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CPT code 29710: Spica cast removal, shoulder or hip2026 Medicare rate & RVUs in Iowa

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 Iowa, Medicare pays $124.05 for 29710 in the office and $65.37 when it’s performed in a hospital or facility.

$124.05Office (non-facility)
$65.37Hospital or facility
−9.2%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 Iowa
  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 Iowa 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. Iowa pays $124.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

29710 in Iowa vs other payment areas
  1. Iowa · this page$124.05
  2. Los Angeles, CA · California$150.72+$26.67
  3. Washington, DC area · District of Columbia$154.91+$30.86
  4. Miami, FL · Florida$153.84+$29.79
  5. Chicago, IL · Illinois$149.01+$24.96
  6. Manhattan, NY · New York$158.28+$34.23
  7. Alaska · Alaska$159.89+$35.84

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

Every other payment area

29710 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$122.22$66.10
ArkansasArkansas$120.41$65.33
ArizonaArizona$132.71$70.57
Bakersfield, CACalifornia$141.96$71.68
Chico, CACalifornia$141.22$70.93
El Centro, CACalifornia$141.26$70.98
Fresno, CACalifornia$141.22$70.93
Hanford, CACalifornia$141.22$70.93

29710 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.

$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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 29710 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0001.3100
Practice expense2.51× 0.9152.2967
Malpractice0.27× 0.3970.1072
Total RVUs3.7138
Conversion factor× 33.4009

Office rate, Iowa$124.05

Office: (1.31 × 1 + 2.51 × 0.915 + 0.27 × 0.397) × $33.4009 = $124.05

Facility: (1.31 × 1 + 0.59 × 0.915 + 0.27 × 0.397) × $33.4009 = $65.37

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

Codes related to 29710

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

Codes related to 29710
CodeHow it relatesOffice range, Iowa
Same family
29700Cast removal, gauntlet or boot castRemoval of a gauntlet, boot, or short-leg cast rather than a shoulder or hip spica.$63.30
29705Cast removal, full arm or leg castRemoval of a full arm or leg cast; the cast type distinguishes it from this service.$63.42
Used instead
29720Cast repair, body spica or jacketRepair a spica body cast or jacket when it is being maintained rather than removed.$89.30
29730Cast adjustment, access openingWindowing modifies an existing cast when access is needed without removing the whole cast.$61.43

How 29710 has changed in Iowa

29710 · Office / nonfacility

$124.05

Effective 2026-10-01

The base rate is $11.60 higher than on 2025-10-01, moving from $112.45 to $124.05 (10.3%).

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

    $112.45changed to$124.05

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $113.45changed to$112.45

    • 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

    $111.59changed to$113.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $112.97changed to$111.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.06 changed to 2.13
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $111.86changed to$112.97

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.96 changed to 2.06
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $112.33changed to$111.86

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $113.70changed to$112.33

    • 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
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $114.51changed to$113.70

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.90 changed to 1.87
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $116.02changed to$114.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.95 changed to 1.90

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $113.06changed to$116.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.87 changed to 1.95
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $113.20changed to$113.06

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.89 changed to 1.87
    • Malpractice RVU 0.26 changed to 0.27
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $115.75changed to$113.20

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.94 changed to 1.89
    • Malpractice RVU 0.29 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $115.17changed to$115.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $106.75changed to$115.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.70 changed to 1.94
    • Malpractice RVU 0.26 changed to 0.29
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $113.46changed to$106.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.11 changed to 1.70
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $113.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$124.05$65.37RVU26D
2026-07-01$124.05$65.37RVU26C
2026-04-01$124.05$65.37RVU26B
2026-01-01$124.05$65.37RVU26A
2025-10-01$112.45$73.18RVU25D
2025-07-01$112.45$73.18RVU25C
2025-04-01$112.45$73.18RVU25B
2025-01-01$112.45$73.18RVU25A
2024-10-01$113.45$74.55RVU24D
2024-07-01$113.45$74.55RVU24C
2024-04-01$113.45$74.55RVU24B
2024-03-09$113.45$74.55RVU24AR
2024-01-01$111.59$73.33RVU24A
2023-10-01$112.97$75.35RVU23D
2023-07-01$112.97$75.35RVU23C
2023-04-01$112.97$75.35RVU23B
2023-01-01$112.97$75.35RVU23A
2022-10-01$111.86$76.08RVU22D
2022-07-01$111.86$76.08RVU22C
2022-04-01$111.86$76.08RVU22B
2022-01-01$111.86$76.08RVU22A
2021-10-01$112.33$76.56RVU21D
2021-07-01$112.33$76.56RVU21C
2021-04-01$112.33$76.56RVU21B
2021-01-01$112.33$76.56RVU21A
2020-10-01$113.70$78.68RVU20D
2020-07-01$113.70$78.68RVU20C
2020-04-01$113.70$78.68RVU20B
2020-01-01$113.70$78.68RVU20A
2019-10-01$114.51$78.56RVU19D
2019-07-01$114.51$78.56RVU19C
2019-04-01$114.51$78.56RVU19B
2019-01-01$114.51$78.56RVU19A
2018-10-01$116.02$78.47RVU18D
2018-07-01$116.02$78.47RVU18C
2018-04-01$116.02$78.47RVU18B
2018-01-01$116.02$78.47RVU18AR1
2017-10-01$113.06$78.10RVU17D
2017-07-01$113.06$78.10RVU17C
2017-04-01$113.06$78.10RVU17B
2017-01-01$113.06$78.10RVU17A
2016-10-01$113.20$77.91RVU16D
2016-07-01$113.20$77.91RVU16C
2016-04-01$113.20$77.91RVU16B
2016-01-01$113.20$77.91RVU16A
2015-10-01$115.75$79.37RVU15D
2015-07-01$115.75$79.37RVU15C
2015-04-01$115.17$78.97RVU15B
2015-01-01$115.17$78.97RVU15A
2014-10-01$106.75$75.75RVU14D
2014-07-01$106.75$75.75RVU14C
2014-04-01$106.75$75.75RVU14B
2014-01-01$106.75$75.75RVU14A
2013-10-01$113.46$75.73RVU13D
2013-07-01$113.46$75.73RVU13C
2013-04-01$113.46$75.73RVU13B
2013-01-01$113.46$75.73RVU13AR

Price 29710 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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