CPT code 29710: Spica cast removal, shoulder or hip2026 Medicare rate & RVUs in Riverside, CA
Removal of a shoulder or hip spica cast after immobilization ends or treatment changes, reported for the cast-removal service.
In Riverside, CA, Medicare pays $144.12 for 29710 in the office and $73.83 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 29710 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 29710 covers
This service covers taking off a shoulder or hip spica cast, which immobilizes the shoulder or hip and may extend along the arm or leg. It is commonly performed by an orthopedic surgeon or other clinician involved in fracture or musculoskeletal care, such as when a patient’s immobilization period is complete or the treatment plan changes. Spica casts are used in situations such as pediatric hip or femur treatment; the code is selected by the type of cast removed, not by the diagnosis alone.
Documentation should identify the spica cast removed and support why removal was performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 Riverside, CA compares for 29710
Across 109 of 109 payment localities, the office rate for 29710 runs from $120.41 in Arkansas to $174.29 in San Benito County, CA. Riverside, CA pays $144.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Riverside, CA · this page$144.12
- Bakersfield, CA · California$141.96−$2.16
- Chico, CA · California$141.22−$2.90
- El Centro, CA · California$141.26−$2.86
- Fresno, CA · California$141.22−$2.90
- Hanford, CA · California$141.22−$2.90
- Los Angeles, CA · California$150.72+$6.60
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $141.22 | $70.93 |
| Merced, CACalifornia | $141.22 | $70.93 |
| Modesto, CACalifornia | $141.22 | $70.93 |
| Napa, CACalifornia | $161.59 | $77.07 |
| Oxnard, CACalifornia | $149.69 | $73.89 |
| Redding, CACalifornia | $141.22 | $70.93 |
| Rest of CaliforniaCalifornia | $141.22 | $70.93 |
| Sacramento, CACalifornia | $147.67 | $73.08 |
| Salinas, CACalifornia | $147.11 | $72.79 |
| San Diego, CACalifornia | $150.22 | $73.52 |
| Marin County, CACalifornia | $170.26 | $79.84 |
| San Francisco, CACalifornia | $169.95 | $79.53 |
| San Benito County, CACalifornia | $174.29 | $81.82 |
| Santa Clara County, CACalifornia | $173.04 | $80.57 |
| San Luis Obispo, CACalifornia | $144.82 | $71.78 |
| Santa Cruz, CACalifornia | $151.37 | $73.45 |
| Santa Maria, CACalifornia | $147.57 | $72.79 |
| Santa Rosa, CACalifornia | $152.85 | $74.10 |
| Stockton, CACalifornia | $141.22 | $70.93 |
| Vallejo, CACalifornia | $161.15 | $76.62 |
| Visalia, CACalifornia | $141.22 | $70.93 |
| Yuba City, CACalifornia | $141.22 | $70.93 |
| Washington, DC areaDistrict of Columbia | $154.91 | $79.37 |
| Miami, FLFlorida | $153.84 | $87.08 |
| Chicago, ILIllinois | $149.01 | $84.56 |
| Manhattan, NYNew York | $158.28 | $83.76 |
| AlaskaAlaska | $159.89 | $91.59 |
| AlabamaAlabama | $122.22 | $66.10 |
| ArkansasArkansas | $120.41 | $65.33 |
| ArizonaArizona | $132.71 | $70.57 |
| ColoradoColorado | $140.53 | $72.29 |
| ConnecticutConnecticut | $145.83 | $76.77 |
| DelawareDelaware | $134.91 | $71.55 |
| Fort Lauderdale, FLFlorida | $144.99 | $80.02 |
| Rest of FloridaFlorida | $137.46 | $76.15 |
| Atlanta, GAGeorgia | $139.89 | $74.74 |
| Rest of GeorgiaGeorgia | $129.29 | $72.08 |
| Hawaii, Guam, HIHawaii | $144.30 | $71.38 |
| IowaIowa | $124.05 | $65.37 |
| IdahoIdaho | $125.15 | $66.15 |
| East St. Louis, ILIllinois | $139.05 | $80.05 |
| Rest of IllinoisIllinois | $134.39 | $75.84 |
| Suburban Chicago, ILIllinois | $146.14 | $80.28 |
| IndianaIndiana | $125.85 | $66.41 |
| KansasKansas | $124.09 | $66.12 |
| KentuckyKentucky | $126.54 | $69.53 |
| New Orleans, LALouisiana | $132.89 | $72.54 |
| Rest of LouisianaLouisiana | $126.59 | $69.83 |
| Metropolitan Boston, MAMassachusetts | $153.68 | $77.10 |
| Rest of MassachusettsMassachusetts | $139.92 | $72.39 |
| Baltimore area, MDMaryland | $145.57 | $76.76 |
| Rest of MarylandMaryland | $137.31 | $72.41 |
| Rest of MaineMaine | $126.49 | $67.49 |
| Southern Maine, MEMaine | $132.53 | $68.97 |
| Detroit, MIMichigan | $139.86 | $77.98 |
| Rest of MichiganMichigan | $130.48 | $71.93 |
| MinnesotaMinnesota | $132.69 | $66.70 |
| Metropolitan Kansas City, MOMissouri | $131.29 | $71.07 |
| Metropolitan St. Louis, MOMissouri | $132.60 | $71.55 |
| Rest of MissouriMissouri | $124.81 | $69.53 |
| MississippiMississippi | $122.60 | $67.39 |
| MontanaMontana | $136.59 | $72.46 |
| North CarolinaNorth Carolina | $127.74 | $67.90 |
| North DakotaNorth Dakota | $131.25 | $67.12 |
| NebraskaNebraska | $124.54 | $65.35 |
| New HampshireNew Hampshire | $138.92 | $72.16 |
| Northern New JerseyNew Jersey | $153.39 | $79.00 |
| Rest of New JerseyNew Jersey | $146.95 | $76.92 |
| New MexicoNew Mexico | $131.46 | $72.66 |
| NevadaNevada | $135.19 | $70.99 |
| NYC suburbs and Long Island, NYNew York | $162.98 | $86.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $148.44 | $78.21 |
| Queens, NYNew York | $158.65 | $82.85 |
| Rest of New YorkNew York | $129.74 | $68.82 |
| OhioOhio | $129.39 | $70.84 |
| OklahomaOklahoma | $125.63 | $68.36 |
| Portland, OROregon | $144.31 | $73.06 |
| Rest of OregonOregon | $133.60 | $69.72 |
| Metropolitan Philadelphia, PAPennsylvania | $142.58 | $75.82 |
| Rest of PennsylvaniaPennsylvania | $129.24 | $70.37 |
| Puerto RicoPuerto Rico | $137.40 | $72.56 |
| Rhode IslandRhode Island | $139.23 | $72.99 |
| South CarolinaSouth Carolina | $128.89 | $69.63 |
| South DakotaSouth Dakota | $130.62 | $66.49 |
| TennesseeTennessee | $124.81 | $66.51 |
| Austin, TXTexas | $140.53 | $72.68 |
| Beaumont, TXTexas | $128.42 | $70.07 |
| Brazoria, TXTexas | $134.22 | $70.67 |
| Dallas, TXTexas | $135.39 | $71.51 |
| Fort Worth, TXTexas | $134.67 | $71.43 |
| Galveston, TXTexas | $134.82 | $71.14 |
| Houston, TXTexas | $139.76 | $76.08 |
| Rest of TexasTexas | $131.46 | $70.60 |
| UtahUtah | $130.66 | $70.38 |
| VirginiaVirginia | $132.53 | $69.49 |
| Virgin Islands, VIUnited States Virgin Islands | $137.40 | $72.56 |
| VermontVermont | $131.32 | $67.83 |
| Rest of WashingtonWashington | $139.47 | $71.94 |
| King County, WAWashington | $156.18 | $77.49 |
| WisconsinWisconsin | $126.85 | $65.41 |
| West VirginiaWest Virginia | $129.51 | $73.79 |
| WyomingWyoming | $134.26 | $70.14 |
29710 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.
$120.41
$159.89
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 | $159.89 | 1 |
| AL | $122.22 | 1 |
| AR | $120.41 | 1 |
| AZ | $132.71 | 1 |
| CA | $141.22–$174.29 | 29 |
| CO | $140.53 | 1 |
| CT | $145.83 | 1 |
| DC | $154.91 | 1 |
| DE | $134.91 | 1 |
| FL | $137.46–$153.84 | 3 |
| GA | $129.29–$139.89 | 2 |
| GU | $144.30 | 1 |
| HI | $144.30 | 1 |
| IA | $124.05 | 1 |
| ID | $125.15 | 1 |
| IL | $134.39–$149.01 | 4 |
| IN | $125.85 | 1 |
| KS | $124.09 | 1 |
| KY | $126.54 | 1 |
| LA | $126.59–$132.89 | 2 |
| MA | $139.92–$153.68 | 2 |
| MD | $137.31–$154.91 | 3 |
| ME | $126.49–$132.53 | 2 |
| MI | $130.48–$139.86 | 2 |
| MN | $132.69 | 1 |
| MO | $124.81–$132.60 | 3 |
| MS | $122.60 | 1 |
| MT | $136.59 | 1 |
| NC | $127.74 | 1 |
| ND | $131.25 | 1 |
| NE | $124.54 | 1 |
| NH | $138.92 | 1 |
| NJ | $146.95–$153.39 | 2 |
| NM | $131.46 | 1 |
| NV | $135.19 | 1 |
| NY | $129.74–$162.98 | 5 |
| OH | $129.39 | 1 |
| OK | $125.63 | 1 |
| OR | $133.60–$144.31 | 2 |
| PA | $129.24–$142.58 | 2 |
| PR | $137.40 | 1 |
| RI | $139.23 | 1 |
| SC | $128.89 | 1 |
| SD | $130.62 | 1 |
| TN | $124.81 | 1 |
| TX | $128.42–$140.53 | 8 |
| UT | $130.66 | 1 |
| VA | $132.53–$154.91 | 2 |
| VI | $137.40 | 1 |
| VT | $131.32 | 1 |
| WA | $139.47–$156.18 | 2 |
| WI | $126.85 | 1 |
| WV | $129.51 | 1 |
| WY | $134.26 | 1 |
How the 29710 rate is calculated
Each of 29710’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 · 29710
RVUs × geographic indexes × conversion factor
Work1.31
1.31 RVUs× 1.000 GPCI
Practice expense2.51
2.51 RVUs× 1.000 GPCI
Malpractice0.27
0.27 RVUs× 1.000 GPCI
Adjusted RVUs
4.0900
Conversion factor
$33.4009
Medicare rate
$136.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Riverside, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,308
- Code
- 29710
- Physician work
- 1.31
- Practice expense
- 2.51
- Malpractice
- 0.27
GPCI2026.csv
20
- Locality
- Riverside, CA
- Physician work
- 1.018
- Practice expense
- 1.096
- Malpractice
- 0.853
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.018 | 1.3336 |
| Practice expense | 2.51 | × 1.096 | 2.7510 |
| Malpractice | 0.27 | × 0.853 | 0.2303 |
| Total RVUs | 4.3149 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Riverside, CA$144.12
Office: (1.31 × 1.018 + 2.51 × 1.096 + 0.27 × 0.853) × $33.4009 = $144.12
Facility: (1.31 × 1.018 + 0.59 × 1.096 + 0.27 × 0.853) × $33.4009 = $73.83
Payment rules and modifiers for 29710
The CMS indicators that decide how 29710 is paid alongside other services.
CMS payment indicators · 29710
Spica cast removal, shoulder or hip
| 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) | 0 | Not paid without supporting documentation. |
| 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
29710 without 50 · national office
$136.61
Spica cast removal, shoulder or hip
29710-50 · Bilateral: 150%
$204.92
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 29710 has changed in Riverside, CA
29710 · Office / nonfacility
$144.12
Effective 2026-10-01
The base rate is $14.31 higher than on 2025-10-01, moving from $129.81 to $144.12 (11.0%).
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
$129.81changed to$144.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.34 changed to 1.31
- Practice expense RVU 2.20 changed to 2.51
- Malpractice RVU 0.28 changed to 0.27
- Work GPCI 1.014 changed to 1.018
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.892 changed to 0.853
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$130.74changed to$129.81
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.13 changed to 2.20
- Malpractice RVU 0.27 changed to 0.28
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$128.61changed to$130.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$130.14changed to$128.61
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.06 changed to 2.13
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.924 changed to 0.892
January 1, 2023
RVU23A
$128.78changed to$130.14
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.96 changed to 2.06
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.955 changed to 0.924
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$128.61changed to$128.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.95 changed to 1.96
- Malpractice RVU 0.26 changed to 0.27
- Malpractice GPCI 0.896 changed to 0.955
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$129.82changed to$128.61
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.87 changed to 1.95
- Malpractice RVU 0.27 changed to 0.26
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.830 changed to 0.896
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$130.18changed to$129.82
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.90 changed to 1.87
- Work GPCI 1.021 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.753 changed to 0.830
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$131.30changed to$130.18
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.95 changed to 1.90
- Work GPCI 1.020 changed to 1.021
- Malpractice GPCI 0.689 changed to 0.753
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$127.72changed to$131.30
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.87 changed to 1.95
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.626 changed to 0.689
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$127.72
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $144.12 | $73.83 | RVU26D |
| 2026-07-01 | $144.12 | $73.83 | RVU26C |
| 2026-04-01 | $144.12 | $73.83 | RVU26B |
| 2026-01-01 | $144.12 | $73.83 | RVU26A |
| 2025-10-01 | $129.81 | $82.79 | RVU25D |
| 2025-07-01 | $129.81 | $82.79 | RVU25C |
| 2025-04-01 | $129.81 | $82.79 | RVU25B |
| 2025-01-01 | $129.81 | $82.79 | RVU25A |
| 2024-10-01 | $130.74 | $84.17 | RVU24D |
| 2024-07-01 | $130.74 | $84.17 | RVU24C |
| 2024-04-01 | $130.74 | $84.17 | RVU24B |
| 2024-03-09 | $130.74 | $84.17 | RVU24AR |
| 2024-01-01 | $128.61 | $82.80 | RVU24A |
| 2023-10-01 | $130.14 | $85.53 | RVU23D |
| 2023-07-01 | $130.14 | $85.53 | RVU23C |
| 2023-04-01 | $130.14 | $85.53 | RVU23B |
| 2023-01-01 | $130.14 | $85.53 | RVU23A |
| 2022-10-01 | $128.78 | $86.77 | RVU22D |
| 2022-07-01 | $128.78 | $86.77 | RVU22C |
| 2022-04-01 | $128.78 | $86.77 | RVU22B |
| 2022-01-01 | $128.78 | $86.77 | RVU22A |
| 2021-10-01 | $128.61 | $86.62 | RVU21D |
| 2021-07-01 | $128.61 | $86.62 | RVU21C |
| 2021-04-01 | $128.61 | $86.62 | RVU21B |
| 2021-01-01 | $128.61 | $86.62 | RVU21A |
| 2020-10-01 | $129.82 | $88.50 | RVU20D |
| 2020-07-01 | $129.82 | $88.50 | RVU20C |
| 2020-04-01 | $129.82 | $88.50 | RVU20B |
| 2020-01-01 | $129.82 | $88.50 | RVU20A |
| 2019-10-01 | $130.18 | $87.60 | RVU19D |
| 2019-07-01 | $130.18 | $87.60 | RVU19C |
| 2019-04-01 | $130.18 | $87.60 | RVU19B |
| 2019-01-01 | $130.18 | $87.60 | RVU19A |
| 2018-10-01 | $131.30 | $86.83 | RVU18D |
| 2018-07-01 | $131.30 | $86.83 | RVU18C |
| 2018-04-01 | $131.30 | $86.83 | RVU18B |
| 2018-01-01 | $131.30 | $86.83 | RVU18AR1 |
| 2017-10-01 | $127.72 | $85.90 | RVU17D |
| 2017-07-01 | $127.72 | $85.90 | RVU17C |
| 2017-04-01 | $127.72 | $85.90 | RVU17B |
| 2017-01-01 | $127.72 | $85.90 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Riverside, CA rate applies
Riverside, CA is a Medicare payment area, not a city. Our Census mapping connects it to 127 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Ontario
- Riverside
- San Bernardino
- Adelanto
- Aguanga
- Anza
- Apple Valley
- Baker
29710 billing questions
How is this different from removal of a full arm or leg cast?
Use 29710 for a shoulder or hip spica cast. Code 29705 is for removal of a full arm or leg cast.
Can cast removal and application of a new spica cast be reported together?
When a new shoulder spica is applied during the same encounter, removal and application may represent distinct services. Document the cast removed and the new cast application.
Does the code include same-day care?
Yes. Its 0-day global period includes same-day preoperative and postoperative care.
When is modifier 50 appropriate?
CMS treats the procedure as bilateral when modifier 50 is reported and pays it at 150%. A single spica cast that happens to extend across both sides is not, by itself, proof of separately performed bilateral services.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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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