CPT code 29750: Cast wedging, clubfoot cast2026 Medicare rate & RVUs

Medicare pays $117.91 for 29750 nationally in the office and $67.47 in a hospital or facility. Local office rates run $104.20–$148.81.

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

What 29750 covers

This service modifies an existing cast used to treat clubfoot by making and adjusting a wedge in the cast to change the position of the foot. It is most often part of serial casting care for an infant or child with clubfoot and is typically performed by an orthopedic surgeon or another clinician managing the cast. The work is an adjustment to the cast, not simply applying or removing one.

Report 29750 when the cast wedging is for clubfoot; use the general cast-wedging code for other casts. Documentation should identify the clubfoot, the cast adjusted, the side treated, and the adjustment performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented 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.

Where 29750 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

29750 rates by state

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

How the 29750 rate is calculated

Each of 29750’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 29750

The CMS indicators that decide how 29750 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

29750 compared with similar codes

How to choose

29740Cast wedgingAlignment adjustment

Use 29750 for wedging a clubfoot cast. Use 29740 for wedging another type of cast.

29730Cast adjustmentAccess opening

29750 changes cast alignment by wedging. 29730 creates a window in a cast for access to the area beneath it.

29799Unlisted castingCasting or strapping

Use 29799 for an unusual casting or strapping service without a specific code; 29750 specifically describes wedging a clubfoot cast.

Codes related to 29750

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

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