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CPT code 29425: Walking cast, short leg2026 Medicare rate & RVUs in Santa Clara County, CA

Reports application of a short-leg walking cast that stabilizes the ankle, foot, or distal lower leg while allowing the patient to ambulate.

CMS RVU26DEffective Oct 1, 2026One payment locality8.1K Medicare services in 2024

In Santa Clara County, CA, Medicare pays $104.77 for 29425 in the office and $61.90 when it’s performed in a hospital or facility.

$104.77Office (non-facility)
$61.90Hospital or facility
+29.6%vs the national office rate ($80.83)

Check a contract rate as a % of Medicare · 29425 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 29425 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 29425 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 29425 covers

A short-leg walking cast extends from below the knee to the foot and includes a walking surface that permits ambulation while immobilizing the ankle, foot, or distal lower leg. Orthopedic clinicians commonly use this cast when a patient needs firm support during treatment of a selected injury or condition. The service may be performed in an office, emergency department, or hospital setting.

Report 29425 for application of the walking-cast configuration, rather than an ordinary short-leg cast without a walking feature or a walker added to a cast already in place. Document the indication, side, cast type, and clinical plan supporting ambulation in the cast. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. For bilateral service, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 Santa Clara County, CA compares for 29425

Across 109 of 109 payment localities, the office rate for 29425 runs from $72.07 in Arkansas to $105.18 in San Benito County, CA. Santa Clara County, CA pays $104.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

29425 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$104.77
  2. Bakersfield, CA · California$85.12−$19.65
  3. Chico, CA · California$84.85−$19.92
  4. El Centro, CA · California$84.86−$19.91
  5. Fresno, CA · California$84.85−$19.92
  6. Hanford, CA · California$84.85−$19.92
  7. Los Angeles, CA · California$90.36−$14.41

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

Every other payment area

29425 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$84.85$52.27
Merced, CACalifornia$84.85$52.27
Modesto, CACalifornia$84.85$52.27
Napa, CACalifornia$97.46$58.28
Oxnard, CACalifornia$89.85$54.71
Redding, CACalifornia$84.85$52.27
Rest of CaliforniaCalifornia$84.85$52.27
Riverside, CACalifornia$85.83$53.25

29425 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.

$72.07

$95.87

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

View every state and territory as a table
29425 office rate range by state
State / territoryOffice rate rangeLocalities
AK$95.871
AL$73.051
AR$72.071
AZ$78.791
CA$84.85–$105.1829
CO$83.801
CT$85.971
DC$91.791
DE$80.041
FL$80.06–$87.553
GA$75.82–$82.342
GU$86.661
HI$86.661
IA$74.621
ID$75.101
IL$78.02–$85.164
IN$75.511
KS$74.371
KY$74.831
LA$74.75–$78.182
MA$83.38–$91.612
MD$81.47–$91.793
ME$75.55–$79.252
MI$76.71–$81.082
MN$80.221
MO$73.61–$78.353
MS$72.851
MT$80.821
NC$76.281
ND$79.041
NE$74.971
NH$82.581
NJ$86.93–$90.962
NM$77.141
NV$80.381
NY$77.35–$94.865
OH$76.351
OK$74.621
OR$79.73–$86.222
PA$76.42–$84.002
PR$81.351
RI$82.711
SC$76.441
SD$78.831
TN$74.731
TX$75.96–$83.548
UT$77.421
VA$79.07–$91.792
VI$81.351
VT$78.831
WA$83.19–$93.332
WI$76.581
WV$75.341
WY$80.051

See 29425 in every payment locality

How the 29425 rate is calculated

Each of 29425’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 · 29425

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense1.55

1.55 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

2.4200

Conversion factor

$33.4009

Medicare rate

$80.83

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

3,292

Code
29425
Physician work
0.78
Practice expense
1.55
Malpractice
0.09

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 29425 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work0.78× 1.1100.8658
Practice expense1.55× 1.4422.2351
Malpractice0.09× 0.3970.0357
Total RVUs3.1366
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$104.77

Office: (0.78 × 1.11 + 1.55 × 1.442 + 0.09 × 0.397) × $33.4009 = $104.77

Facility: (0.78 × 1.11 + 0.66 × 1.442 + 0.09 × 0.397) × $33.4009 = $61.90

Open 29425 in the RVU calculator

Payment rules and modifiers for 29425

The CMS indicators that decide how 29425 is paid alongside other services.

CMS payment indicators · 29425

Walking cast, short leg

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

29425 without 50 · national office

$80.83

Walking cast, short leg

29425-50 · Bilateral: 150%

$121.25

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 29425

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

Codes related to 29425
CodeHow it relatesOffice range, Santa Clara County, CA
Same family
29405Short leg cast, nonwalking castShort-leg cast application without the walking-cast configuration.$113.48
Used instead
29440Cast walker, added to prior castUsed to add a walker to a cast that was applied previously.$55.62
29435PTB cast, below kneeFor application of a patellar tendon-bearing cast rather than this walking-cast configuration.$179.71

How 29425 has changed in Santa Clara County, CA

29425 · Office / nonfacility

$104.77

Effective 2026-10-01

The base rate is $8.11 higher than on 2025-10-01, moving from $96.66 to $104.77 (8.4%).

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

    $96.66changed to$104.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 1.44 changed to 1.55
    • Malpractice RVU 0.10 changed to 0.09
    • 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

    $97.57changed to$96.66

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.40 changed to 1.44

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $95.97changed to$97.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $95.64changed to$95.97

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.35 changed to 1.40
    • 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

    $93.99changed to$95.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.30 changed to 1.35
    • 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

    $94.77changed to$93.99

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $95.29changed to$94.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.26 changed to 1.30
    • Malpractice RVU 0.11 changed to 0.10
    • 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

    $96.06changed to$95.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.30 changed to 1.26
    • Malpractice RVU 0.10 changed to 0.11
    • 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

    $97.90changed to$96.06

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.34 changed to 1.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $97.59changed to$97.90

    • Conversion factor 35.8887 changed to 35.9996
    • 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

    $97.43changed to$97.59

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.11 changed to 0.10
    • 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

    $97.63changed to$97.43

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $97.14changed to$97.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $96.64changed to$97.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.33 changed to 1.34
    • 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

    $97.94changed to$96.64

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.47 changed to 1.33
    • 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$97.94

  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$104.77$61.90RVU26D
2026-07-01$104.77$61.90RVU26C
2026-04-01$104.77$61.90RVU26B
2026-01-01$104.77$61.90RVU26A
2025-10-01$96.66$64.64RVU25D
2025-07-01$96.66$64.64RVU25C
2025-04-01$96.66$64.64RVU25B
2025-01-01$96.66$64.64RVU25A
2024-10-01$97.57$65.56RVU24D
2024-07-01$97.57$65.56RVU24C
2024-04-01$97.57$65.56RVU24B
2024-03-09$97.57$65.56RVU24AR
2024-01-01$95.97$64.49RVU24A
2023-10-01$95.64$65.08RVU23D
2023-07-01$95.64$65.08RVU23C
2023-04-01$95.64$65.08RVU23B
2023-01-01$95.64$65.08RVU23A
2022-10-01$93.99$64.32RVU22D
2022-07-01$93.99$64.32RVU22C
2022-04-01$93.99$64.32RVU22B
2022-01-01$93.99$64.32RVU22A
2021-10-01$94.77$65.34RVU21D
2021-07-01$94.77$65.34RVU21C
2021-04-01$94.77$65.34RVU21B
2021-01-01$94.77$65.34RVU21A
2020-10-01$95.29$66.63RVU20D
2020-07-01$95.29$66.63RVU20C
2020-04-01$95.29$66.63RVU20B
2020-01-01$95.29$66.63RVU20A
2019-10-01$96.06$66.78RVU19D
2019-07-01$96.06$66.78RVU19C
2019-04-01$96.06$66.78RVU19B
2019-01-01$96.06$66.78RVU19A
2018-10-01$97.90$67.68RVU18D
2018-07-01$97.90$67.68RVU18C
2018-04-01$97.90$67.68RVU18B
2018-01-01$97.90$67.68RVU18AR1
2017-10-01$97.59$68.02RVU17D
2017-07-01$97.59$68.02RVU17C
2017-04-01$97.59$68.02RVU17B
2017-01-01$97.59$68.02RVU17A
2016-10-01$97.43$67.53RVU16D
2016-07-01$97.43$67.53RVU16C
2016-04-01$97.43$67.53RVU16B
2016-01-01$97.43$67.53RVU16A
2015-10-01$97.63$68.11RVU15D
2015-07-01$97.63$68.11RVU15C
2015-04-01$97.14$67.77RVU15B
2015-01-01$97.14$67.77RVU15A
2014-10-01$96.64$67.32RVU14D
2014-07-01$96.64$67.32RVU14C
2014-04-01$96.64$67.32RVU14B
2014-01-01$96.64$67.32RVU14A
2013-10-01$97.94$67.01RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29425 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

29425 billing questions

How does 29425 differ from 29405?

29425 is for a short-leg cast configured for walking. Use 29405 for a short-leg cast that is not reported as a walking cast.

Should 29425 be used when a walker is added to an existing cast?

No. Code 29440 describes adding a walker to a cast that was previously applied; 29425 is for application of the short-leg walking cast.

What documentation supports 29425?

Record the clinical indication, the treated side, the type of cast applied, and the plan supporting ambulation in the cast.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included in the procedure's global period.

How is bilateral application reported?

When the service is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 29425PPRRVU2026_Oct_nonQPP.csv, line 3,292 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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