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

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 Nevada, Medicare pays $68.69 for 29700 in the office and $29.57 when it’s performed in a hospital or facility.

$68.69Office (non-facility)
$29.57Hospital or facility
−0.7%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 Nevada
  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 Nevada 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. Nevada pays $68.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

29700 in Nevada vs other payment areas
  1. Nevada · this page$68.69
  2. Los Angeles, CA · California$77.58+$8.89
  3. Washington, DC area · District of Columbia$78.93+$10.24
  4. Miami, FL · Florida$75.68+$6.99
  5. Chicago, IL · Illinois$73.40+$4.71
  6. Manhattan, NY · New York$79.78+$11.09
  7. Alaska · Alaska$80.23+$11.54

Other areas in Nevada 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.

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.

$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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 29700 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.56× 1.0000.5600
Practice expense1.42× 1.0011.4214
Malpractice0.09× 0.8330.0750
Total RVUs2.0564
Conversion factor× 33.4009

Office rate, Nevada$68.69

Office: (0.56 × 1 + 1.42 × 1.001 + 0.09 × 0.833) × $33.4009 = $68.69

Facility: (0.56 × 1 + 0.25 × 1.001 + 0.09 × 0.833) × $33.4009 = $29.57

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

Codes related to 29700

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

Codes related to 29700
CodeHow it relatesOffice range, Nevada
Same family
29705Cast removal, full arm or leg castRemoval or bivalving for a full arm or leg cast rather than a gauntlet or boot cast.$68.79
29710Spica cast removal, shoulder or hipRemoval or bivalving for a shoulder or hip spica cast.$135.19
29730Cast adjustment, access openingCast windowing creates a localized opening rather than removing or splitting the cast.$66.51

How 29700 has changed in Nevada

29700 · Office / nonfacility

$68.69

Effective 2026-10-01

The base rate is $4.18 higher than on 2025-10-01, moving from $64.51 to $68.69 (6.5%).

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

    $64.51changed to$68.69

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $64.39changed to$64.51

    • 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

    $63.34changed to$64.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $63.70changed to$63.34

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.20 changed to 1.28
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $63.95changed to$63.70

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.14 changed to 1.20
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $64.13changed to$63.95

    • 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

    $64.74changed to$64.13

    • 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
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $66.09changed to$64.74

    • 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
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $67.48changed to$66.09

    • 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

    $65.90changed to$67.48

    • 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
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $66.20changed to$65.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.13 changed to 1.14
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $64.93changed to$66.20

    • 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

    $64.60changed to$64.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $65.60changed to$64.60

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $71.46changed to$65.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.33 changed to 1.09
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$71.46

  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$68.69$29.57RVU26D
2026-07-01$68.69$29.57RVU26C
2026-04-01$68.69$29.57RVU26B
2026-01-01$68.69$29.57RVU26A
2025-10-01$64.51$31.84RVU25D
2025-07-01$64.51$31.84RVU25C
2025-04-01$64.51$31.84RVU25B
2025-01-01$64.51$31.84RVU25A
2024-10-01$64.39$32.44RVU24D
2024-07-01$64.39$32.44RVU24C
2024-04-01$64.39$32.44RVU24B
2024-03-09$64.39$32.44RVU24AR
2024-01-01$63.34$31.91RVU24A
2023-10-01$63.70$33.54RVU23D
2023-07-01$63.70$33.54RVU23C
2023-04-01$63.70$33.54RVU23B
2023-01-01$63.70$33.54RVU23A
2022-10-01$63.95$34.88RVU22D
2022-07-01$63.95$34.88RVU22C
2022-04-01$63.95$34.88RVU22B
2022-01-01$63.95$34.88RVU22A
2021-10-01$64.13$35.17RVU21D
2021-07-01$64.13$35.17RVU21C
2021-04-01$64.13$35.17RVU21B
2021-01-01$64.13$35.17RVU21A
2020-10-01$64.74$35.15RVU20D
2020-07-01$64.74$35.15RVU20C
2020-04-01$64.74$35.15RVU20B
2020-01-01$64.74$35.15RVU20A
2019-10-01$66.09$34.57RVU19D
2019-07-01$66.09$34.57RVU19C
2019-04-01$66.09$34.57RVU19B
2019-01-01$66.09$34.57RVU19A
2018-10-01$67.48$34.89RVU18D
2018-07-01$67.48$34.89RVU18C
2018-04-01$67.48$34.89RVU18B
2018-01-01$67.48$34.89RVU18AR1
2017-10-01$65.90$35.10RVU17D
2017-07-01$65.90$35.10RVU17C
2017-04-01$65.90$35.10RVU17B
2017-01-01$65.90$35.10RVU17A
2016-10-01$66.20$34.96RVU16D
2016-07-01$66.20$34.96RVU16C
2016-04-01$66.20$34.96RVU16B
2016-01-01$66.20$34.96RVU16A
2015-10-01$64.93$35.09RVU15D
2015-07-01$64.93$35.09RVU15C
2015-04-01$64.60$34.92RVU15B
2015-01-01$64.60$34.92RVU15A
2014-10-01$65.60$35.74RVU14D
2014-07-01$65.60$35.74RVU14C
2014-04-01$65.60$35.74RVU14B
2014-01-01$65.60$35.74RVU14A
2013-10-01$71.46$35.46RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29700 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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