CPT code 29705: Cast removal, full arm or leg cast2026 Medicare rate & RVUs in Suburban Chicago, IL

Report 29705 when a clinician removes or bivalves a full arm or leg cast, such as during fracture follow-up or to relieve cast pressure.

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

In Suburban Chicago, IL, Medicare pays $74.09 for 29705 in the office and $44.59 when it’s performed in a hospital or facility.

$74.09Office (non-facility)
$44.59Hospital or facility
+6.7%vs the national office rate ($69.47)

Check a contract rate as a % of Medicare · 29705 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 29705 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Suburban Chicago, IL
  2. What 29705 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 29705 covers

This service covers removing a full arm or leg cast or bivalving it by cutting through the cast and padding to separate it into two sides. Orthopedic clinicians may perform it during fracture follow-up, when immobilization is changing, or when pressure or swelling calls for cast release. It can also allow access to examine the underlying area. The code is for a full arm or leg cast, rather than a gauntlet or boot cast or a shoulder or hip spica.

Select 29705 based on the cast type and the work performed. Document the body site, whether the cast was removed or bivalved, and the clinical reason. A 0-day global period means same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 for a bilateral procedure is paid at 150%. Assistant-at-surgery services are not paid; 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 Suburban Chicago, IL compares for 29705

Across 109 of 109 payment localities, the office rate for 29705 runs from $61.67 in Arkansas to $88.04 in San Benito County, CA. Suburban Chicago, IL pays $74.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

29705 in Suburban Chicago, IL vs other payment areas
  1. Suburban Chicago, IL · this page$74.09
  2. Chicago, IL · Illinois$75.47+$1.38
  3. East St. Louis, IL · Illinois$70.64−$3.45
  4. Rest of Illinois · Illinois$68.40−$5.69
  5. Los Angeles, CA · California$76.42+$2.33
  6. Washington, DC area · District of Columbia$78.49+$4.40
  7. Miami, FL · Florida$77.77+$3.68

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

Every other payment area

29705 in every other Medicare payment locality
Payment localityOfficeFacility
Manhattan, NYNew York$80.15$46.77
AlaskaAlaska$82.51$51.92
AlabamaAlabama$62.54$37.40
ArkansasArkansas$61.67$36.99
ArizonaArizona$67.60$39.76
Bakersfield, CACalifornia$72.13$40.64
Chico, CACalifornia$71.76$40.28
El Centro, CACalifornia$71.78$40.30

29705 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.

$61.67

$82.51

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

View every state and territory as a table
29705 office rate range by state
State / territoryOffice rate rangeLocalities
AK$82.511
AL$62.541
AR$61.671
AZ$67.601
CA$71.76–$88.0429
CO$71.411
CT$73.991
DC$78.491
DE$68.671
FL$69.88–$77.773
GA$65.94–$71.072
GU$73.181
HI$73.181
IA$63.421
ID$63.951
IL$68.40–$75.474
IN$64.291
KS$63.441
KY$64.621
LA$64.64–$67.682
MA$71.13–$77.852
MD$69.85–$78.493
ME$64.60–$67.512
MI$66.52–$71.042
MN$67.591
MO$63.78–$67.543
MS$62.721
MT$69.471
NC$65.201
ND$66.891
NE$63.661
NH$70.591
NJ$74.60–$77.792
NM$66.991
NV$68.791
NY$66.16–$82.425
OH$65.991
OK$64.181
OR$68.02–$73.242
PA$65.92–$72.412
PR$69.851
RI$70.811
SC$65.751
SD$66.591
TN$63.791
TX$65.53–$71.378
UT$66.611
VA$67.51–$78.492
VI$69.851
VT$66.921
WA$70.90–$79.092
WI$64.771
WV$66.051
WY$68.341

See 29705 in every payment locality

How the 29705 rate is calculated

Each of 29705’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 · 29705

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.74

0.74 RVUs× 1.000 GPCI

Practice expense1.21

1.21 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

2.0800

Conversion factor

$33.4009

Medicare rate

$69.47

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

The exact Suburban Chicago, IL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,307

Code
29705
Physician work
0.74
Practice expense
1.21
Malpractice
0.13

GPCI2026.csv

50

Locality
Suburban Chicago, IL
Physician work
1.007
Practice expense
1.027
Malpractice
1.772
Office calculation for 29705 in Suburban Chicago, IL
ComponentRVULocality factorAdjusted
Physician work0.74× 1.0070.7452
Practice expense1.21× 1.0271.2427
Malpractice0.13× 1.7720.2304
Total RVUs2.2182
Conversion factor× 33.4009

Office rate, Suburban Chicago, IL$74.09

Office: (0.74 × 1.007 + 1.21 × 1.027 + 0.13 × 1.772) × $33.4009 = $74.09

Facility: (0.74 × 1.007 + 0.35 × 1.027 + 0.13 × 1.772) × $33.4009 = $44.59

Open 29705 in the RVU calculator

Payment rules and modifiers for 29705

The CMS indicators that decide how 29705 is paid alongside other services.

CMS payment indicators · 29705

Cast removal, full arm or leg 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)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

29705 without 50 · national office

$69.47

Cast removal, full arm or leg cast

29705-50 · Bilateral: 150%

$104.21

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 29705 has changed in Suburban Chicago, IL

29705 · Office / nonfacility

$74.09

Effective 2026-10-01

The base rate is $6.18 higher than on 2025-10-01, moving from $67.91 to $74.09 (9.1%).

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

    $67.91changed to$74.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.76 changed to 0.74
    • Practice expense RVU 1.08 changed to 1.21
    • Practice expense GPCI 1.048 changed to 1.027
    • Malpractice GPCI 1.556 changed to 1.772

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $67.97changed to$67.91

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.04 changed to 1.08
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $66.86changed to$67.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $67.91changed to$66.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.00 changed to 1.04
    • Practice expense GPCI 1.055 changed to 1.048
    • Malpractice GPCI 1.530 changed to 1.556
  5. January 1, 2023

    RVU23A

    $68.20changed to$67.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.98 changed to 1.00
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 1.062 changed to 1.055
    • Malpractice GPCI 1.504 changed to 1.530

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $69.82changed to$68.20

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $69.98changed to$69.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.95 changed to 0.98
    • Malpractice RVU 0.11 changed to 0.13
    • Work GPCI 1.008 changed to 1.006
    • Practice expense GPCI 1.057 changed to 1.062
    • Malpractice GPCI 1.535 changed to 1.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $71.22changed to$69.98

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.97 changed to 0.95
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.009 changed to 1.008
    • Practice expense GPCI 1.053 changed to 1.057
    • Malpractice GPCI 1.565 changed to 1.535

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $73.22changed to$71.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.01 changed to 0.97
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $73.66changed to$73.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.02 changed to 1.01
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.055 changed to 1.053
    • Malpractice GPCI 1.601 changed to 1.565

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $73.75changed to$73.66

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.011
    • Practice expense GPCI 1.057 changed to 1.055
    • Malpractice GPCI 1.636 changed to 1.601

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $74.99changed to$73.75

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.03 changed to 1.02
    • Malpractice RVU 0.14 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $74.62changed to$74.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $73.24changed to$74.62

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.02 changed to 1.03
    • Malpractice RVU 0.11 changed to 0.14
    • Work GPCI 1.019 changed to 1.012
    • Practice expense GPCI 1.065 changed to 1.057
    • Malpractice GPCI 1.671 changed to 1.636

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $74.32changed to$73.24

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.12 changed to 1.02
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.025 changed to 1.019
    • Practice expense GPCI 1.072 changed to 1.065
    • Malpractice GPCI 1.706 changed to 1.671

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$74.32

  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$74.09$44.59RVU26D
2026-07-01$74.09$44.59RVU26C
2026-04-01$74.09$44.59RVU26B
2026-01-01$74.09$44.59RVU26A
2025-10-01$67.91$47.23RVU25D
2025-07-01$67.91$47.23RVU25C
2025-04-01$67.91$47.23RVU25B
2025-01-01$67.91$47.23RVU25A
2024-10-01$67.97$47.39RVU24D
2024-07-01$67.97$47.39RVU24C
2024-04-01$67.97$47.39RVU24B
2024-03-09$67.97$47.39RVU24AR
2024-01-01$66.86$46.62RVU24A
2023-10-01$67.91$48.24RVU23D
2023-07-01$67.91$48.24RVU23C
2023-04-01$67.91$48.24RVU23B
2023-01-01$67.91$48.24RVU23A
2022-10-01$68.20$48.35RVU22D
2022-07-01$68.20$48.35RVU22C
2022-04-01$68.20$48.35RVU22B
2022-01-01$68.20$48.35RVU22A
2021-10-01$69.82$50.18RVU21D
2021-07-01$69.82$50.18RVU21C
2021-04-01$69.82$50.18RVU21B
2021-01-01$69.82$50.18RVU21A
2020-10-01$69.98$50.53RVU20D
2020-07-01$69.98$50.53RVU20C
2020-04-01$69.98$50.53RVU20B
2020-01-01$69.98$50.53RVU20A
2019-10-01$71.22$51.48RVU19D
2019-07-01$71.22$51.48RVU19C
2019-04-01$71.22$51.48RVU19B
2019-01-01$71.22$51.48RVU19A
2018-10-01$73.22$52.37RVU18D
2018-07-01$73.22$52.37RVU18C
2018-04-01$73.22$52.37RVU18B
2018-01-01$73.22$52.37RVU18AR1
2017-10-01$73.66$52.84RVU17D
2017-07-01$73.66$52.84RVU17C
2017-04-01$73.66$52.84RVU17B
2017-01-01$73.66$52.84RVU17A
2016-10-01$73.75$52.94RVU16D
2016-07-01$73.75$52.94RVU16C
2016-04-01$73.75$52.94RVU16B
2016-01-01$73.75$52.94RVU16A
2015-10-01$74.99$53.72RVU15D
2015-07-01$74.99$53.72RVU15C
2015-04-01$74.62$53.45RVU15B
2015-01-01$74.62$53.45RVU15A
2014-10-01$73.24$52.26RVU14D
2014-07-01$73.24$52.26RVU14C
2014-04-01$73.24$52.26RVU14B
2014-01-01$73.24$52.26RVU14A
2013-10-01$74.32$51.71RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29705 for an earlier date of service

Where the Suburban Chicago, IL rate applies

Suburban Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 178 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

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29705 billing questions

How does 29705 differ from 29700?

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

When is 29710 the better choice?

Use 29710 for a shoulder or hip spica cast. The cast type, not simply the body area being treated, distinguishes it from 29705.

Is opening a window in a cast reported with 29705?

A localized opening that leaves the cast in place is cast windowing, reported with 29730. Code 29705 describes removal or bivalving of a full arm or leg cast.

Can modifier 50 be used for bilateral cast work?

CMS lists this as a bilateral procedure; modifier 50 is paid at 150%. Document the bilateral service.

How is 29705 paid when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are paid at 50%. The code has a 0-day global period, so same-day preoperative and postoperative care is included.

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 29705PPRRVU2026_Oct_nonQPP.csv, line 3,307 (RVU26D)
Geographic factors for Suburban Chicago, ILGPCI2026.csv, line 50 (RVU26D)

Open CMS sourceHow we calculate rates

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