CPT code 29700: Cast removal, gauntlet or boot cast2026 Medicare rate & RVUs in Mississippi

Report this service when a gauntlet or boot cast is removed or split, such as to relieve constriction or end immobilization.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5K Medicare services in 2024

In Mississippi, Medicare pays $61.76 for 29700 in the office and $28.12 when it’s performed in a hospital or facility.

$61.76Office (non-facility)
$28.12Hospital or facility
−10.7%vs the national office rate ($69.14)

Check a contract rate as a % of Medicare · 29700 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 29700 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 29700 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 29700 covers

This service covers removing or splitting a cast in the gauntlet or boot category. Bivalving means cutting the cast lengthwise so it separates into sections; removal takes the cast off. Orthopedic clinicians commonly perform the work in an office or facility when a cast needs to be opened for pressure relief or removed when immobilization is complete. Document the cast type and site, whether it was split or removed, and the clinical reason for the work.

Select this code for a gauntlet or boot cast, not a full arm or leg cast or a shoulder or hip spica. Medicare 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 other procedures are subject to the standard 50% reduction. A bilateral adjustment is inappropriate. Assistant-at-surgery services are not paid, and 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 Mississippi compares for 29700

Across 109 of 109 payment localities, the office rate for 29700 runs from $60.99 in Arkansas to $90.77 in San Benito County, CA. Mississippi pays $61.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

29700 in Mississippi vs other payment areas
  1. Mississippi · this page$61.76
  2. Los Angeles, CA · California$77.58+$15.82
  3. Washington, DC area · District of Columbia$78.93+$17.17
  4. Miami, FL · Florida$75.68+$13.92
  5. Chicago, IL · Illinois$73.40+$11.64
  6. Manhattan, NY · New York$79.78+$18.02
  7. Alaska · Alaska$80.23+$18.47

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

Every other payment area

29700 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$61.91$27.71
ArkansasArkansas$60.99$27.43
ArizonaArizona$67.24$29.37
Bakersfield, CACalifornia$72.87$30.04
Chico, CACalifornia$72.62$29.79
El Centro, CACalifornia$72.63$29.80
Fresno, CACalifornia$72.62$29.79
Hanford, CACalifornia$72.62$29.79

29700 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.

$60.99

$81.70

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

View every state and territory as a table
29700 office rate range by state
State / territoryOffice rate rangeLocalities
AK$80.231
AL$61.911
AR$60.991
AZ$67.241
CA$72.62–$90.7729
CO$71.741
CT$73.801
DC$78.931
DE$68.361
FL$68.57–$75.683
GA$64.59–$70.562
GU$74.371
HI$74.371
IA$63.301
ID$63.761
IL$66.71–$73.404
IN$64.131
KS$63.101
KY$63.621
LA$63.56–$66.752
MA$71.34–$78.782
MD$69.65–$78.933
ME$64.21–$67.602
MI$65.40–$69.542
MN$68.401
MO$62.52–$66.873
MS$61.761
MT$69.131
NC$64.881
ND$67.351
NE$63.621
NH$70.711
NJ$74.54–$78.112
NM$65.811
NV$68.691
NY$65.88–$81.885
OH$65.041
OK$63.391
OR$68.06–$73.932
PA$65.09–$72.002
PR$69.621
RI$70.741
SC$65.081
SD$67.141
TN$63.431
TX$64.66–$71.598
UT$65.991
VA$67.45–$78.932
VI$69.621
VT$67.181
WA$71.18–$80.292
WI$65.071
WV$64.221
WY$68.361

See 29700 in every payment locality

How the 29700 rate is calculated

Each of 29700’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 · 29700

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.56

0.56 RVUs× 1.000 GPCI

Practice expense1.42

1.42 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

2.0700

Conversion factor

$33.4009

Medicare rate

$69.14

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,306

Code
29700
Physician work
0.56
Practice expense
1.42
Malpractice
0.09

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 29700 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.56× 1.0000.5600
Practice expense1.42× 0.8611.2226
Malpractice0.09× 0.7390.0665
Total RVUs1.8491
Conversion factor× 33.4009

Office rate, Mississippi$61.76

Office: (0.56 × 1 + 1.42 × 0.861 + 0.09 × 0.739) × $33.4009 = $61.76

Facility: (0.56 × 1 + 0.25 × 0.861 + 0.09 × 0.739) × $33.4009 = $28.12

Open 29700 in the RVU calculator

Payment rules and modifiers for 29700

The CMS indicators that decide how 29700 is paid alongside other services.

CMS payment indicators · 29700

Cast removal, gauntlet or boot cast

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)0The 150% bilateral adjustment doesn’t apply.
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 51 · payment effect

With and without the modifier

29700 without 51 · national office

$69.14

Cast removal, gauntlet or boot cast

29700-51 · Second procedure: 50%

$34.57

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 29700 has changed in Mississippi

29700 · Office / nonfacility

$61.76

Effective 2026-10-01

The base rate is $3.91 higher than on 2025-10-01, moving from $57.85 to $61.76 (6.8%).

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

    $57.85changed to$61.76

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.57 changed to 0.56
    • Practice expense RVU 1.34 changed to 1.42
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $57.83changed to$57.85

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.28 changed to 1.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $56.89changed to$57.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $56.20changed to$56.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.20 changed to 1.28
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $55.27changed to$56.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.14 changed to 1.20
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $55.43changed to$55.27

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.13 changed to 1.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $56.86changed to$55.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.12 changed to 1.13
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $58.29changed to$56.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.17 changed to 1.12
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $59.48changed to$58.29

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.21 changed to 1.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $57.52changed to$59.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.14 changed to 1.21
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $57.34changed to$57.52

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.13 changed to 1.14
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $56.31changed to$57.34

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.09 changed to 1.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $56.03changed to$56.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $56.66changed to$56.03

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $61.17changed to$56.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.33 changed to 1.09
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.17

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$61.76$28.12RVU26D
2026-07-01$61.76$28.12RVU26C
2026-04-01$61.76$28.12RVU26B
2026-01-01$61.76$28.12RVU26A
2025-10-01$57.85$30.02RVU25D
2025-07-01$57.85$30.02RVU25C
2025-04-01$57.85$30.02RVU25B
2025-01-01$57.85$30.02RVU25A
2024-10-01$57.83$30.61RVU24D
2024-07-01$57.83$30.61RVU24C
2024-04-01$57.83$30.61RVU24B
2024-03-09$57.83$30.61RVU24AR
2024-01-01$56.89$30.11RVU24A
2023-10-01$56.20$30.65RVU23D
2023-07-01$56.20$30.65RVU23C
2023-04-01$56.20$30.65RVU23B
2023-01-01$56.20$30.65RVU23A
2022-10-01$55.27$30.79RVU22D
2022-07-01$55.27$30.79RVU22C
2022-04-01$55.27$30.79RVU22B
2022-01-01$55.27$30.79RVU22A
2021-10-01$55.43$31.04RVU21D
2021-07-01$55.43$31.04RVU21C
2021-04-01$55.43$31.04RVU21B
2021-01-01$55.43$31.04RVU21A
2020-10-01$56.86$31.53RVU20D
2020-07-01$56.86$31.53RVU20C
2020-04-01$56.86$31.53RVU20B
2020-01-01$56.86$31.53RVU20A
2019-10-01$58.29$31.33RVU19D
2019-07-01$58.29$31.33RVU19C
2019-04-01$58.29$31.33RVU19B
2019-01-01$58.29$31.33RVU19A
2018-10-01$59.48$31.61RVU18D
2018-07-01$59.48$31.61RVU18C
2018-04-01$59.48$31.61RVU18B
2018-01-01$59.48$31.61RVU18AR1
2017-10-01$57.52$31.69RVU17D
2017-07-01$57.52$31.69RVU17C
2017-04-01$57.52$31.69RVU17B
2017-01-01$57.52$31.69RVU17A
2016-10-01$57.34$31.66RVU16D
2016-07-01$57.34$31.66RVU16C
2016-04-01$57.34$31.66RVU16B
2016-01-01$57.34$31.66RVU16A
2015-10-01$56.31$31.78RVU15D
2015-07-01$56.31$31.78RVU15C
2015-04-01$56.03$31.62RVU15B
2015-01-01$56.03$31.62RVU15A
2014-10-01$56.66$32.18RVU14D
2014-07-01$56.66$32.18RVU14C
2014-04-01$56.66$32.18RVU14B
2014-01-01$56.66$32.18RVU14A
2013-10-01$61.17$31.71RVU13D
2013-07-01$61.17$31.71RVU13C
2013-04-01$61.17$31.71RVU13B
2013-01-01$61.17$31.71RVU13AR

Price 29700 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

29700 billing questions

How is this different from 29705?

29700 is for a gauntlet or boot cast. Use 29705 for removal or bivalving of a full arm or leg cast.

When is bivalving reported instead of removal?

Report bivalving when the cast is split lengthwise but remains on the patient; report removal when the cast is taken off. Document which service was performed and why.

Can the service be reported with a replacement cast?

The code covers removal or bivalving, not application of a new cast. Document each service performed and apply the multiple procedure reduction when multiple procedures occur in the same session.

Should modifier 50 be appended for casts on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Is an assistant surgeon payable for this service?

No. CMS lists a statutory restriction on assistant-at-surgery payment for this code; co-surgeons and team surgery are also 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
RVUs for 29700PPRRVU2026_Oct_nonQPP.csv, line 3,306 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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