CPT code 29425: Walking cast, short leg2026 Medicare rate & RVUs in Fort Worth, TX

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 Fort Worth, TX, Medicare pays $79.95 for 29425 in the office and $50.64 when it’s performed in a hospital or facility.

$79.95Office (non-facility)
$50.64Hospital or facility
−1.1%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $79.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

29425 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$79.95
  2. Austin, TX · Texas$83.54+$3.59
  3. Beaumont, TX · Texas$75.96−$3.99
  4. Brazoria, TX · Texas$79.91−$0.04
  5. Dallas, TX · Texas$80.43+$0.48
  6. Galveston, TX · Texas$80.16+$0.21
  7. Houston, TX · Texas$81.81+$1.86

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

Every other payment area

29425 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$77.90$49.69
Los Angeles, CACalifornia$90.36$55.20
Washington, DC areaDistrict of Columbia$91.79$56.77
Miami, FLFlorida$87.55$56.60
Chicago, ILIllinois$85.16$55.29
Manhattan, NYNew York$92.65$58.10
AlaskaAlaska$95.87$64.21
AlabamaAlabama$73.05$47.04

29425 rates by state

Office rate range in each state. Select a state to see its payment localities.

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 29425 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0090.7870
Practice expense1.55× 0.9861.5283
Malpractice0.09× 0.8710.0784
Total RVUs2.3937
Conversion factor× 33.4009

Office rate, Fort Worth, TX$79.95

Office: (0.78 × 1.009 + 1.55 × 0.986 + 0.09 × 0.871) × $33.4009 = $79.95

Facility: (0.78 × 1.009 + 0.66 × 0.986 + 0.09 × 0.871) × $33.4009 = $50.64

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

How 29425 has changed in Fort Worth, TX

29425 · Office / nonfacility

$79.95

Effective 2026-10-01

The base rate is $4.38 higher than on 2025-10-01, moving from $75.57 to $79.95 (5.8%).

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

    $75.57changed to$79.95

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $76.43changed to$75.57

    • 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

    $75.19changed to$76.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $75.47changed to$75.19

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.35 changed to 1.40
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902
  5. January 1, 2023

    RVU23A

    $74.76changed to$75.47

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.30 changed to 1.35
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $75.38changed to$74.76

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $76.81changed to$75.38

    • 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 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $77.92changed to$76.81

    • 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 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $79.25changed to$77.92

    • 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

    $79.27changed to$79.25

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $79.57changed to$79.27

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $79.57changed to$79.57

    • 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

    $79.18changed to$79.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $78.60changed to$79.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.33 changed to 1.34
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $78.99changed to$78.60

    • 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 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $78.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$79.95$50.64RVU26D
2026-07-01$79.95$50.64RVU26C
2026-04-01$79.95$50.64RVU26B
2026-01-01$79.95$50.64RVU26A
2025-10-01$75.57$53.29RVU25D
2025-07-01$75.57$53.29RVU25C
2025-04-01$75.57$53.29RVU25B
2025-01-01$75.57$53.29RVU25A
2024-10-01$76.43$54.18RVU24D
2024-07-01$76.43$54.18RVU24C
2024-04-01$76.43$54.18RVU24B
2024-03-09$76.43$54.18RVU24AR
2024-01-01$75.19$53.29RVU24A
2023-10-01$75.47$53.87RVU23D
2023-07-01$75.47$53.87RVU23C
2023-04-01$75.47$53.87RVU23B
2023-01-01$75.47$53.87RVU23A
2022-10-01$74.76$53.41RVU22D
2022-07-01$74.76$53.41RVU22C
2022-04-01$74.76$53.41RVU22B
2022-01-01$74.76$53.41RVU22A
2021-10-01$75.38$54.20RVU21D
2021-07-01$75.38$54.20RVU21C
2021-04-01$75.38$54.20RVU21B
2021-01-01$75.38$54.20RVU21A
2020-10-01$76.81$56.06RVU20D
2020-07-01$76.81$56.06RVU20C
2020-04-01$76.81$56.06RVU20B
2020-01-01$76.81$56.06RVU20A
2019-10-01$77.92$56.60RVU19D
2019-07-01$77.92$56.60RVU19C
2019-04-01$77.92$56.60RVU19B
2019-01-01$77.92$56.60RVU19A
2018-10-01$79.25$57.25RVU18D
2018-07-01$79.25$57.25RVU18C
2018-04-01$79.25$57.25RVU18B
2018-01-01$79.25$57.25RVU18AR1
2017-10-01$79.27$57.57RVU17D
2017-07-01$79.27$57.57RVU17C
2017-04-01$79.27$57.57RVU17B
2017-01-01$79.27$57.57RVU17A
2016-10-01$79.57$57.48RVU16D
2016-07-01$79.57$57.48RVU16C
2016-04-01$79.57$57.48RVU16B
2016-01-01$79.57$57.48RVU16A
2015-10-01$79.57$57.76RVU15D
2015-07-01$79.57$57.76RVU15C
2015-04-01$79.18$57.48RVU15B
2015-01-01$79.18$57.48RVU15A
2014-10-01$78.60$57.03RVU14D
2014-07-01$78.60$57.03RVU14C
2014-04-01$78.60$57.03RVU14B
2014-01-01$78.60$57.03RVU14A
2013-10-01$78.99$56.34RVU13D
2013-07-01$78.99$56.34RVU13C
2013-04-01$78.99$56.34RVU13B
2013-01-01$78.99$56.34RVU13AR

Price 29425 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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