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

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 Virginia, Medicare pays $114.29 for 29750 in the office and $64.71 when it’s performed in a hospital or facility.

$114.29Office (non-facility)
$64.71Hospital or facility
−3.1%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 Virginia
  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 Virginia 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. Virginia pays $114.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

29750 in Virginia vs other payment areas
  1. Virginia · this page$114.29
  2. Los Angeles, CA · California$129.31+$15.02
  3. Washington, DC area · District of Columbia$133.26+$18.97
  4. Miami, FL · Florida$133.48+$19.19
  5. Chicago, IL · Illinois$129.35+$15.06
  6. Manhattan, NY · New York$136.52+$22.23
  7. Alaska · Alaska$139.15+$24.86

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 29750 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.23× 1.0001.2300
Practice expense2.05× 0.9832.0151
Malpractice0.25× 0.7060.1765
Total RVUs3.4216
Conversion factor× 33.4009

Office rate, Virginia$114.29

Office: (1.23 × 1 + 2.05 × 0.983 + 0.25 × 0.706) × $33.4009 = $114.29

Facility: (1.23 × 1 + 0.54 × 0.983 + 0.25 × 0.706) × $33.4009 = $64.71

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, Virginia
Same family
29740Cast wedging, alignment adjustmentGeneral cast wedging; 29750 specifies wedging a cast used for clubfoot.$106.28
Used instead
29730Cast adjustment, access openingCast windowing is a different cast modification, used when an opening rather than an alignment wedge is needed.$65.30
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 Virginia

29750 · Office / nonfacility

$114.29

Effective 2026-10-01

The base rate is $10.37 higher than on 2025-10-01, moving from $103.92 to $114.29 (10.0%).

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

    $103.92changed to$114.29

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $105.30changed to$103.92

    • 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

    $103.58changed to$105.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $106.73changed to$103.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.70 changed to 1.74
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $107.15changed to$106.73

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.62 changed to 1.70
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $108.03changed to$107.15

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $109.02changed to$108.03

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $109.00changed to$109.02

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.55 changed to 1.54
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $109.94changed to$109.00

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $91.81changed to$109.94

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $89.66changed to$91.81

    • 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 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $96.30changed to$89.66

    • 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.

  13. July 1, 2015

    RVU15C

    $95.82changed to$96.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $85.10changed to$95.82

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $106.18changed to$85.10

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $106.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$114.29$64.71RVU26D
2026-07-01$114.29$64.71RVU26C
2026-04-01$114.29$64.71RVU26B
2026-01-01$114.29$64.71RVU26A
2025-10-01$103.92$72.72RVU25D
2025-07-01$103.92$72.72RVU25C
2025-04-01$103.92$72.72RVU25B
2025-01-01$103.92$72.72RVU25A
2024-10-01$105.30$74.19RVU24D
2024-07-01$105.30$74.19RVU24C
2024-04-01$105.30$74.19RVU24B
2024-03-09$105.30$74.19RVU24AR
2024-01-01$103.58$72.97RVU24A
2023-10-01$106.73$75.86RVU23D
2023-07-01$106.73$75.86RVU23C
2023-04-01$106.73$75.86RVU23B
2023-01-01$106.73$75.86RVU23A
2022-10-01$107.15$77.53RVU22D
2022-07-01$107.15$77.53RVU22C
2022-04-01$107.15$77.53RVU22B
2022-01-01$107.15$77.53RVU22A
2021-10-01$108.03$78.18RVU21D
2021-07-01$108.03$78.18RVU21C
2021-04-01$108.03$78.18RVU21B
2021-01-01$108.03$78.18RVU21A
2020-10-01$109.02$80.41RVU20D
2020-07-01$109.02$80.41RVU20C
2020-04-01$109.02$80.41RVU20B
2020-01-01$109.02$80.41RVU20A
2019-10-01$109.00$80.21RVU19D
2019-07-01$109.00$80.21RVU19C
2019-04-01$109.00$80.21RVU19B
2019-01-01$109.00$80.21RVU19A
2018-10-01$109.94$80.48RVU18D
2018-07-01$109.94$80.48RVU18C
2018-04-01$109.94$80.48RVU18B
2018-01-01$109.94$80.48RVU18AR1
2017-10-01$91.81$70.24RVU17D
2017-07-01$91.81$70.24RVU17C
2017-04-01$91.81$70.24RVU17B
2017-01-01$91.81$70.24RVU17A
2016-10-01$89.66$67.84RVU16D
2016-07-01$89.66$67.84RVU16C
2016-04-01$89.66$67.84RVU16B
2016-01-01$89.66$67.84RVU16A
2015-10-01$96.30$74.04RVU15D
2015-07-01$96.30$74.04RVU15C
2015-04-01$95.82$73.68RVU15B
2015-01-01$95.82$73.68RVU15A
2014-10-01$85.10$65.80RVU14D
2014-07-01$85.10$65.80RVU14C
2014-04-01$85.10$65.80RVU14B
2014-01-01$85.10$65.80RVU14A
2013-10-01$106.18$75.93RVU13D
2013-07-01$106.18$75.93RVU13C
2013-04-01$106.18$75.93RVU13B
2013-01-01$106.18$75.93RVU13AR

Price 29750 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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