CPT code 29445: Total contact cast, rigid leg cast2026 Medicare rate & RVUs in Modesto, CA
Reports application of a rigid total contact leg cast, commonly used to off-load a plantar foot ulcer by distributing pressure across the foot.
In Modesto, CA, Medicare pays $136.63 for 29445 in the office and $90.87 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 29445 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 29445 covers
A rigid total contact cast is molded closely around the foot and lower leg to distribute pressure and limit movement. Podiatrists, orthopedists, and wound care clinicians most often apply it to off-load a plantar foot ulcer, including a neuropathic ulcer, in an office or facility setting. The close-fitting cast can support protected ambulation while reducing pressure on the affected area.
Select this code when the service is application of a rigid total contact cast, rather than a standard short leg cast, walking cast, or patellar tendon-bearing cast. Document the treated side, clinical indication and cast type, including the total-contact technique. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When bilateral services are reported with modifier 50, payment is at 150%. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures are reduced to 50%. An assistant at surgery is not paid; 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 Modesto, CA compares for 29445
Across 109 of 109 payment localities, the office rate for 29445 runs from $119.51 in Arkansas to $165.38 in San Benito County, CA. Modesto, CA pays $136.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Modesto, CA · this page$136.63
- Bakersfield, CA · California$137.24+$0.61
- Chico, CA · California$136.63
- El Centro, CA · California$136.67+$0.04
- Fresno, CA · California$136.63
- Hanford, CA · California$136.63
- Los Angeles, CA · California$144.75+$8.12
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $136.63 | $90.87 |
| Merced, CACalifornia | $136.63 | $90.87 |
| Napa, CACalifornia | $154.10 | $99.07 |
| Oxnard, CACalifornia | $143.66 | $94.31 |
| Redding, CACalifornia | $136.63 | $90.87 |
| Rest of CaliforniaCalifornia | $136.63 | $90.87 |
| Riverside, CACalifornia | $138.81 | $93.05 |
| Sacramento, CACalifornia | $142.26 | $93.70 |
| Salinas, CACalifornia | $141.70 | $93.31 |
| San Diego, CACalifornia | $144.18 | $94.24 |
| Marin County, CACalifornia | $161.84 | $102.97 |
| San Francisco, CACalifornia | $161.61 | $102.74 |
| San Benito County, CACalifornia | $165.38 | $105.18 |
| Santa Clara County, CACalifornia | $164.45 | $104.25 |
| San Luis Obispo, CACalifornia | $139.53 | $91.98 |
| Santa Cruz, CACalifornia | $144.89 | $94.17 |
| Santa Maria, CACalifornia | $142.00 | $93.31 |
| Santa Rosa, CACalifornia | $146.29 | $95.02 |
| Stockton, CACalifornia | $136.63 | $90.87 |
| Vallejo, CACalifornia | $153.77 | $98.74 |
| Visalia, CACalifornia | $136.63 | $90.87 |
| Yuba City, CACalifornia | $136.63 | $90.87 |
| Washington, DC areaDistrict of Columbia | $148.17 | $98.99 |
| Miami, FLFlorida | $145.25 | $101.78 |
| Chicago, ILIllinois | $141.66 | $99.70 |
| Manhattan, NYNew York | $150.83 | $102.32 |
| AlaskaAlaska | $162.71 | $118.25 |
| AlabamaAlabama | $120.93 | $84.40 |
| ArkansasArkansas | $119.51 | $83.65 |
| ArizonaArizona | $129.21 | $88.76 |
| ColoradoColorado | $135.82 | $91.40 |
| ConnecticutConnecticut | $140.03 | $95.06 |
| DelawareDelaware | $131.07 | $89.82 |
| Fort Lauderdale, FLFlorida | $138.54 | $96.25 |
| Rest of FloridaFlorida | $132.66 | $92.74 |
| Atlanta, GAGeorgia | $134.86 | $92.45 |
| Rest of GeorgiaGeorgia | $126.26 | $89.02 |
| Hawaii, Guam, HIHawaii | $138.70 | $91.23 |
| IowaIowa | $122.50 | $84.30 |
| IdahoIdaho | $123.35 | $84.94 |
| East St. Louis, ILIllinois | $133.64 | $95.23 |
| Rest of IllinoisIllinois | $130.16 | $92.04 |
| Suburban Chicago, ILIllinois | $139.65 | $96.77 |
| IndianaIndiana | $123.91 | $85.21 |
| KansasKansas | $122.48 | $84.73 |
| KentuckyKentucky | $124.21 | $87.09 |
| New Orleans, LALouisiana | $129.20 | $89.91 |
| Rest of LouisianaLouisiana | $124.23 | $87.28 |
| Metropolitan Boston, MAMassachusetts | $147.00 | $97.15 |
| Rest of MassachusettsMassachusetts | $135.42 | $91.45 |
| Baltimore area, MDMaryland | $139.71 | $94.91 |
| Rest of MarylandMaryland | $133.11 | $90.86 |
| Rest of MaineMaine | $124.34 | $85.93 |
| Southern Maine, MEMaine | $129.20 | $87.82 |
| Detroit, MIMichigan | $134.49 | $94.20 |
| Rest of MichiganMichigan | $127.26 | $89.14 |
| MinnesotaMinnesota | $129.52 | $86.56 |
| Metropolitan Kansas City, MOMissouri | $128.00 | $88.79 |
| Metropolitan St. Louis, MOMissouri | $129.04 | $89.30 |
| Rest of MissouriMissouri | $122.78 | $86.79 |
| MississippiMississippi | $121.15 | $85.20 |
| MontanaMontana | $132.25 | $90.50 |
| North CarolinaNorth Carolina | $125.34 | $86.38 |
| North DakotaNorth Dakota | $128.30 | $86.55 |
| NebraskaNebraska | $122.92 | $84.38 |
| New HampshireNew Hampshire | $134.20 | $90.74 |
| Northern New JerseyNew Jersey | $147.18 | $98.75 |
| Rest of New JerseyNew Jersey | $141.45 | $95.86 |
| New MexicoNew Mexico | $128.01 | $89.72 |
| NevadaNevada | $131.22 | $89.43 |
| NYC suburbs and Long Island, NYNew York | $154.46 | $104.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $142.70 | $96.98 |
| Queens, NYNew York | $151.22 | $101.87 |
| Rest of New YorkNew York | $126.91 | $87.25 |
| OhioOhio | $126.45 | $88.33 |
| OklahomaOklahoma | $123.56 | $86.27 |
| Portland, OROregon | $138.98 | $92.59 |
| Rest of OregonOregon | $130.01 | $88.43 |
| Metropolitan Philadelphia, PAPennsylvania | $137.37 | $93.91 |
| Rest of PennsylvaniaPennsylvania | $126.37 | $88.04 |
| Puerto RicoPuerto Rico | $132.91 | $90.70 |
| Rhode IslandRhode Island | $134.88 | $91.75 |
| South CarolinaSouth Carolina | $126.14 | $87.56 |
| South DakotaSouth Dakota | $127.83 | $86.08 |
| TennesseeTennessee | $123.03 | $85.08 |
| Austin, TXTexas | $135.54 | $91.36 |
| Beaumont, TXTexas | $125.72 | $87.73 |
| Brazoria, TXTexas | $130.66 | $89.28 |
| Dallas, TXTexas | $131.57 | $89.99 |
| Fort Worth, TXTexas | $130.98 | $89.82 |
| Galveston, TXTexas | $131.11 | $89.65 |
| Houston, TXTexas | $134.77 | $93.31 |
| Rest of TexasTexas | $128.18 | $88.56 |
| UtahUtah | $127.54 | $88.29 |
| VirginiaVirginia | $129.16 | $88.12 |
| Virgin Islands, VIUnited States Virgin Islands | $132.91 | $90.70 |
| VermontVermont | $128.29 | $86.96 |
| Rest of WashingtonWashington | $135.00 | $91.04 |
| King County, WAWashington | $149.27 | $98.04 |
| WisconsinWisconsin | $124.81 | $84.81 |
| West VirginiaWest Virginia | $126.31 | $90.03 |
| WyomingWyoming | $130.53 | $88.78 |
29445 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.
$119.51
$162.71
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $162.71 | 1 |
| AL | $120.93 | 1 |
| AR | $119.51 | 1 |
| AZ | $129.21 | 1 |
| CA | $136.63–$165.38 | 29 |
| CO | $135.82 | 1 |
| CT | $140.03 | 1 |
| DC | $148.17 | 1 |
| DE | $131.07 | 1 |
| FL | $132.66–$145.25 | 3 |
| GA | $126.26–$134.86 | 2 |
| GU | $138.70 | 1 |
| HI | $138.70 | 1 |
| IA | $122.50 | 1 |
| ID | $123.35 | 1 |
| IL | $130.16–$141.66 | 4 |
| IN | $123.91 | 1 |
| KS | $122.48 | 1 |
| KY | $124.21 | 1 |
| LA | $124.23–$129.20 | 2 |
| MA | $135.42–$147.00 | 2 |
| MD | $133.11–$148.17 | 3 |
| ME | $124.34–$129.20 | 2 |
| MI | $127.26–$134.49 | 2 |
| MN | $129.52 | 1 |
| MO | $122.78–$129.04 | 3 |
| MS | $121.15 | 1 |
| MT | $132.25 | 1 |
| NC | $125.34 | 1 |
| ND | $128.30 | 1 |
| NE | $122.92 | 1 |
| NH | $134.20 | 1 |
| NJ | $141.45–$147.18 | 2 |
| NM | $128.01 | 1 |
| NV | $131.22 | 1 |
| NY | $126.91–$154.46 | 5 |
| OH | $126.45 | 1 |
| OK | $123.56 | 1 |
| OR | $130.01–$138.98 | 2 |
| PA | $126.37–$137.37 | 2 |
| PR | $132.91 | 1 |
| RI | $134.88 | 1 |
| SC | $126.14 | 1 |
| SD | $127.83 | 1 |
| TN | $123.03 | 1 |
| TX | $125.72–$135.54 | 8 |
| UT | $127.54 | 1 |
| VA | $129.16–$148.17 | 2 |
| VI | $132.91 | 1 |
| VT | $128.29 | 1 |
| WA | $135.00–$149.27 | 2 |
| WI | $124.81 | 1 |
| WV | $126.31 | 1 |
| WY | $130.53 | 1 |
How the 29445 rate is calculated
Each of 29445’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 · 29445
RVUs × geographic indexes × conversion factor
Work1.74
1.74 RVUs× 1.000 GPCI
Practice expense2.02
2.02 RVUs× 1.000 GPCI
Malpractice0.20
0.20 RVUs× 1.000 GPCI
Adjusted RVUs
3.9600
Conversion factor
$33.4009
Medicare rate
$132.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Modesto, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,295
- Code
- 29445
- Physician work
- 1.74
- Practice expense
- 2.02
- Malpractice
- 0.20
GPCI2026.csv
16
- Locality
- Modesto, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.74 | × 1.017 | 1.7696 |
| Practice expense | 2.02 | × 1.096 | 2.2139 |
| Malpractice | 0.20 | × 0.536 | 0.1072 |
| Total RVUs | 4.0907 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Modesto, CA$136.63
Office: (1.74 × 1.017 + 2.02 × 1.096 + 0.2 × 0.536) × $33.4009 = $136.63
Facility: (1.74 × 1.017 + 0.77 × 1.096 + 0.2 × 0.536) × $33.4009 = $90.87
Payment rules and modifiers for 29445
The CMS indicators that decide how 29445 is paid alongside other services.
CMS payment indicators · 29445
Total contact cast, rigid leg cast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
29445 without 50 · national office
$132.27
Total contact cast, rigid leg cast
29445-50 · Bilateral: 150%
$198.41
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).
How 29445 has changed in Modesto, CA
29445 · Office / nonfacility
$136.63
Effective 2026-10-01
The base rate is $6.75 higher than on 2025-10-01, moving from $129.88 to $136.63 (5.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$129.88changed to$136.63
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.78 changed to 1.74
- Practice expense RVU 1.93 changed to 2.02
- Malpractice RVU 0.18 changed to 0.20
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$132.94changed to$129.88
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.90 changed to 1.93
- Malpractice RVU 0.20 changed to 0.18
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$130.77changed to$132.94
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$132.96changed to$130.77
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.85 changed to 1.90
- Malpractice RVU 0.19 changed to 0.20
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$133.37changed to$132.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.79 changed to 1.85
- Malpractice RVU 0.20 changed to 0.19
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$134.31changed to$133.37
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.78 changed to 1.79
- Malpractice RVU 0.21 changed to 0.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$136.81changed to$134.31
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.72 changed to 1.78
- Malpractice RVU 0.22 changed to 0.21
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$137.22changed to$136.81
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.75 changed to 1.72
- Malpractice RVU 0.20 changed to 0.22
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$137.46changed to$137.22
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.76 changed to 1.75
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$141.82changed to$137.46
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.86 changed to 1.76
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$141.82
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $136.63 | $90.87 | RVU26D |
| 2026-07-01 | $136.63 | $90.87 | RVU26C |
| 2026-04-01 | $136.63 | $90.87 | RVU26B |
| 2026-01-01 | $136.63 | $90.87 | RVU26A |
| 2025-10-01 | $129.88 | $96.64 | RVU25D |
| 2025-07-01 | $129.88 | $96.64 | RVU25C |
| 2025-04-01 | $129.88 | $96.64 | RVU25B |
| 2025-01-01 | $129.88 | $96.64 | RVU25A |
| 2024-10-01 | $132.94 | $99.10 | RVU24D |
| 2024-07-01 | $132.94 | $99.10 | RVU24C |
| 2024-04-01 | $132.94 | $99.10 | RVU24B |
| 2024-03-09 | $132.94 | $99.10 | RVU24AR |
| 2024-01-01 | $130.77 | $97.48 | RVU24A |
| 2023-10-01 | $132.96 | $99.68 | RVU23D |
| 2023-07-01 | $132.96 | $99.68 | RVU23C |
| 2023-04-01 | $132.96 | $99.68 | RVU23B |
| 2023-01-01 | $132.96 | $99.68 | RVU23A |
| 2022-10-01 | $133.37 | $101.67 | RVU22D |
| 2022-07-01 | $133.37 | $101.67 | RVU22C |
| 2022-04-01 | $133.37 | $101.67 | RVU22B |
| 2022-01-01 | $133.37 | $101.67 | RVU22A |
| 2021-10-01 | $134.31 | $103.09 | RVU21D |
| 2021-07-01 | $134.31 | $103.09 | RVU21C |
| 2021-04-01 | $134.31 | $103.09 | RVU21B |
| 2021-01-01 | $134.31 | $103.09 | RVU21A |
| 2020-10-01 | $136.81 | $106.69 | RVU20D |
| 2020-07-01 | $136.81 | $106.69 | RVU20C |
| 2020-04-01 | $136.81 | $106.69 | RVU20B |
| 2020-01-01 | $136.81 | $106.69 | RVU20A |
| 2019-10-01 | $137.22 | $106.64 | RVU19D |
| 2019-07-01 | $137.22 | $106.64 | RVU19C |
| 2019-04-01 | $137.22 | $106.64 | RVU19B |
| 2019-01-01 | $137.22 | $106.64 | RVU19A |
| 2018-10-01 | $137.46 | $107.30 | RVU18D |
| 2018-07-01 | $137.46 | $107.30 | RVU18C |
| 2018-04-01 | $137.46 | $107.30 | RVU18B |
| 2018-01-01 | $137.46 | $107.30 | RVU18AR1 |
| 2017-10-01 | $141.82 | $108.90 | RVU17D |
| 2017-07-01 | $141.82 | $108.90 | RVU17C |
| 2017-04-01 | $141.82 | $108.90 | RVU17B |
| 2017-01-01 | $141.82 | $108.90 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Modesto, CA rate applies
Modesto, CA is a Medicare payment area, not a city. Our Census mapping connects it to 33 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Modesto
- Airport
- Bret Harte
- Bystrom
- Ceres
- Cowan
- Crows Landing
- Del Rio
29445 billing questions
When should I choose this code instead of 29405?
Use 29445 for a rigid total contact cast. Code 29405 describes application of a short leg cast without the total-contact distinction.
How does this differ from 29425?
Code 29425 is for a walking short leg cast. Choose 29445 when the service is specifically application of a rigid total contact cast, often for plantar pressure off-loading.
What documentation supports the code?
Record the indication, treated side, and that a rigid total contact cast was applied. For ulcer off-loading, identify the affected foot and ulcer site.
How is bilateral application reported?
For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.
What same-day services are included or reduced?
Same-day preoperative and postoperative care is included in the 0-day global period. If multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others 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
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