$95.01–$141.48
Choose 29075 for a cast extending from the forearm to the hand and stopping below the elbow. Code 29065 describes a long arm cast extending from the shoulder to the hand.
On this page
CMS RVU26D · Effective 2026-10-01
29075 Cast application Medicare reimbursement rates
Reports application of a short arm cast extending from forearm to hand when cast placement is separately reportable for wrist or forearm immobilization. Compare 29075 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 29075?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$85.70–$128.09
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $42.39 per service.
Facility setting
$52.42–$72.22
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $19.80 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 29075 pays more and less
109 payment localities
$85.70 to $128.09
Orthopedic casting
About 29075: Short arm cast application
Reports application of a short arm cast extending from forearm to hand when cast placement is separately reportable for wrist or forearm immobilization.
This service covers applying a short arm cast that extends from the forearm to the hand and stops below the elbow. Orthopedic clinicians, emergency physicians, and other qualified practitioners may apply it to immobilize wrist or forearm injuries, including when a cast is needed as part of fracture care. The code describes cast application, not the fracture treatment itself.
Report the code when the short arm cast is separately reportable; cast application is generally included in a fracture treatment service that includes casting. Document the treated side, cast extent, and clinical reason for immobilization. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 29075
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.75 · 26%
- Practice expense (office) RVU2.03 · 70%
- Malpractice RVU0.14 · 5%
50.7K
Medicare services in 2024 · #776 by national volume
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.
29075 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$93.98–$139.86
Code 29085 is for a cast covering the hand and lower forearm; 29075 describes the short arm cast extending from the forearm to the hand.
$73.12–$110.80
Use 29086 when the cast is limited to a finger, rather than the forearm-to-hand short arm cast reported with 29075.
$69.27–$105.99
Code 29125 reports application of a short arm splint. Use 29075 for a short arm cast.
See how rates vary across the country
29075 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$85.70
$115.20
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $112.36 | 1 |
| AL | $87.03 | 1 |
| AR | $85.70 | 1 |
| AZ | $94.76 | 1 |
| CA | $102.30–$128.09 | 29 |
| CO | $101.15 | 1 |
| CT | $104.23 | 1 |
| DC | $111.48 | 1 |
| DE | $96.37 | 1 |
| FL | $96.90–$107.46 | 3 |
| GA | $91.11–$99.63 | 2 |
| GU | $104.85 | 1 |
| HI | $104.85 | 1 |
| IA | $88.95 | 1 |
| ID | $89.64 | 1 |
| IL | $94.26–$104.10 | 4 |
| IN | $90.18 | 1 |
| KS | $88.70 | 1 |
| KY | $89.61 | 1 |
| LA | $89.54–$94.17 | 2 |
| MA | $100.58–$111.20 | 2 |
| MD | $98.21–$111.48 | 3 |
| ME | $90.34–$95.19 | 2 |
| MI | $92.23–$98.37 | 2 |
| MN | $96.20 | 1 |
| MO | $88.05–$94.29 | 3 |
| MS | $86.89 | 1 |
| MT | $97.52 | 1 |
| NC | $91.30 | 1 |
| ND | $94.75 | 1 |
| NE | $89.40 | 1 |
| NH | $99.73 | 1 |
| NJ | $105.22–$110.28 | 2 |
| NM | $92.84 | 1 |
| NV | $96.82 | 1 |
| NY | $92.75–$115.96 | 5 |
| OH | $91.67 | 1 |
| OK | $89.23 | 1 |
| OR | $95.87–$104.26 | 2 |
| PA | $91.71–$101.66 | 2 |
| PR | $98.21 | 1 |
| RI | $99.74 | 1 |
| SC | $91.68 | 1 |
| SD | $94.43 | 1 |
| TN | $89.20 | 1 |
| TX | $91.10–$100.98 | 8 |
| UT | $92.99 | 1 |
| VA | $95.00–$111.48 | 2 |
| VI | $98.21 | 1 |
| VT | $94.54 | 1 |
| WA | $100.33–$113.32 | 2 |
| WI | $91.45 | 1 |
| WV | $90.66 | 1 |
| WY | $96.31 | 1 |
Compare 29075 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $87.03 | Facility $53.12 |
| Alaska* | Office $112.36 | Facility $71.10 |
| Arizona | Office $94.76 | Facility $57.21 |
| Arkansas | Office $85.70 | Facility $52.42 |
| Atlanta | Office $99.63 | Facility $60.27 |
| Austin | Office $100.98 | Facility $59.99 |
| Bakersfield | Office $102.69 | Facility $60.22 |
| Baltimore/Surr. Cntys | Office $103.99 | Facility $62.42 |
| Beaumont | Office $91.10 | Facility $55.84 |
| Brazoria | Office $96.09 | Facility $57.70 |
| Chicago | Office $104.10 | Facility $65.16 |
| Chico | Office $102.30 | Facility $59.83 |
| Colorado | Office $101.15 | Facility $59.92 |
| Connecticut | Office $104.23 | Facility $62.51 |
| Dallas | Office $96.82 | Facility $58.23 |
| Dc + Md/Va Suburbs | Office $111.48 | Facility $65.84 |
| Delaware | Office $96.37 | Facility $58.09 |
| Detroit | Office $98.37 | Facility $60.98 |
| East St. Louis | Office $96.85 | Facility $61.20 |
| El Centro | Office $102.32 | Facility $59.85 |
| Fort Lauderdale | Office $102.19 | Facility $62.94 |
| Fort Worth | Office $96.20 | Facility $58.00 |
| Fresno | Office $102.30 | Facility $59.83 |
| Galveston | Office $96.45 | Facility $57.98 |
| Hanford-Corcoran | Office $102.30 | Facility $59.83 |
| Hawaii, Guam | Office $104.85 | Facility $60.80 |
| Houston | Office $99.01 | Facility $60.54 |
| Idaho | Office $89.64 | Facility $54.00 |
| Indiana | Office $90.18 | Facility $54.26 |
| Iowa | Office $88.95 | Facility $53.50 |
| Kansas | Office $88.70 | Facility $53.68 |
| Kentucky | Office $89.61 | Facility $55.16 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $109.39 | Facility $63.56 |
| Madera | Office $102.30 | Facility $59.83 |
| Manhattan | Office $112.86 | Facility $67.84 |
| Merced | Office $102.30 | Facility $59.83 |
| Metropolitan Boston | Office $111.20 | Facility $64.94 |
| Metropolitan Kansas City | Office $93.29 | Facility $56.91 |
| Metropolitan Philadelphia | Office $101.66 | Facility $61.33 |
| Metropolitan St. Louis | Office $94.29 | Facility $57.40 |
| Miami | Office $107.46 | Facility $67.13 |
| Minnesota | Office $96.20 | Facility $56.34 |
| Mississippi | Office $86.89 | Facility $53.53 |
| Modesto | Office $102.30 | Facility $59.83 |
| Montana** | Office $97.52 | Facility $58.78 |
| Napa | Office $118.37 | Facility $67.30 |
| Nebraska | Office $89.40 | Facility $53.64 |
| Nevada** | Office $96.82 | Facility $58.03 |
| New Hampshire | Office $99.73 | Facility $59.39 |
| New Mexico | Office $92.84 | Facility $57.31 |
| New Orleans | Office $94.17 | Facility $57.71 |
| North Carolina | Office $91.30 | Facility $55.15 |
| North Dakota** | Office $94.75 | Facility $56.01 |
| Northern Nj | Office $110.28 | Facility $65.33 |
| Nyc Suburbs/Long Island | Office $115.96 | Facility $69.89 |
| Ohio | Office $91.67 | Facility $56.29 |
| Oklahoma | Office $89.23 | Facility $54.63 |
| Oxnard-Thousand Oaks-Ventura | Office $108.81 | Facility $63.01 |
| Portland | Office $104.26 | Facility $61.21 |
| Poughkpsie/N Nyc Suburbs | Office $106.08 | Facility $63.66 |
| Puerto Rico | Office $98.21 | Facility $59.04 |
| Queens | Office $113.54 | Facility $67.74 |
| Redding | Office $102.30 | Facility $59.83 |
| Rest Of California | Office $102.30 | Facility $59.83 |
| Rest Of Florida | Office $96.90 | Facility $59.86 |
| Rest Of Georgia | Office $91.11 | Facility $56.55 |
| Rest Of Illinois | Office $94.26 | Facility $58.89 |
| Rest Of Louisiana | Office $89.54 | Facility $55.25 |
| Rest Of Maine | Office $90.34 | Facility $54.69 |
| Rest Of Maryland | Office $98.21 | Facility $59.00 |
| Rest Of Massachusetts | Office $100.58 | Facility $59.78 |
| Rest Of Michigan | Office $92.23 | Facility $56.86 |
| Rest Of Missouri | Office $88.05 | Facility $54.65 |
| Rest Of New Jersey | Office $105.22 | Facility $62.91 |
| Rest Of New York | Office $92.75 | Facility $55.94 |
| Rest Of Oregon | Office $95.87 | Facility $57.28 |
| Rest Of Pennsylvania | Office $91.71 | Facility $56.15 |
| Rest Of Texas | Office $93.62 | Facility $56.85 |
| Rest Of Washington | Office $100.33 | Facility $59.53 |
| Rhode Island | Office $99.74 | Facility $59.72 |
| Riverside-San Bernardino-Ontario | Office $103.80 | Facility $61.34 |
| Sacramento-Roseville-Folsom | Office $107.31 | Facility $62.25 |
| Salinas | Office $106.92 | Facility $62.01 |
| San Diego-Chula Vista-Carlsbad | Office $109.43 | Facility $63.09 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $125.18 | Facility $70.55 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $125.02 | Facility $70.39 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $128.09 | Facility $72.22 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $127.44 | Facility $71.57 |
| San Luis Obispo-Paso Robles | Office $105.21 | Facility $61.08 |
| Santa Cruz-Watsonville | Office $110.46 | Facility $63.39 |
| Santa Maria-Santa Barbara | Office $107.32 | Facility $62.14 |
| Santa Rosa-Petaluma | Office $111.57 | Facility $63.99 |
| Seattle (King Cnty) | Office $113.32 | Facility $65.78 |
| South Carolina | Office $91.68 | Facility $55.88 |
| South Dakota** | Office $94.43 | Facility $55.68 |
| Southern Maine | Office $95.19 | Facility $56.80 |
| Stockton | Office $102.30 | Facility $59.83 |
| Suburban Chicago | Office $103.15 | Facility $63.36 |
| Tennessee | Office $89.20 | Facility $53.98 |
| Utah | Office $92.99 | Facility $56.57 |
| Vallejo | Office $118.14 | Facility $67.07 |
| Vermont | Office $94.54 | Facility $56.18 |
| Virgin Islands | Office $98.21 | Facility $59.04 |
| Virginia | Office $95.00 | Facility $56.92 |
| Visalia | Office $102.30 | Facility $59.83 |
| West Virginia | Office $90.66 | Facility $56.99 |
| Wisconsin | Office $91.45 | Facility $54.33 |
| Wyoming** | Office $96.31 | Facility $57.57 |
| Yuba City | Office $102.30 | Facility $59.83 |
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29075 billing questions
When should 29075 be reported instead of a fracture treatment code?
Report 29075 for the short arm cast application when it is separately reportable. When the fracture treatment service includes cast application, do not separately report the cast application.
What cast extent supports 29075?
The cast extends from the forearm to the hand and stops below the elbow. A cast extending from the shoulder to the hand is a different application.
Can 29075 be reported for casts on both arms?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when bilateral reporting applies. Document the cast application on each side.
Does the 0-day global period include same-day follow-up care?
Same-day preoperative and postoperative care is included in the 0-day global period. The global period does not extend beyond the day of the procedure.
Can an assistant or co-surgeon be billed for 29075?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,27029055,,Appl cast shoulder spica,A,,1.74,5.62,,1.82,,0.37,7.73,3.93,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27129058,,Appl cast plaster velpeau,A,,1.28,2.60,,1.08,,0.26,4.14,2.62,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27229065,,Appl cst sho to hand lng arm,A,,0.85,2.22,,0.91,,0.17,3.24,1.93,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27329075,,Appl cst elbw fngr short arm,A,,0.75,2.03,,0.87,,0.14,2.92,1.76,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27429085,,Appl cast hand&lwr forearm,A,,0.85,2.19,,0.89,,0.16,3.20,1.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27529086,,Application cast finger,A,,0.60,1.82,,0.73,,0.05,2.47,1.38,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27629105,,Application long arm splint,A,,0.78,1.96,,0.18,,0.17,2.91,1.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00