, CACalifornia$92.16$57.01
Chico, CACalifornia$91.79$56.64
El Centro, CACalifornia$91.81$56.67
Fresno, CACalifornia$91.79$56.64
Hanford, CACalifornia$91.79$56.64

29405 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.

$77.64

$102.94

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

View every state and territory as a table
29405 office rate range by state
State / territoryOffice rate rangeLocalities
AK$102.661
AL$78.781
AR$77.641
AZ$85.441
CA$91.79–$114.0929
CO$90.881
CT$93.701
DC$99.971
DE$86.851
FL$87.50–$96.843
GA$82.47–$89.712
GU$93.891
HI$93.891
IA$80.341
ID$80.961
IL$85.29–$93.944
IN$81.421
KS$80.181
KY$81.101
LA$81.06–$85.052
MA$90.42–$99.582
MD$88.44–$99.973
ME$81.61–$85.732
MI$83.41–$88.812
MN$86.451
MO$79.80–$85.103
MS$78.731
MT$87.841
NC$82.431
ND$85.271
NE$80.721
NH$89.661
NJ$94.59–$98.972
NM$83.951
NV$87.181
NY$83.68–$104.095
OH$82.881
OK$80.731
OR$86.32–$93.532
PA$82.89–$91.512
PR$88.411
RI$89.771
SC$82.831
SD$84.961
TN$80.611
TX$82.37–$90.738
UT$83.951
VA$85.59–$99.972
VI$88.411
VT$85.121
WA$90.19–$101.392
WI$82.431
WV$82.191
WY$86.721

See 29405 in every payment locality

How the 29405 rate is calculated

Each of 29405’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 · 29405

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense1.72

1.72 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

2.6300

Conversion factor

$33.4009

Medicare rate

$87.84

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

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,291

Code
29405
Physician work
0.78
Practice expense
1.72
Malpractice
0.13

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 29405 in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense1.72× 0.9091.5635
Malpractice0.13× 0.5370.0698
Total RVUs2.4133
Conversion factor× 33.4009

Office rate, Tennessee$80.61

Office: (0.78 × 1 + 1.72 × 0.909 + 0.13 × 0.537) × $33.4009 = $80.61

Facility: (0.78 × 1 + 0.76 × 0.909 + 0.13 × 0.537) × $33.4009 = $51.46

Open 29405 in the RVU calculator

Payment rules and modifiers for 29405

The CMS indicators that decide how 29405 is paid alongside other services.

CMS payment indicators · 29405

Short leg cast, nonwalking cast

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

29405 without 50 · national office

$87.84

Short leg cast, nonwalking cast

29405-50 · Bilateral: 150%

$131.76

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 29405

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

Codes related to 29405
CodeHow it relatesOffice range, Tennessee
Same family
29425Walking cast, short legShort leg cast application when the cast is designed for walking.$74.73
Used instead
29435PTB cast, below kneePatellar tendon-bearing cast application for a different cast design.$127.12
29440Cast walker, added to prior castAdds a walker to a cast already in place rather than applying a new short leg cast.$41.16
29445Total contact cast, rigid leg castRigid total-contact leg cast application, a different cast type.$123.03

How 29405 has changed in Tennessee

29405 · Office / nonfacility

$80.61

Effective 2026-10-01

The base rate is $6.94 higher than on 2025-10-01, moving from $73.67 to $80.61 (9.4%).

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

    $73.67changed to$80.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 1.57 changed to 1.72
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $74.62changed to$73.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.53 changed to 1.57

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $73.40changed to$74.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $74.05changed to$73.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.48 changed to 1.53
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544

  5. January 1, 2023

    RVU23A

    $73.25changed to$74.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.41 changed to 1.48
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $73.72changed to$73.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.40 changed to 1.41
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $74.46changed to$73.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.34 changed to 1.40
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $75.92changed to$74.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.38 changed to 1.34
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $76.81changed to$75.92

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.41 changed to 1.38

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$76.81

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$80.61$51.46RVU26D
2026-07-01$80.61$51.46RVU26C
2026-04-01$80.61$51.46RVU26B
2026-01-01$80.61$51.46RVU26A
2025-10-01$73.67$53.09RVU25D
2025-07-01$73.67$53.09RVU25C
2025-04-01$73.67$53.09RVU25B
2025-01-01$73.67$53.09RVU25A
2024-10-01$74.62$54.04RVU24D
2024-07-01$74.62$54.04RVU24C
2024-04-01$74.62$54.04RVU24B
2024-03-09$74.62$54.04RVU24AR
2024-01-01$73.40$53.16RVU24A
2023-10-01$74.05$54.06RVU23D
2023-07-01$74.05$54.06RVU23C
2023-04-01$74.05$54.06RVU23B
2023-01-01$74.05$54.06RVU23A
2022-10-01$73.25$53.81RVU22D
2022-07-01$73.25$53.81RVU22C
2022-04-01$73.25$53.81RVU22B
2022-01-01$73.25$53.81RVU22A
2021-10-01$73.72$54.42RVU21D
2021-07-01$73.72$54.42RVU21C
2021-04-01$73.72$54.42RVU21B
2021-01-01$73.72$54.42RVU21A
2020-10-01$74.46$56.00RVU20D
2020-07-01$74.46$56.00RVU20C
2020-04-01$74.46$56.00RVU20B
2020-01-01$74.46$56.00RVU20A
2019-10-01$75.92$56.43RVU19D
2019-07-01$75.92$56.43RVU19C
2019-04-01$75.92$56.43RVU19B
2019-01-01$75.92$56.43RVU19A
2018-10-01$76.81$57.02RVU18D
2018-07-01$76.81$57.02RVU18C
2018-04-01$76.81$57.02RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29405 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

29405 billing questions

How do I distinguish 29405 from 29425?

Use 29405 for a nonwalking short leg cast. Use 29425 when the short leg cast is designed as a walking cast.

Can I report 29405 with fracture treatment?

Cast application may be included in the definitive fracture-treatment service. Report 29405 separately only when the applicable coding instructions support separate reporting.

What documentation supports 29405?

Document the reason for immobilization, the cast’s below-knee-to-toes extent, and that it is nonwalking. The record should distinguish it from a walking or specialized cast.

How does Medicare handle bilateral application?

For bilateral procedures reported with modifier 50, CMS pays 150% under the rule for this code.

Can an assistant surgeon or surgical team be billed?

Assistant-at-surgery payment is subject to a statutory restriction for 29405. Co-surgeons and team surgery are not permitted.

What happens when other procedures are performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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 29405PPRRVU2026_Oct_nonQPP.csv, line 3,291 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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