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.

CMS RVU26DEffective Oct 1, 2026One payment locality20 Medicare services in 2024

In Riverside, CA, Medicare pays $144.12 for 29710 in the office and $73.83 when it’s performed in a hospital or facility.

$144.12Office (non-facility)
$73.83Hospital or facility
+5.5%vs the national office rate ($136.61)

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.

We’ll open 29710 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Riverside, CA
  2. What 29710 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 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.

29710 in Riverside, CA vs other payment areas
  1. Riverside, CA · this page$144.12
  2. Bakersfield, CA · California$141.96−$2.16
  3. Chico, CA · California$141.22−$2.90
  4. El Centro, CA · California$141.26−$2.86
  5. Fresno, CA · California$141.22−$2.90
  6. Hanford, CA · California$141.22−$2.90
  7. Los Angeles, CA · California$150.72+$6.60

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

Every other payment area

29710 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
29710 office rate range by state
State / territoryOffice rate rangeLocalities
AK$159.891
AL$122.221
AR$120.411
AZ$132.711
CA$141.22–$174.2929
CO$140.531
CT$145.831
DC$154.911
DE$134.911
FL$137.46–$153.843
GA$129.29–$139.892
GU$144.301
HI$144.301
IA$124.051
ID$125.151
IL$134.39–$149.014
IN$125.851
KS$124.091
KY$126.541
LA$126.59–$132.892
MA$139.92–$153.682
MD$137.31–$154.913
ME$126.49–$132.532
MI$130.48–$139.862
MN$132.691
MO$124.81–$132.603
MS$122.601
MT$136.591
NC$127.741
ND$131.251
NE$124.541
NH$138.921
NJ$146.95–$153.392
NM$131.461
NV$135.191
NY$129.74–$162.985
OH$129.391
OK$125.631
OR$133.60–$144.312
PA$129.24–$142.582
PR$137.401
RI$139.231
SC$128.891
SD$130.621
TN$124.811
TX$128.42–$140.538
UT$130.661
VA$132.53–$154.912
VI$137.401
VT$131.321
WA$139.47–$156.182
WI$126.851
WV$129.511
WY$134.261

See 29710 in every payment locality

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

Office or facility?

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
Office calculation for 29710 in Riverside, CA
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0181.3336
Practice expense2.51× 1.0962.7510
Malpractice0.27× 0.8530.2303
Total RVUs4.3149
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

Open 29710 in the RVU calculator

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

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)0Not paid without supporting documentation.
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

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).

When to use modifier 50

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.

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

    $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.

  2. 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.

  3. March 9, 2024

    RVU24AR

    $128.61changed to$130.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. 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
  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. January 1, 2017

    RVU17A

    No ratechanged to$127.72

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$144.12$73.83RVU26D
2026-07-01$144.12$73.83RVU26C
2026-04-01$144.12$73.83RVU26B
2026-01-01$144.12$73.83RVU26A
2025-10-01$129.81$82.79RVU25D
2025-07-01$129.81$82.79RVU25C
2025-04-01$129.81$82.79RVU25B
2025-01-01$129.81$82.79RVU25A
2024-10-01$130.74$84.17RVU24D
2024-07-01$130.74$84.17RVU24C
2024-04-01$130.74$84.17RVU24B
2024-03-09$130.74$84.17RVU24AR
2024-01-01$128.61$82.80RVU24A
2023-10-01$130.14$85.53RVU23D
2023-07-01$130.14$85.53RVU23C
2023-04-01$130.14$85.53RVU23B
2023-01-01$130.14$85.53RVU23A
2022-10-01$128.78$86.77RVU22D
2022-07-01$128.78$86.77RVU22C
2022-04-01$128.78$86.77RVU22B
2022-01-01$128.78$86.77RVU22A
2021-10-01$128.61$86.62RVU21D
2021-07-01$128.61$86.62RVU21C
2021-04-01$128.61$86.62RVU21B
2021-01-01$128.61$86.62RVU21A
2020-10-01$129.82$88.50RVU20D
2020-07-01$129.82$88.50RVU20C
2020-04-01$129.82$88.50RVU20B
2020-01-01$129.82$88.50RVU20A
2019-10-01$130.18$87.60RVU19D
2019-07-01$130.18$87.60RVU19C
2019-04-01$130.18$87.60RVU19B
2019-01-01$130.18$87.60RVU19A
2018-10-01$131.30$86.83RVU18D
2018-07-01$131.30$86.83RVU18C
2018-04-01$131.30$86.83RVU18B
2018-01-01$131.30$86.83RVU18AR1
2017-10-01$127.72$85.90RVU17D
2017-07-01$127.72$85.90RVU17C
2017-04-01$127.72$85.90RVU17B
2017-01-01$127.72$85.90RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29710 for an earlier date of service

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

Browse all communities in California

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
RVUs for 29710PPRRVU2026_Oct_nonQPP.csv, line 3,308 (RVU26D)
Geographic factors for Riverside, CAGPCI2026.csv, line 20 (RVU26D)

Open CMS sourceHow we calculate rates

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