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

Report clubfoot cast wedging when a clinician modifies an existing cast to adjust alignment during treatment of a clubfoot deformity.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Puerto Rico, Medicare pays $118.53 for 29750 in the office and $67.54 when it’s performed in a hospital or facility.

$118.53Office (non-facility)
$67.54Hospital or facility
+0.5%vs the national office rate ($117.91)

Check a contract rate as a % of Medicare · 29750 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 29750 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 29750 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 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.

How Puerto Rico compares for 29750

Across 109 of 109 payment localities, the office rate for 29750 runs from $104.20 in Arkansas to $148.81 in San Benito County, CA. Puerto Rico pays $118.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

29750 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$118.53
  2. Los Angeles, CA · California$129.31+$10.78
  3. Washington, DC area · District of Columbia$133.26+$14.73
  4. Miami, FL · Florida$133.48+$14.95
  5. Chicago, IL · Illinois$129.35+$10.82
  6. Manhattan, NY · New York$136.52+$17.99
  7. Alaska · Alaska$139.15+$20.62

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

Every other payment area

29750 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$105.72$61.59
ArkansasArkansas$104.20$60.88
ArizonaArizona$114.58$65.71
Bakersfield, CACalifornia$121.99$66.72
Chico, CACalifornia$121.30$66.03
El Centro, CACalifornia$121.34$66.07
Fresno, CACalifornia$121.30$66.03
Hanford, CACalifornia$121.30$66.03

29750 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.

$104.20

$139.15

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
29750 office rate range by state
State / territoryOffice rate rangeLocalities
AK$139.151
AL$105.721
AR$104.201
AZ$114.581
CA$121.30–$148.8129
CO$120.951
CT$125.751
DC$133.261
DE$116.451
FL$119.09–$133.483
GA$112.11–$120.802
GU$123.771
HI$123.771
IA$107.051
ID$108.031
IL$116.65–$129.354
IN$108.611
KS$107.191
KY$109.601
LA$109.68–$115.002
MA$120.50–$131.952
MD$118.45–$133.263
ME$109.27–$114.212
MI$113.03–$121.242
MN$114.011
MO$108.24–$114.643
MS$106.211
MT$117.891
NC$110.301
ND$112.951
NE$107.441
NH$119.671
NJ$126.66–$132.022
NM$113.901
NV$116.581
NY$112.00–$140.635
OH$112.011
OK$108.721
OR$115.15–$124.032
PA$111.83–$123.062
PR$118.531
RI$120.041
SC$111.451
SD$112.361
TN$107.811
TX$111.15–$121.018
UT$112.951
VA$114.29–$133.262
VI$118.531
VT$113.101
WA$120.07–$133.972
WI$109.251
WV$112.531
WY$115.731

See 29750 in every payment locality

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.

How the rate is built · 29750

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.23

1.23 RVUs× 1.000 GPCI

Practice expense2.05

2.05 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

3.5300

Conversion factor

$33.4009

Medicare rate

$117.91

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,312

Code
29750
Physician work
1.23
Practice expense
2.05
Malpractice
0.25

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 29750 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.23× 1.0001.2300
Practice expense2.05× 1.0112.0725
Malpractice0.25× 0.9850.2462
Total RVUs3.5488
Conversion factor× 33.4009

Office rate, Puerto Rico$118.53

Office: (1.23 × 1 + 2.05 × 1.011 + 0.25 × 0.985) × $33.4009 = $118.53

Facility: (1.23 × 1 + 0.54 × 1.011 + 0.25 × 0.985) × $33.4009 = $67.54

Open 29750 in the RVU calculator

Payment rules and modifiers for 29750

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

CMS payment indicators · 29750

Cast wedging, clubfoot cast

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

29750 without 50 · national office

$117.91

Cast wedging, clubfoot cast

29750-50 · Bilateral: 150%

$176.87

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 29750

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

Codes related to 29750
CodeHow it relatesOffice range, Puerto Rico
Same family
29740Cast wedging, alignment adjustmentGeneral cast wedging; 29750 specifies wedging a cast used for clubfoot.$110.17
Used instead
29730Cast adjustment, access openingCast windowing is a different cast modification, used when an opening rather than an alignment wedge is needed.$67.50
29799Unlisted casting, casting or strappingUnlisted casting or strapping service for a cast modification without a specific code.No office rate

How 29750 has changed in Puerto Rico

29750 · Office / nonfacility

$118.53

Effective 2026-10-01

The base rate is $11.53 higher than on 2025-10-01, moving from $107.00 to $118.53 (10.8%).

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

    $107.00changed to$118.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.26 changed to 1.23
    • Practice expense RVU 1.79 changed to 2.05
    • 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

    $108.44changed to$107.00

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.74 changed to 1.79

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $106.67changed to$108.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $109.10changed to$106.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.70 changed to 1.74
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $108.78changed to$109.10

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

  6. January 1, 2023

    RVU23A

    $108.64changed to$108.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.70
    • 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

    $109.55changed to$108.64

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $110.77changed to$109.55

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.54 changed to 1.62
    • Malpractice RVU 0.26 changed to 0.25
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $110.94changed to$110.77

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.55 changed to 1.54
    • 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

    $111.90changed to$110.94

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.58 changed to 1.55

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $85.31changed to$111.90

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.23 changed to 1.58
    • Malpractice RVU 0.10 changed to 0.26
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $75.46changed to$85.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.14 changed to 1.23
    • Malpractice RVU 0.15 changed to 0.10
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $79.51changed to$75.46

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.26 changed to 1.14
    • Malpractice RVU 0.22 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $79.12changed to$79.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $70.87changed to$79.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.94 changed to 1.26
    • Malpractice RVU 0.25 changed to 0.22
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $84.52changed to$70.87

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.71 changed to 0.94
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $84.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$118.53$67.54RVU26D
2026-07-01$118.53$67.54RVU26C
2026-04-01$118.53$67.54RVU26B
2026-01-01$118.53$67.54RVU26A
2025-10-01$107.00$75.08RVU25D
2025-07-01$107.00$75.08RVU25C
2025-04-01$107.00$75.08RVU25B
2025-01-01$107.00$75.08RVU25A
2024-10-01$108.44$76.60RVU24D
2024-07-01$108.44$76.60RVU24C
2024-04-01$108.44$76.60RVU24B
2024-03-09$108.44$76.60RVU24AR
2024-01-01$106.67$75.35RVU24A
2023-10-01$109.10$77.68RVU23D
2023-07-01$108.78$77.60RVU23C
2023-04-01$108.78$77.60RVU23B
2023-01-01$108.78$77.60RVU23A
2022-10-01$108.64$78.65RVU22D
2022-07-01$108.64$78.65RVU22C
2022-04-01$108.64$78.65RVU22B
2022-01-01$108.64$78.65RVU22A
2021-10-01$109.55$79.30RVU21D
2021-07-01$109.55$79.30RVU21C
2021-04-01$109.55$79.30RVU21B
2021-01-01$109.55$79.30RVU21A
2020-10-01$110.77$81.66RVU20D
2020-07-01$110.77$81.66RVU20C
2020-04-01$110.77$81.66RVU20B
2020-01-01$110.77$81.66RVU20A
2019-10-01$110.94$81.54RVU19D
2019-07-01$110.94$81.54RVU19C
2019-04-01$110.94$81.54RVU19B
2019-01-01$110.94$81.54RVU19A
2018-10-01$111.90$81.81RVU18D
2018-07-01$111.90$81.81RVU18C
2018-04-01$111.90$81.81RVU18B
2018-01-01$111.90$81.81RVU18AR1
2017-10-01$85.31$66.57RVU17D
2017-07-01$85.31$66.57RVU17C
2017-04-01$85.31$66.57RVU17B
2017-01-01$85.31$66.57RVU17A
2016-10-01$75.46$59.81RVU16D
2016-07-01$75.46$59.81RVU16C
2016-04-01$75.46$59.81RVU16B
2016-01-01$75.46$59.81RVU16A
2015-10-01$79.51$63.55RVU15D
2015-07-01$79.51$63.55RVU15C
2015-04-01$79.12$63.24RVU15B
2015-01-01$79.12$63.24RVU15A
2014-10-01$70.87$57.23RVU14D
2014-07-01$70.87$57.23RVU14C
2014-04-01$70.87$57.23RVU14B
2014-01-01$70.87$57.23RVU14A
2013-10-01$84.52$63.53RVU13D
2013-07-01$84.52$63.53RVU13C
2013-04-01$84.52$63.53RVU13B
2013-01-01$84.52$63.53RVU13AR

Price 29750 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

29750 billing questions

How is 29750 different from 29740?

29750 is for wedging a cast used to treat clubfoot. 29740 is the general cast-wedging code for casts not treated as clubfoot casts.

Does 29750 include applying a new cast?

The service is adjustment of an existing clubfoot cast. Document any separate cast application performed, rather than treating application as part of the wedge by default.

What documentation supports 29750?

Document the clubfoot diagnosis, the cast and side adjusted, and what cast modification was performed to change alignment.

How should bilateral clubfoot cast wedging be reported?

For a bilateral service, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.

How does the multiple procedure rule affect payment?

When 29750 and other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.

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 29750PPRRVU2026_Oct_nonQPP.csv, line 3,312 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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