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

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 Virgin Islands, VI, Medicare pays $137.40 for 29710 in the office and $72.56 when it’s performed in a hospital or facility.

$137.40Office (non-facility)
$72.56Hospital or facility
+0.6%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 Virgin Islands, VI
  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 Virgin Islands, VI 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. Virgin Islands, VI pays $137.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

29710 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$137.40
  2. Los Angeles, CA · California$150.72+$13.32
  3. Washington, DC area · District of Columbia$154.91+$17.51
  4. Miami, FL · Florida$153.84+$16.44
  5. Chicago, IL · Illinois$149.01+$11.61
  6. Manhattan, NY · New York$158.28+$20.88
  7. Alaska · Alaska$159.89+$22.49

Other areas in United States Virgin Islands 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 Virgin Islands, VI 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

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 29710 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work1.31× 1.0001.3100
Practice expense2.51× 1.0112.5376
Malpractice0.27× 0.9850.2660
Total RVUs4.1136
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$137.40

Office: (1.31 × 1 + 2.51 × 1.011 + 0.27 × 0.985) × $33.4009 = $137.40

Facility: (1.31 × 1 + 0.59 × 1.011 + 0.27 × 0.985) × $33.4009 = $72.56

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, Virgin Islands, VI
Same family
29700Cast removal, gauntlet or boot castRemoval of a gauntlet, boot, or short-leg cast rather than a shoulder or hip spica.$69.62
29705Cast removal, full arm or leg castRemoval of a full arm or leg cast; the cast type distinguishes it from this service.$69.85
Used instead
29720Cast repair, body spica or jacketRepair a spica body cast or jacket when it is being maintained rather than removed.$98.91
29730Cast adjustment, access openingWindowing modifies an existing cast when access is needed without removing the whole cast.$67.50

How 29710 has changed in Virgin Islands, VI

29710 · Office / nonfacility

$137.40

Effective 2026-10-01

The base rate is $13.50 higher than on 2025-10-01, moving from $123.90 to $137.40 (10.9%).

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

    $123.90changed to$137.40

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $124.83changed to$123.90

    • 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

    $122.79changed to$124.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $124.78changed to$122.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.06 changed to 2.13
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $124.37changed to$124.78

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $123.96changed to$124.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.96 changed to 2.06
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $124.29changed to$123.96

    • 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.

  8. January 1, 2021

    RVU21A

    $126.01changed to$124.29

    • 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 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $126.88changed to$126.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.90 changed to 1.87
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $128.55changed to$126.88

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $125.23changed to$128.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.87 changed to 1.95
    • Practice expense GPCI 1.006 changed to 1.007
    • Malpractice GPCI 0.993 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $122.21changed to$125.23

    • 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 0.960 changed to 1.006
    • Malpractice GPCI 0.996 changed to 0.993

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $125.45changed to$122.21

    • 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.

  14. July 1, 2015

    RVU15C

    $124.83changed to$125.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $118.49changed to$124.83

    • 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 1.004 changed to 0.960
    • Malpractice GPCI 1.003 changed to 0.996

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $126.80changed to$118.49

    • 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 1.002 changed to 1.004
    • Malpractice GPCI 1.010 changed to 1.003

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $126.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$137.40$72.56RVU26D
2026-07-01$137.40$72.56RVU26C
2026-04-01$137.40$72.56RVU26B
2026-01-01$137.40$72.56RVU26A
2025-10-01$123.90$80.58RVU25D
2025-07-01$123.90$80.58RVU25C
2025-04-01$123.90$80.58RVU25B
2025-01-01$123.90$80.58RVU25A
2024-10-01$124.83$81.92RVU24D
2024-07-01$124.83$81.92RVU24C
2024-04-01$124.83$81.92RVU24B
2024-03-09$124.83$81.92RVU24AR
2024-01-01$122.79$80.59RVU24A
2023-10-01$124.78$83.10RVU23D
2023-07-01$124.37$83.02RVU23C
2023-04-01$124.37$83.02RVU23B
2023-01-01$124.37$83.02RVU23A
2022-10-01$123.96$84.19RVU22D
2022-07-01$123.96$84.19RVU22C
2022-04-01$123.96$84.19RVU22B
2022-01-01$123.96$84.19RVU22A
2021-10-01$124.29$84.54RVU21D
2021-07-01$124.29$84.54RVU21C
2021-04-01$124.29$84.54RVU21B
2021-01-01$124.29$84.54RVU21A
2020-10-01$126.01$87.09RVU20D
2020-07-01$126.01$87.09RVU20C
2020-04-01$126.01$87.09RVU20B
2020-01-01$126.01$87.09RVU20A
2019-10-01$126.88$86.96RVU19D
2019-07-01$126.88$86.96RVU19C
2019-04-01$126.88$86.96RVU19B
2019-01-01$126.88$86.96RVU19A
2018-10-01$128.55$86.86RVU18D
2018-07-01$128.55$86.86RVU18C
2018-04-01$128.55$86.86RVU18B
2018-01-01$128.55$86.86RVU18AR1
2017-10-01$125.23$86.24RVU17D
2017-07-01$125.23$86.24RVU17C
2017-04-01$125.23$86.24RVU17B
2017-01-01$125.23$86.24RVU17A
2016-10-01$122.21$84.40RVU16D
2016-07-01$122.21$84.40RVU16C
2016-04-01$122.21$84.40RVU16B
2016-01-01$122.21$84.40RVU16A
2015-10-01$125.45$86.47RVU15D
2015-07-01$125.45$86.47RVU15C
2015-04-01$124.83$86.04RVU15B
2015-01-01$124.83$86.04RVU15A
2014-10-01$118.49$83.60RVU14D
2014-07-01$118.49$83.60RVU14C
2014-04-01$118.49$83.60RVU14B
2014-01-01$118.49$83.60RVU14A
2013-10-01$126.80$84.19RVU13D
2013-07-01$126.80$84.19RVU13C
2013-04-01$126.80$84.19RVU13B
2013-01-01$126.80$84.19RVU13AR

Price 29710 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

  • Charlotte Amalie
  • Charlotte Amalie East
  • Charlotte Amalie West
  • Christiansted
  • Coral Bay
  • Cruz Bay
  • Frederiksted
  • Frederiksted Southeast

Browse all communities in United States Virgin Islands

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 Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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