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CPT code 29425: Walking cast, short leg2026 Medicare rate & RVUs in Hawaii, Guam, HI

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 Hawaii, Guam, HI, Medicare pays $86.66 for 29425 in the office and $52.86 when it’s performed in a hospital or facility.

$86.66Office (non-facility)
$52.86Hospital or facility
+7.2%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 Hawaii, Guam, HI
  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 Hawaii, Guam, HI 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. Hawaii, Guam, HI pays $86.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

29425 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$86.66
  2. Los Angeles, CA · California$90.36+$3.70
  3. Washington, DC area · District of Columbia$91.79+$5.13
  4. Miami, FL · Florida$87.55+$0.89
  5. Chicago, IL · Illinois$85.16−$1.50
  6. Manhattan, NY · New York$92.65+$5.99
  7. Alaska · Alaska$95.87+$9.21

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

Every other payment area

29425 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$73.05$47.04
ArkansasArkansas$72.07$46.54
ArizonaArizona$78.79$49.99
Bakersfield, CACalifornia$85.12$52.54
Chico, CACalifornia$84.85$52.27
El Centro, CACalifornia$84.86$52.28
Fresno, CACalifornia$84.85$52.27
Hanford, CACalifornia$84.85$52.27

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 Hawaii, Guam, HI 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

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 29425 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense1.55× 1.1371.7624
Malpractice0.09× 0.5790.0521
Total RVUs2.5945
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$86.66

Office: (0.78 × 1 + 1.55 × 1.137 + 0.09 × 0.579) × $33.4009 = $86.66

Facility: (0.78 × 1 + 0.66 × 1.137 + 0.09 × 0.579) × $33.4009 = $52.86

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, Hawaii, Guam, HI
Same family
29405Short leg cast, nonwalking castShort-leg cast application without the walking-cast configuration.$93.89
Used instead
29440Cast walker, added to prior castUsed to add a walker to a cast that was applied previously.$46.64
29435PTB cast, below kneeFor application of a patellar tendon-bearing cast rather than this walking-cast configuration.$148.63

How 29425 has changed in Hawaii, Guam, HI

29425 · Office / nonfacility

$86.66

Effective 2026-10-01

The base rate is $5.45 higher than on 2025-10-01, moving from $81.21 to $86.66 (6.7%).

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

    $81.21changed to$86.66

    • 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
    • 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

    $82.04changed to$81.21

    • 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

    $80.70changed to$82.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $81.71changed to$80.70

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

    $81.72changed to$81.71

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

    $82.40changed to$81.72

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $83.62changed to$82.40

    • 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 1.006 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

    $84.76changed to$83.62

    • 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 1.001 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

    $86.32changed to$84.76

    • 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

    $86.48changed to$86.32

    • Conversion factor 35.8887 changed to 35.9996
    • 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

    $86.91changed to$86.48

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

    $87.01changed to$86.91

    • 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

    $86.57changed to$87.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $86.25changed to$86.57

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

    $87.32changed to$86.25

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.47 changed to 1.33
    • 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$87.32

  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$86.66$52.86RVU26D
2026-07-01$86.66$52.86RVU26C
2026-04-01$86.66$52.86RVU26B
2026-01-01$86.66$52.86RVU26A
2025-10-01$81.21$55.57RVU25D
2025-07-01$81.21$55.57RVU25C
2025-04-01$81.21$55.57RVU25B
2025-01-01$81.21$55.57RVU25A
2024-10-01$82.04$56.42RVU24D
2024-07-01$82.04$56.42RVU24C
2024-04-01$82.04$56.42RVU24B
2024-03-09$82.04$56.42RVU24AR
2024-01-01$80.70$55.50RVU24A
2023-10-01$81.71$56.86RVU23D
2023-07-01$81.71$56.86RVU23C
2023-04-01$81.71$56.86RVU23B
2023-01-01$81.71$56.86RVU23A
2022-10-01$81.72$57.20RVU22D
2022-07-01$81.72$57.20RVU22C
2022-04-01$81.72$57.20RVU22B
2022-01-01$81.72$57.20RVU22A
2021-10-01$82.40$58.07RVU21D
2021-07-01$82.40$58.07RVU21C
2021-04-01$82.40$58.07RVU21B
2021-01-01$82.40$58.07RVU21A
2020-10-01$83.62$59.68RVU20D
2020-07-01$83.62$59.68RVU20C
2020-04-01$83.62$59.68RVU20B
2020-01-01$83.62$59.68RVU20A
2019-10-01$84.76$59.98RVU19D
2019-07-01$84.76$59.98RVU19C
2019-04-01$84.76$59.98RVU19B
2019-01-01$84.76$59.98RVU19A
2018-10-01$86.32$60.74RVU18D
2018-07-01$86.32$60.74RVU18C
2018-04-01$86.32$60.74RVU18B
2018-01-01$86.32$60.74RVU18AR1
2017-10-01$86.48$61.21RVU17D
2017-07-01$86.48$61.21RVU17C
2017-04-01$86.48$61.21RVU17B
2017-01-01$86.48$61.21RVU17A
2016-10-01$86.91$61.12RVU16D
2016-07-01$86.91$61.12RVU16C
2016-04-01$86.91$61.12RVU16B
2016-01-01$86.91$61.12RVU16A
2015-10-01$87.01$61.53RVU15D
2015-07-01$87.01$61.53RVU15C
2015-04-01$86.57$61.23RVU15B
2015-01-01$86.57$61.23RVU15A
2014-10-01$86.25$60.94RVU14D
2014-07-01$86.25$60.94RVU14C
2014-04-01$86.25$60.94RVU14B
2014-01-01$86.25$60.94RVU14A
2013-10-01$87.32$60.62RVU13D
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 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

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

Open CMS sourceHow we calculate rates

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