CPT code 29740: Cast wedging, alignment adjustment2026 Medicare rate & RVUs in Madera, CA

In Madera, CA, Medicare pays $113.08 for 29740 in the office and $59.27 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 29740 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 29740 covers

Cast wedging modifies an existing cast to change the position or alignment of the underlying limb, often after reassessment of a fracture. The clinician makes a controlled cut in the cast, adjusts the opening or overlap to alter alignment, and secures the cast again. Orthopedic clinicians commonly perform this service during fracture follow-up when the cast can remain in place but its position needs correction.

Report 29740 for the cast adjustment, not for creating a window to reach the skin or repairing a damaged spica cast. Document the reason for the adjustment, the cast modification performed, and the clinical assessment supporting the alignment change. CMS assigns 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% multiple procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and 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 Madera, CA compares for 29740

Across 109 of 109 payment localities, the office rate for 29740 runs from $96.71 in Arkansas to $139.23 in San Benito County, CA. Madera, CA pays $113.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

29740 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 29740 in every payment locality

How the 29740 rate is calculated

Each of 29740’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.

Payment rules and modifiers for 29740

The CMS indicators that decide how 29740 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 29740

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

How 29740 has changed in Madera, CA

Price 29740 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Madera
• Ahwahnee
• Bass Lake
• Bonadelle Ranchos
• Chowchilla
• Coarsegold
• Fairmead
• La Vina

Browse all communities in California

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

Open CMS sourceHow we calculate rates