CPT code 29550: Toe strapping, toe support2026 Medicare rate & RVUs in North Dakota
Toe strapping applies supportive tape to one or more toes, commonly to stabilize an injured or misaligned toe during conservative treatment.
In North Dakota, Medicare pays $18.98 for 29550 in the office and $9.29 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 29550 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 29550 covers
A clinician applies supportive tape to one or more toes to limit motion or help maintain alignment. A common use is buddy taping an injured toe to an adjacent toe. Podiatrists, orthopedic clinicians, and urgent care providers may perform the service in an office or other treatment setting when conservative support is appropriate.
Report this service for toe strapping, not for strapping that primarily supports the ankle or broader foot. Documentation should identify the treated toe or toes, the clinical reason for support, and the application performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services are statutorily unpaid; 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 North Dakota compares for 29550
Across 109 of 109 payment localities, the office rate for 29550 runs from $17.54 in Arkansas to $24.67 in San Benito County, CA. North Dakota pays $18.98. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$18.98
- Los Angeles, CA · California$21.43+$2.45
- Washington, DC area · District of Columbia$21.78+$2.80
- Miami, FL · Florida$20.83+$1.85
- Chicago, IL · Illinois$20.35+$1.37
- Manhattan, NY · New York$22.01+$3.03
- Alaska · Alaska$23.78+$4.80
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $17.75 | $9.27 |
| ArkansasArkansas | $17.54 | $9.22 |
| ArizonaArizona | $18.94 | $9.56 |
| Bakersfield, CACalifornia | $20.29 | $9.67 |
| Chico, CACalifornia | $20.22 | $9.61 |
| El Centro, CACalifornia | $20.23 | $9.61 |
| Fresno, CACalifornia | $20.22 | $9.61 |
| Hanford, CACalifornia | $20.22 | $9.61 |
| Madera, CACalifornia | $20.22 | $9.61 |
| Merced, CACalifornia | $20.22 | $9.61 |
| Modesto, CACalifornia | $20.22 | $9.61 |
| Napa, CACalifornia | $22.95 | $10.18 |
| Oxnard, CACalifornia | $21.29 | $9.84 |
| Redding, CACalifornia | $20.22 | $9.61 |
| Rest of CaliforniaCalifornia | $20.22 | $9.61 |
| Riverside, CACalifornia | $20.44 | $9.83 |
| Sacramento, CACalifornia | $21.09 | $9.83 |
| Salinas, CACalifornia | $21.01 | $9.78 |
| San Diego, CACalifornia | $21.40 | $9.82 |
| Marin County, CACalifornia | $24.15 | $10.50 |
| San Francisco, CACalifornia | $24.13 | $10.47 |
| San Benito County, CACalifornia | $24.67 | $10.70 |
| Santa Clara County, CACalifornia | $24.58 | $10.61 |
| San Luis Obispo, CACalifornia | $20.68 | $9.65 |
| Santa Cruz, CACalifornia | $21.53 | $9.76 |
| Santa Maria, CACalifornia | $21.06 | $9.77 |
| Santa Rosa, CACalifornia | $21.74 | $9.85 |
| Stockton, CACalifornia | $20.22 | $9.61 |
| Vallejo, CACalifornia | $22.92 | $10.15 |
| Visalia, CACalifornia | $20.22 | $9.61 |
| Yuba City, CACalifornia | $20.22 | $9.61 |
| ColoradoColorado | $20.01 | $9.70 |
| ConnecticutConnecticut | $20.50 | $10.06 |
| DelawareDelaware | $19.22 | $9.65 |
| Fort Lauderdale, FLFlorida | $20.05 | $10.24 |
| Rest of FloridaFlorida | $19.24 | $9.98 |
| Atlanta, GAGeorgia | $19.70 | $9.86 |
| Rest of GeorgiaGeorgia | $18.35 | $9.71 |
| Hawaii, Guam, HIHawaii | $20.56 | $9.54 |
| IowaIowa | $18.06 | $9.20 |
| IdahoIdaho | $18.17 | $9.25 |
| East St. Louis, ILIllinois | $19.19 | $10.28 |
| Rest of IllinoisIllinois | $18.82 | $9.98 |
| Suburban Chicago, ILIllinois | $20.23 | $10.29 |
| IndianaIndiana | $18.25 | $9.27 |
| KansasKansas | $18.02 | $9.26 |
| KentuckyKentucky | $18.13 | $9.52 |
| New Orleans, LALouisiana | $18.83 | $9.72 |
| Rest of LouisianaLouisiana | $18.12 | $9.54 |
| Metropolitan Boston, MAMassachusetts | $21.70 | $10.14 |
| Rest of MassachusettsMassachusetts | $19.93 | $9.73 |
| Baltimore area, MDMaryland | $20.44 | $10.05 |
| Rest of MarylandMaryland | $19.53 | $9.72 |
| Rest of MaineMaine | $18.26 | $9.35 |
| Southern Maine, MEMaine | $19.03 | $9.43 |
| Detroit, MIMichigan | $19.46 | $10.11 |
| Rest of MichiganMichigan | $18.53 | $9.69 |
| MinnesotaMinnesota | $19.21 | $9.25 |
| Metropolitan Kansas City, MOMissouri | $18.71 | $9.61 |
| Metropolitan St. Louis, MOMissouri | $18.86 | $9.64 |
| Rest of MissouriMissouri | $17.88 | $9.53 |
| MississippiMississippi | $17.71 | $9.37 |
| MontanaMontana | $19.37 | $9.68 |
| North CarolinaNorth Carolina | $18.42 | $9.38 |
| NebraskaNebraska | $18.13 | $9.19 |
| New HampshireNew Hampshire | $19.73 | $9.64 |
| Northern New JerseyNew Jersey | $21.63 | $10.40 |
| Rest of New JerseyNew Jersey | $20.74 | $10.16 |
| New MexicoNew Mexico | $18.62 | $9.74 |
| NevadaNevada | $19.27 | $9.58 |
| NYC suburbs and Long Island, NYNew York | $22.48 | $10.96 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $20.89 | $10.28 |
| Queens, NYNew York | $22.13 | $10.68 |
| Rest of New YorkNew York | $18.64 | $9.44 |
| OhioOhio | $18.45 | $9.60 |
| OklahomaOklahoma | $18.08 | $9.43 |
| Portland, OROregon | $20.52 | $9.75 |
| Rest of OregonOregon | $19.13 | $9.48 |
| Metropolitan Philadelphia, PAPennsylvania | $20.08 | $10.00 |
| Rest of PennsylvaniaPennsylvania | $18.46 | $9.57 |
| Puerto RicoPuerto Rico | $19.48 | $9.69 |
| Rhode IslandRhode Island | $19.81 | $9.80 |
| South CarolinaSouth Carolina | $18.46 | $9.51 |
| South DakotaSouth Dakota | $18.93 | $9.24 |
| TennesseeTennessee | $18.09 | $9.29 |
| Austin, TXTexas | $19.93 | $9.68 |
| Beaumont, TXTexas | $18.36 | $9.55 |
| Brazoria, TXTexas | $19.19 | $9.59 |
| Dallas, TXTexas | $19.31 | $9.66 |
| Fort Worth, TXTexas | $19.21 | $9.66 |
| Galveston, TXTexas | $19.25 | $9.63 |
| Houston, TXTexas | $19.61 | $9.99 |
| Rest of TexasTexas | $18.76 | $9.57 |
| UtahUtah | $18.66 | $9.56 |
| VirginiaVirginia | $18.99 | $9.47 |
| Virgin Islands, VIUnited States Virgin Islands | $19.48 | $9.69 |
| VermontVermont | $18.94 | $9.35 |
| Rest of WashingtonWashington | $19.88 | $9.68 |
| King County, WAWashington | $22.08 | $10.19 |
| WisconsinWisconsin | $18.46 | $9.18 |
| West VirginiaWest Virginia | $18.26 | $9.84 |
| WyomingWyoming | $19.20 | $9.51 |
29550 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.
$17.54
$23.78
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 | $23.78 | 1 |
| AL | $17.75 | 1 |
| AR | $17.54 | 1 |
| AZ | $18.94 | 1 |
| CA | $20.22–$24.67 | 29 |
| CO | $20.01 | 1 |
| CT | $20.50 | 1 |
| DC | $21.78 | 1 |
| DE | $19.22 | 1 |
| FL | $19.24–$20.83 | 3 |
| GA | $18.35–$19.70 | 2 |
| GU | $20.56 | 1 |
| HI | $20.56 | 1 |
| IA | $18.06 | 1 |
| ID | $18.17 | 1 |
| IL | $18.82–$20.35 | 4 |
| IN | $18.25 | 1 |
| KS | $18.02 | 1 |
| KY | $18.13 | 1 |
| LA | $18.12–$18.83 | 2 |
| MA | $19.93–$21.70 | 2 |
| MD | $19.53–$21.78 | 3 |
| ME | $18.26–$19.03 | 2 |
| MI | $18.53–$19.46 | 2 |
| MN | $19.21 | 1 |
| MO | $17.88–$18.86 | 3 |
| MS | $17.71 | 1 |
| MT | $19.37 | 1 |
| NC | $18.42 | 1 |
| ND | $18.98 | 1 |
| NE | $18.13 | 1 |
| NH | $19.73 | 1 |
| NJ | $20.74–$21.63 | 2 |
| NM | $18.62 | 1 |
| NV | $19.27 | 1 |
| NY | $18.64–$22.48 | 5 |
| OH | $18.45 | 1 |
| OK | $18.08 | 1 |
| OR | $19.13–$20.52 | 2 |
| PA | $18.46–$20.08 | 2 |
| PR | $19.48 | 1 |
| RI | $19.81 | 1 |
| SC | $18.46 | 1 |
| SD | $18.93 | 1 |
| TN | $18.09 | 1 |
| TX | $18.36–$19.93 | 8 |
| UT | $18.66 | 1 |
| VA | $18.99–$21.78 | 2 |
| VI | $19.48 | 1 |
| VT | $18.94 | 1 |
| WA | $19.88–$22.08 | 2 |
| WI | $18.46 | 1 |
| WV | $18.26 | 1 |
| WY | $19.20 | 1 |
How the 29550 rate is calculated
Each of 29550’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 · 29550
RVUs × geographic indexes × conversion factor
Work0.24
0.24 RVUs× 1.000 GPCI
Practice expense0.32
0.32 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.5800
Conversion factor
$33.4009
Medicare rate
$19.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,302
- Code
- 29550
- Physician work
- 0.24
- Practice expense
- 0.32
- Malpractice
- 0.02
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.24 | × 1.000 | 0.2400 |
| Practice expense | 0.32 | × 1.000 | 0.3200 |
| Malpractice | 0.02 | × 0.406 | 0.0081 |
| Total RVUs | 0.5681 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$18.98
Office: (0.24 × 1 + 0.32 × 1 + 0.02 × 0.406) × $33.4009 = $18.98
Facility: (0.24 × 1 + 0.03 × 1 + 0.02 × 0.406) × $33.4009 = $9.29
Payment rules and modifiers for 29550
The CMS indicators that decide how 29550 is paid alongside other services.
CMS payment indicators · 29550
Toe strapping, toe support
| 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
29550 without 50 · national office
$19.37
Toe strapping, toe support
29550-50 · Bilateral: 150%
$29.06
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 29550 has changed in North Dakota
29550 · Office / nonfacility
$18.98
Effective 2026-10-01
The base rate is $0.21 higher than on 2025-10-01, moving from $18.77 to $18.98 (1.1%).
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
$18.77changed to$18.98
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.25 changed to 0.24
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$18.99changed to$18.77
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.31 changed to 0.32
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$18.68changed to$18.99
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$18.96changed to$18.68
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.30 changed to 0.31
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$18.99changed to$18.96
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.29 changed to 0.30
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$18.79changed to$18.99
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.28 changed to 0.29
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$19.12changed to$18.79
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.27 changed to 0.28
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$19.49changed to$19.12
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.28 changed to 0.27
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$19.11changed to$19.49
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.27 changed to 0.28
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$19.05changed to$19.11
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$19.01changed to$19.05
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$19.08changed to$19.01
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$18.99changed to$19.08
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$31.36changed to$18.99
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.62 changed to 0.27
- Malpractice RVU 0.01 changed to 0.02
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$32.16changed to$31.36
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.69 changed to 0.62
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $32.16
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $18.98 | $9.29 | RVU26D |
| 2026-07-01 | $18.98 | $9.29 | RVU26C |
| 2026-04-01 | $18.98 | $9.29 | RVU26B |
| 2026-01-01 | $18.98 | $9.29 | RVU26A |
| 2025-10-01 | $18.77 | $10.36 | RVU25D |
| 2025-07-01 | $18.77 | $10.36 | RVU25C |
| 2025-04-01 | $18.77 | $10.36 | RVU25B |
| 2025-01-01 | $18.77 | $10.36 | RVU25A |
| 2024-10-01 | $18.99 | $10.66 | RVU24D |
| 2024-07-01 | $18.99 | $10.66 | RVU24C |
| 2024-04-01 | $18.99 | $10.66 | RVU24B |
| 2024-03-09 | $18.99 | $10.66 | RVU24AR |
| 2024-01-01 | $18.68 | $10.49 | RVU24A |
| 2023-10-01 | $18.96 | $10.83 | RVU23D |
| 2023-07-01 | $18.96 | $10.83 | RVU23C |
| 2023-04-01 | $18.96 | $10.83 | RVU23B |
| 2023-01-01 | $18.96 | $10.83 | RVU23A |
| 2022-10-01 | $18.99 | $11.03 | RVU22D |
| 2022-07-01 | $18.99 | $11.03 | RVU22C |
| 2022-04-01 | $18.99 | $11.03 | RVU22B |
| 2022-01-01 | $18.99 | $11.03 | RVU22A |
| 2021-10-01 | $18.79 | $11.12 | RVU21D |
| 2021-07-01 | $18.79 | $11.12 | RVU21C |
| 2021-04-01 | $18.79 | $11.12 | RVU21B |
| 2021-01-01 | $18.79 | $11.12 | RVU21A |
| 2020-10-01 | $19.12 | $11.54 | RVU20D |
| 2020-07-01 | $19.12 | $11.54 | RVU20C |
| 2020-04-01 | $19.12 | $11.54 | RVU20B |
| 2020-01-01 | $19.12 | $11.54 | RVU20A |
| 2019-10-01 | $19.49 | $11.56 | RVU19D |
| 2019-07-01 | $19.49 | $11.56 | RVU19C |
| 2019-04-01 | $19.49 | $11.56 | RVU19B |
| 2019-01-01 | $19.49 | $11.56 | RVU19A |
| 2018-10-01 | $19.11 | $11.55 | RVU18D |
| 2018-07-01 | $19.11 | $11.55 | RVU18C |
| 2018-04-01 | $19.11 | $11.55 | RVU18B |
| 2018-01-01 | $19.11 | $11.55 | RVU18AR1 |
| 2017-10-01 | $19.05 | $11.52 | RVU17D |
| 2017-07-01 | $19.05 | $11.52 | RVU17C |
| 2017-04-01 | $19.05 | $11.52 | RVU17B |
| 2017-01-01 | $19.05 | $11.52 | RVU17A |
| 2016-10-01 | $19.01 | $11.50 | RVU16D |
| 2016-07-01 | $19.01 | $11.50 | RVU16C |
| 2016-04-01 | $19.01 | $11.50 | RVU16B |
| 2016-01-01 | $19.01 | $11.50 | RVU16A |
| 2015-10-01 | $19.08 | $11.54 | RVU15D |
| 2015-07-01 | $19.08 | $11.54 | RVU15C |
| 2015-04-01 | $18.99 | $11.48 | RVU15B |
| 2015-01-01 | $18.99 | $11.48 | RVU15A |
| 2014-10-01 | $31.36 | $19.54 | RVU14D |
| 2014-07-01 | $31.36 | $19.54 | RVU14C |
| 2014-04-01 | $31.36 | $19.54 | RVU14B |
| 2014-01-01 | $31.36 | $19.54 | RVU14A |
| 2013-10-01 | $32.16 | $19.57 | RVU13D |
| 2013-07-01 | $32.16 | $19.57 | RVU13C |
| 2013-04-01 | $32.16 | $19.57 | RVU13B |
| 2013-01-01 | $32.16 | $19.57 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
29550 billing questions
When should toe strapping be reported instead of ankle or foot strapping?
Use 29550 when the tape supports one or more toes. Use 29540 when the strapping is directed to the ankle or broader foot.
Is same-day evaluation or follow-up care included?
The code has a 0-day global period, and same-day preoperative and postoperative care is included.
How is bilateral toe strapping reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
What documentation supports reporting the service?
Document the toe or toes treated, the reason for support, and the strapping application. The record should make clear that support was applied to the toes rather than the ankle or broader foot.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery services are statutorily restricted from payment for this code. Co-surgeons and team surgery are not permitted.
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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