CPT code 29505: Splint application, long leg2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $110.40 for 29505 in the office and $55.02 when it’s performed in a hospital or facility.

$110.40Office (non-facility)
$55.02Hospital or facility
+0.8%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $110.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

29505 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$110.40
  2. Los Angeles, CA · California$124.17+$13.77
  3. Washington, DC area · District of Columbia$126.00+$15.60
  4. Miami, FL · Florida$119.59+$9.19
  5. Chicago, IL · Illinois$115.75+$5.35
  6. Manhattan, NY · New York$126.95+$16.55
  7. Alaska · Alaska$124.18+$13.78

Other areas in Puerto Rico 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.

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 29505 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.67× 1.0000.6700
Practice expense2.48× 1.0112.5073
Malpractice0.13× 0.9850.1280
Total RVUs3.3053
Conversion factor× 33.4009

Office rate, Puerto Rico$110.40

Office: (0.67 × 1 + 2.48 × 1.011 + 0.13 × 0.985) × $33.4009 = $110.40

Facility: (0.67 × 1 + 0.84 × 1.011 + 0.13 × 0.985) × $33.4009 = $55.02

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

How 29505 has changed in Puerto Rico

29505 · Office / nonfacility

$110.40

Effective 2026-10-01

The base rate is $18.48 higher than on 2025-10-01, moving from $91.92 to $110.40 (20.1%).

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

    $91.92changed to$110.40

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $91.92changed to$91.92

    • 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

    $90.42changed to$91.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $90.58changed to$90.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.85 changed to 1.94
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $90.14changed to$90.58

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $88.68changed to$90.14

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $89.05changed to$88.68

    • 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.

  8. January 1, 2021

    RVU21A

    $87.39changed to$89.05

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $87.96changed to$87.39

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $88.22changed to$87.96

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $76.30changed to$88.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.61 changed to 1.66
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $65.89changed to$76.30

    • 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
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $66.13changed to$65.89

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $65.80changed to$66.13

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $64.46changed to$65.80

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $64.55changed to$64.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.74 changed to 1.56
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $64.55

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$110.40$55.02RVU26D
2026-07-01$110.40$55.02RVU26C
2026-04-01$110.40$55.02RVU26B
2026-01-01$110.40$55.02RVU26A
2025-10-01$91.92$52.18RVU25D
2025-07-01$91.92$52.18RVU25C
2025-04-01$91.92$52.18RVU25B
2025-01-01$91.92$52.18RVU25A
2024-10-01$91.92$52.70RVU24D
2024-07-01$91.92$52.70RVU24C
2024-04-01$91.92$52.70RVU24B
2024-03-09$91.92$52.70RVU24AR
2024-01-01$90.42$51.84RVU24A
2023-10-01$90.58$52.66RVU23D
2023-07-01$90.14$52.53RVU23C
2023-04-01$90.14$52.53RVU23B
2023-01-01$90.14$52.53RVU23A
2022-10-01$88.68$52.05RVU22D
2022-07-01$88.68$52.05RVU22C
2022-04-01$88.68$52.05RVU22B
2022-01-01$88.68$52.05RVU22A
2021-10-01$89.05$52.82RVU21D
2021-07-01$89.05$52.82RVU21C
2021-04-01$89.05$52.82RVU21B
2021-01-01$89.05$52.82RVU21A
2020-10-01$87.39$52.47RVU20D
2020-07-01$87.39$52.47RVU20C
2020-04-01$87.39$52.47RVU20B
2020-01-01$87.39$52.47RVU20A
2019-10-01$87.96$52.39RVU19D
2019-07-01$87.96$52.39RVU19C
2019-04-01$87.96$52.39RVU19B
2019-01-01$87.96$52.39RVU19A
2018-10-01$88.22$52.34RVU18D
2018-07-01$88.22$52.34RVU18C
2018-04-01$88.22$52.34RVU18B
2018-01-01$88.22$52.34RVU18AR1
2017-10-01$76.30$46.81RVU17D
2017-07-01$76.30$46.81RVU17C
2017-04-01$76.30$46.81RVU17B
2017-01-01$76.30$46.81RVU17A
2016-10-01$65.89$41.91RVU16D
2016-07-01$65.89$41.91RVU16C
2016-04-01$65.89$41.91RVU16B
2016-01-01$65.89$41.91RVU16A
2015-10-01$66.13$42.06RVU15D
2015-07-01$66.13$42.06RVU15C
2015-04-01$65.80$41.85RVU15B
2015-01-01$65.80$41.85RVU15A
2014-10-01$64.46$41.40RVU14D
2014-07-01$64.46$41.40RVU14C
2014-04-01$64.46$41.40RVU14B
2014-01-01$64.46$41.40RVU14A
2013-10-01$64.55$40.56RVU13D
2013-07-01$64.55$40.56RVU13C
2013-04-01$64.55$40.56RVU13B
2013-01-01$64.55$40.56RVU13AR

Price 29505 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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