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CPT code 29505: Splint application, long leg2026 Medicare rate & RVUs in Hawaii, Guam, HI

Report this service when a clinician applies a long-leg splint to immobilize an injured or unstable lower extremity, including the knee and leg.

CMS RVU26DEffective Oct 1, 2026One payment locality7.1K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $119.08 for 29505 in the office and $56.79 when it’s performed in a hospital or facility.

$119.08Office (non-facility)
$56.79Hospital or facility
+8.7%vs the national office rate ($109.55)

Check a contract rate as a % of Medicare · 29505 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 29505 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 29505 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 29505 covers

A long-leg splint supports the lower extremity across the knee, extending from the thigh toward the ankle or foot. Physicians and other qualified clinicians commonly apply it in emergency departments, offices, and hospital settings for acute injuries or fractures, including after reduction, when the knee and leg need immobilization. Unlike a circumferential cast, a splint leaves room for swelling and examination of the limb.

Select the code for the long-leg extent of the applied splint, not for a below-knee splint or knee strapping. Documentation should identify the condition prompting immobilization, the treated side, the extent of the splint, and the application performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral application, 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 Hawaii, Guam, HI compares for 29505

Across 109 of 109 payment localities, the office rate for 29505 runs from $95.77 in Arkansas to $146.61 in San Benito County, CA. Hawaii, Guam, HI pays $119.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

29505 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$119.08
  2. Los Angeles, CA · California$124.17+$5.09
  3. Washington, DC area · District of Columbia$126.00+$6.92
  4. Miami, FL · Florida$119.59+$0.51
  5. Chicago, IL · Illinois$115.75−$3.33
  6. Manhattan, NY · New York$126.95+$7.87
  7. Alaska · Alaska$124.18+$5.10

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

Every other payment area

29505 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$97.32$49.39
ArkansasArkansas$95.77$48.72
ArizonaArizona$106.36$53.28
Bakersfield, CACalifornia$116.23$56.20
Chico, CACalifornia$115.87$55.84
El Centro, CACalifornia$115.89$55.86
Fresno, CACalifornia$115.87$55.84
Hanford, CACalifornia$115.87$55.84

29505 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.

$95.77

$131.24

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

View every state and territory as a table
29505 office rate range by state
State / territoryOffice rate rangeLocalities
AK$124.181
AL$97.321
AR$95.771
AZ$106.361
CA$115.87–$146.6129
CO$114.171
CT$117.291
DC$126.001
DE$108.231
FL$108.09–$119.593
GA$101.44–$111.822
GU$119.081
HI$119.081
IA$99.901
ID$100.641
IL$104.79–$115.754
IN$101.281
KS$99.451
KY$99.991
LA$99.85–$105.262
MA$113.42–$126.062
MD$110.42–$126.003
ME$101.29–$107.212
MI$102.91–$109.632
MN$108.901
MO$98.01–$105.593
MS$96.911
MT$109.551
NC$102.441
ND$106.981
NE$100.481
NH$112.411
NJ$118.49–$124.512
NM$103.551
NV$108.911
NY$104.12–$130.365
OH$102.381
OK$99.721
OR$107.93–$118.002
PA$102.52–$114.192
PR$110.401
RI$112.241
SC$102.611
SD$106.671
TN$100.011
TX$101.79–$113.918
UT$104.141
VA$106.87–$126.002
VI$110.401
VT$106.581
WA$113.20–$128.682
WI$103.071
WV$100.581
WY$108.431

See 29505 in every payment locality

How the 29505 rate is calculated

Each of 29505’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 · 29505

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.67

0.67 RVUs× 1.000 GPCI

Practice expense2.48

2.48 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

3.2800

Conversion factor

$33.4009

Medicare rate

$109.55

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

3,297

Code
29505
Physician work
0.67
Practice expense
2.48
Malpractice
0.13

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 29505 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0000.6700
Practice expense2.48× 1.1372.8198
Malpractice0.13× 0.5790.0753
Total RVUs3.5650
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$119.08

Office: (0.67 × 1 + 2.48 × 1.137 + 0.13 × 0.579) × $33.4009 = $119.08

Facility: (0.67 × 1 + 0.84 × 1.137 + 0.13 × 0.579) × $33.4009 = $56.79

Open 29505 in the RVU calculator

Payment rules and modifiers for 29505

The CMS indicators that decide how 29505 is paid alongside other services.

CMS payment indicators · 29505

Splint application, long 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

29505 without 50 · national office

$109.55

Splint application, long leg

29505-50 · Bilateral: 150%

$164.33

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 29505

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

Codes related to 29505
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
29515Splint application, short legSplint application for the lower leg and foot rather than the long-leg extent.$88.32
Used instead
29345Long-leg cast, standard cast applicationLong-leg cast application when circumferential immobilization is used instead of a splint.$158.26
29530Knee strapping, supportive knee tapingKnee strapping provides support without the long-leg immobilization of a splint.$30.73

How 29505 has changed in Hawaii, Guam, HI

29505 · Office / nonfacility

$119.08

Effective 2026-10-01

The base rate is $19.70 higher than on 2025-10-01, moving from $99.38 to $119.08 (19.8%).

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

    $99.38changed to$119.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.69 changed to 0.67
    • Practice expense RVU 2.01 changed to 2.48
    • 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

    $99.41changed to$99.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.94 changed to 2.01
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $97.79changed to$99.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $97.81changed to$97.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.85 changed to 1.94
    • 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

    $95.91changed to$97.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.75 changed to 1.85
    • Malpractice RVU 0.11 changed to 0.12
    • 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

    $95.98changed to$95.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.72 changed to 1.75
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $94.08changed to$95.98

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.61 changed to 1.72
    • Malpractice RVU 0.11 changed to 0.13
    • 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

    $95.03changed to$94.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.65 changed to 1.61
    • Malpractice RVU 0.09 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

    $95.34changed to$95.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.66 changed to 1.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $93.48changed to$95.34

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.61 changed to 1.66
    • 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

    $93.14changed to$93.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.59 changed to 1.61
    • Malpractice RVU 0.10 changed to 0.09
    • 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

    $93.48changed to$93.14

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $93.01changed to$93.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $92.08changed to$93.01

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.56 changed to 1.59
    • Malpractice RVU 0.11 changed to 0.10
    • 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

    $94.41changed to$92.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.74 changed to 1.56
    • 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$94.41

  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$119.08$56.79RVU26D
2026-07-01$119.08$56.79RVU26C
2026-04-01$119.08$56.79RVU26B
2026-01-01$119.08$56.79RVU26A
2025-10-01$99.38$54.04RVU25D
2025-07-01$99.38$54.04RVU25C
2025-04-01$99.38$54.04RVU25B
2025-01-01$99.38$54.04RVU25A
2024-10-01$99.41$54.66RVU24D
2024-07-01$99.41$54.66RVU24C
2024-04-01$99.41$54.66RVU24B
2024-03-09$99.41$54.66RVU24AR
2024-01-01$97.79$53.77RVU24A
2023-10-01$97.81$54.70RVU23D
2023-07-01$97.81$54.70RVU23C
2023-04-01$97.81$54.70RVU23B
2023-01-01$97.81$54.70RVU23A
2022-10-01$95.91$54.37RVU22D
2022-07-01$95.91$54.37RVU22C
2022-04-01$95.91$54.37RVU22B
2022-01-01$95.91$54.37RVU22A
2021-10-01$95.98$54.90RVU21D
2021-07-01$95.98$54.90RVU21C
2021-04-01$95.98$54.90RVU21B
2021-01-01$95.98$54.90RVU21A
2020-10-01$94.08$54.44RVU20D
2020-07-01$94.08$54.44RVU20C
2020-04-01$94.08$54.44RVU20B
2020-01-01$94.08$54.44RVU20A
2019-10-01$95.03$54.55RVU19D
2019-07-01$95.03$54.55RVU19C
2019-04-01$95.03$54.55RVU19B
2019-01-01$95.03$54.55RVU19A
2018-10-01$95.34$54.50RVU18D
2018-07-01$95.34$54.50RVU18C
2018-04-01$95.34$54.50RVU18B
2018-01-01$95.34$54.50RVU18AR1
2017-10-01$93.48$53.72RVU17D
2017-07-01$93.48$53.72RVU17C
2017-04-01$93.48$53.72RVU17B
2017-01-01$93.48$53.72RVU17A
2016-10-01$93.14$53.62RVU16D
2016-07-01$93.14$53.62RVU16C
2016-04-01$93.14$53.62RVU16B
2016-01-01$93.14$53.62RVU16A
2015-10-01$93.48$53.81RVU15D
2015-07-01$93.48$53.81RVU15C
2015-04-01$93.01$53.54RVU15B
2015-01-01$93.01$53.54RVU15A
2014-10-01$92.08$53.50RVU14D
2014-07-01$92.08$53.50RVU14C
2014-04-01$92.08$53.50RVU14B
2014-01-01$92.08$53.50RVU14A
2013-10-01$94.41$53.58RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29505 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

29505 billing questions

When should I choose 29505 instead of 29515?

Use 29505 for a splint extending above the knee across the thigh and lower leg. Use 29515 when the splint is limited to the lower leg and foot.

How does 29505 differ from a long-leg cast?

29505 describes a splint, which is not circumferential and allows room for swelling. A long-leg cast code applies when the clinician uses a circumferential cast.

How is bilateral long-leg splint application reported?

For application to both legs, report modifier 50; CMS pays the bilateral procedure at 150%.

What documentation supports reporting 29505?

Document the injury or condition requiring immobilization, the treated side, the splint’s long-leg extent, and the application performed.

Is same-day care included in the payment for 29505?

Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

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 29505PPRRVU2026_Oct_nonQPP.csv, line 3,297 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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