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CMS RVU26D · Effective 2026-10-01

29720 in Austin

Office / nonfacility

$101.86

Base rate per service

Facility setting

$38.95

Base rate per service

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.

Cast management

About 29720: Spica cast or jacket repair

Report repair of a damaged body spica cast or jacket when the existing immobilization is restored rather than removed or revised.

This service covers restoring a damaged body spica cast or jacket so it can continue to immobilize the torso and affected body area. It may involve reinforcing or replacing a damaged section while preserving the existing cast. Orthopedic clinicians commonly provide or direct this cast care in an office or other treatment setting when a cast has cracked, softened, or otherwise lost structural integrity.

Select this code when the documented work repairs the existing spica cast or jacket, rather than removing it or changing its shape or access. The note should identify the cast, the damage, and the repair performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

CMS billing rules for 29720

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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
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 RVU0.66 · 22%
  • Practice expense (office) RVU2.14 · 73%
  • Malpractice RVU0.14 · 5%

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.

29720 compared with similar codes

Office rates for Austin, from the same CMS release.

29710

Spica cast removal

Shoulder or hip

$140.53

29710 describes removal of a shoe or hip spica cast; 29720 is for repairing a body spica cast or jacket that remains in use.

29730

Cast adjustment

Access opening

$68.97

Use 29730 when creating an opening in a cast for access. Use 29720 when restoring damaged cast material.

29740

Cast wedging

Alignment adjustment

$112.61

29740 is for changing cast alignment or shape by wedging. It is not the repair code for a damaged body spica cast or jacket.

29799

Unlisted px casting/strpg

No office rate

29799 is an unlisted casting or strapping service for work without a specific code. Use 29720 when the documented service is repair of a body spica cast or jacket.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 29720 is $91.43—$10.43 lower than the $101.86 rate in Austin. Both use the same code, release and participation basis.

29720 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $101.86

  2. Beaumont

    $91.43

    $10.43 lower than Austin

  3. Brazoria

    $96.70

    $5.16 lower than Austin

  4. Dallas

    $97.45

    $4.41 lower than Austin

  5. Fort Worth

    $96.79

    $5.07 lower than Austin

  6. Galveston

    $97.07

    $4.79 lower than Austin

  7. Houston

    $99.63

    $2.23 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 29720 ranges from $85.85 in Arkansas to $130.05 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 29720

    Office

    $94.10

    Facility

    $37.68

    $7.76 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 29720

    Office

    $110.61

    Facility

    $40.28

    $8.75 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 29720

    Office

    $112.64

    Facility

    $42.60

    $10.78 higher than Austin for the office setting.

  • Miami

    Florida · 29720

    Office

    $108.28

    Facility

    $46.39

    $6.42 higher than Austin for the office setting.

  • Chicago

    Illinois · 29720

    Office

    $104.77

    Facility

    $45.02

    $2.91 higher than Austin for the office setting.

  • Manhattan

    New York · 29720

    Office

    $113.93

    Facility

    $44.84

    $12.07 higher than Austin for the office setting.

  • Alaska*

    Alaska · 29720

    Office

    $111.77

    Facility

    $48.45

    $9.91 higher than Austin for the office setting.

  • Alabama

    Alabama · 29720

    Office

    $87.23

    Facility

    $35.21

    $14.63 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 29720

    Office

    $85.85

    Facility

    $34.78

    $16.01 lower than Austin for the office setting.

  • Arizona

    Arizona · 29720

    Office

    $95.31

    Facility

    $37.70

    $6.55 lower than Austin for the office setting.

  • Bakersfield

    California · 29720

    Office

    $103.65

    Facility

    $38.49

    $1.79 higher than Austin for the office setting.

  • Chico

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • El Centro

    California · 29720

    Office

    $103.29

    Facility

    $38.13

    $1.43 higher than Austin for the office setting.

  • Fresno

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Madera

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Merced

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Modesto

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Napa

    California · 29720

    Office

    $120.02

    Facility

    $41.66

    $18.16 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29720

    Office

    $110.06

    Facility

    $39.79

    $8.20 higher than Austin for the office setting.

  • Redding

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Rest Of California

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29720

    Office

    $104.77

    Facility

    $39.61

    $2.91 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29720

    Office

    $108.47

    Facility

    $39.33

    $6.61 higher than Austin for the office setting.

  • Salinas

    California · 29720

    Office

    $108.08

    Facility

    $39.17

    $6.22 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29720

    Office

    $110.73

    Facility

    $39.62

    $8.87 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29720

    Office

    $127.07

    Facility

    $43.24

    $25.21 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 29720

    Office

    $126.91

    Facility

    $43.08

    $25.05 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 29720

    Office

    $130.05

    Facility

    $44.31

    $28.19 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 29720

    Office

    $129.40

    Facility

    $43.66

    $27.54 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29720

    Office

    $106.34

    Facility

    $38.62

    $4.48 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 29720

    Office

    $111.86

    Facility

    $39.62

    $10.00 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 29720

    Office

    $108.51

    Facility

    $39.19

    $6.65 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 29720

    Office

    $112.99

    Facility

    $39.98

    $11.13 higher than Austin for the office setting.

  • Stockton

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Vallejo

    California · 29720

    Office

    $119.79

    Facility

    $41.43

    $17.93 higher than Austin for the office setting.

  • Visalia

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Yuba City

    California · 29720

    Office

    $103.27

    Facility

    $38.10

    $1.41 higher than Austin for the office setting.

  • Colorado

    Colorado · 29720

    Office

    $102.01

    Facility

    $38.76

    $0.15 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 29720

    Office

    $105.13

    Facility

    $41.09

    $3.27 higher than Austin for the office setting.

  • Delaware

    Delaware · 29720

    Office

    $96.98

    Facility

    $38.24

    $4.88 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 29720

    Office

    $102.91

    Facility

    $42.68

    $1.05 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 29720

    Office

    $97.41

    Facility

    $40.57

    $4.45 lower than Austin for the office setting.

  • Atlanta

    Georgia · 29720

    Office

    $100.35

    Facility

    $39.94

    $1.51 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 29720

    Office

    $91.38

    Facility

    $38.34

    $10.48 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 29720

    Office

    $106.02

    Facility

    $38.42

    $4.16 higher than Austin for the office setting.

  • Iowa

    Iowa · 29720

    Office

    $89.30

    Facility

    $34.90

    $12.56 lower than Austin for the office setting.

  • Idaho

    Idaho · 29720

    Office

    $90.02

    Facility

    $35.32

    $11.84 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 29720

    Office

    $97.22

    Facility

    $42.52

    $4.64 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 29720

    Office

    $94.61

    Facility

    $40.33

    $7.25 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 29720

    Office

    $103.89

    Facility

    $42.83

    $2.03 higher than Austin for the office setting.

  • Indiana

    Indiana · 29720

    Office

    $90.58

    Facility

    $35.46

    $11.28 lower than Austin for the office setting.

  • Kansas

    Kansas · 29720

    Office

    $89.02

    Facility

    $35.27

    $12.84 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 29720

    Office

    $89.87

    Facility

    $37.01

    $11.99 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 29720

    Office

    $94.62

    Facility

    $38.67

    $7.24 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 29720

    Office

    $89.78

    Facility

    $37.17

    $12.08 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 29720

    Office

    $112.45

    Facility

    $41.47

    $10.59 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29720

    Office

    $101.39

    Facility

    $38.79

    $0.47 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29720

    Office

    $104.88

    Facility

    $41.08

    $3.02 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 29720

    Office

    $98.89

    Facility

    $38.73

    $2.97 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 29720

    Office

    $90.71

    Facility

    $36.02

    $11.15 lower than Austin for the office setting.

  • Southern Maine

    Maine · 29720

    Office

    $95.83

    Facility

    $36.91

    $6.03 lower than Austin for the office setting.

  • Detroit

    Michigan · 29720

    Office

    $98.90

    Facility

    $41.53

    $2.96 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 29720

    Office

    $92.58

    Facility

    $38.30

    $9.28 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 29720

    Office

    $96.98

    Facility

    $35.80

    $4.88 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 29720

    Office

    $93.73

    Facility

    $37.90

    $8.13 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 29720

    Office

    $94.78

    Facility

    $38.18

    $7.08 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 29720

    Office

    $88.21

    Facility

    $36.96

    $13.65 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 29720

    Office

    $87.04

    Facility

    $35.85

    $14.82 lower than Austin for the office setting.

  • Montana**

    Montana · 29720

    Office

    $98.19

    Facility

    $38.74

    $3.67 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 29720

    Office

    $91.72

    Facility

    $36.25

    $10.14 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 29720

    Office

    $95.42

    Facility

    $35.97

    $6.44 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 29720

    Office

    $89.79

    Facility

    $34.91

    $12.07 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 29720

    Office

    $100.54

    Facility

    $38.65

    $1.32 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 29720

    Office

    $111.34

    Facility

    $42.38

    $9.48 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 29720

    Office

    $106.11

    Facility

    $41.19

    $4.25 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 29720

    Office

    $93.21

    Facility

    $38.69

    $8.65 lower than Austin for the office setting.

  • Nevada**

    Nevada · 29720

    Office

    $97.49

    Facility

    $37.98

    $4.37 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29720

    Office

    $117.13

    Facility

    $46.44

    $15.27 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29720

    Office

    $106.96

    Facility

    $41.86

    $5.10 higher than Austin for the office setting.

  • Queens

    New York · 29720

    Office

    $114.69

    Facility

    $44.41

    $12.83 higher than Austin for the office setting.

  • Rest Of New York

    New York · 29720

    Office

    $93.24

    Facility

    $36.76

    $8.62 lower than Austin for the office setting.

  • Ohio

    Ohio · 29720

    Office

    $92.02

    Facility

    $37.74

    $9.84 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 29720

    Office

    $89.51

    Facility

    $36.42

    $12.35 lower than Austin for the office setting.

  • Portland

    Oregon · 29720

    Office

    $105.29

    Facility

    $39.24

    $3.43 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 29720

    Office

    $96.52

    Facility

    $37.31

    $5.34 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29720

    Office

    $102.43

    Facility

    $40.54

    $0.57 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29720

    Office

    $92.08

    Facility

    $37.50

    $9.78 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 29720

    Office

    $98.91

    Facility

    $38.81

    $2.95 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 29720

    Office

    $100.47

    Facility

    $39.06

    $1.39 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 29720

    Office

    $92.06

    Facility

    $37.13

    $9.80 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 29720

    Office

    $95.09

    Facility

    $35.64

    $6.77 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 29720

    Office

    $89.53

    Facility

    $35.49

    $12.33 lower than Austin for the office setting.

  • Utah

    Utah · 29720

    Office

    $93.43

    Facility

    $37.55

    $8.43 lower than Austin for the office setting.

  • Virginia

    Virginia · 29720

    Office

    $95.61

    Facility

    $37.17

    $6.25 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29720

    Office

    $98.91

    Facility

    $38.81

    $2.95 lower than Austin for the office setting.

  • Vermont

    Vermont · 29720

    Office

    $95.17

    Facility

    $36.31

    $6.69 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 29720

    Office

    $101.16

    Facility

    $38.55

    $0.70 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 29720

    Office

    $114.67

    Facility

    $41.72

    $12.81 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 29720

    Office

    $91.96

    Facility

    $35.00

    $9.90 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 29720

    Office

    $90.85

    Facility

    $39.19

    $11.01 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 29720

    Office

    $96.98

    Facility

    $37.53

    $4.88 lower than Austin for the office setting.

See how rates vary across the country

29720 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$85.85

$116.66

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$111.771
AL$87.231
AR$85.851
AZ$95.311
CA$103.27–$130.0529
CO$102.011
CT$105.131
DC$112.641
DE$96.981
FL$97.41–$108.283
GA$91.38–$100.352
GU$106.021
HI$106.021
IA$89.301
ID$90.021
IL$94.61–$104.774
IN$90.581
KS$89.021
KY$89.871
LA$89.78–$94.622
MA$101.39–$112.452
MD$98.89–$112.643
ME$90.71–$95.832
MI$92.58–$98.902
MN$96.981
MO$88.21–$94.783
MS$87.041
MT$98.191
NC$91.721
ND$95.421
NE$89.791
NH$100.541
NJ$106.11–$111.342
NM$93.211
NV$97.491
NY$93.24–$117.135
OH$92.021
OK$89.511
OR$96.52–$105.292
PA$92.08–$102.432
PR$98.911
RI$100.471
SC$92.061
SD$95.091
TN$89.531
TX$91.43–$101.868
UT$93.431
VA$95.61–$112.642
VI$98.911
VT$95.171
WA$101.16–$114.672
WI$91.961
WV$90.851
WY$96.981

Explore 29720 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 29720 in Austin, the physician’s office rate is $101.86 and the facility-setting rate is $38.95: a difference of $62.91.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 29720 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$112.05

$101.86 × 110% = $112.05

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29720 in Austin.

PPRRVU2026_Oct_nonQPP.csv

3,309

Code
29720
Physician work
0.66
Practice expense
2.14
Malpractice
0.14

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 29720 in Austin
ComponentRVULocality factorAdjusted
Physician work0.66× 1.0020.6613
Practice expense2.14× 1.0582.2641
Malpractice0.14× 0.8860.1240
Total RVUs3.0495
Conversion factor× 33.4009

Office / nonfacility rate, Austin$101.86

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 29720 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.661.002
Practice expense2.141.058
Malpractice0.140.886

(0.66 × 1.002 + 2.14 × 1.058 + 0.14 × 0.886) × $33.4009 = $101.86

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.661.002
Practice expense0.361.058
Malpractice0.140.886

(0.66 × 1.002 + 0.36 × 1.058 + 0.14 × 0.886) × $33.4009 = $38.95

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

29720 · Office / nonfacility

$101.86

Effective 2026-10-01

The base rate is $11.82 higher than on 2025-10-01, moving from $90.04 to $101.86 (13.1%).

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

    $90.04changed to$101.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.68 changed to 0.66
    • Practice expense RVU 1.88 changed to 2.14
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $90.04

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$101.86$38.95RVU26D
2026-07-01$101.86$38.95RVU26C
2026-04-01$101.86$38.95RVU26B
2026-01-01$101.86$38.95RVU26A
2025-10-01$90.04$43.35RVU25D
2025-07-01$90.04$43.35RVU25C
2025-04-01$90.04$43.35RVU25B
2025-01-01$90.04$43.35RVU25A

29720 billing questions

When should 29720 be chosen over cast removal?

Use 29720 when the existing body spica cast or jacket is repaired and remains in use. If the cast is removed, select the applicable removal service instead.

Is opening a cast the same as repairing it?

No. Use the cast-windowing service when the work creates an access opening; 29720 describes repair of damage to the existing body cast or jacket.

How does repair differ from cast wedging?

Repair restores damaged cast material. Wedging changes cast alignment or shape, so report the service that matches the work documented.

Can modifier 50 be reported for repair on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What documentation supports 29720?

Document the body spica cast or jacket, the damage, and how the existing cast was restored. The record should make clear that the service was repair, not removal, windowing, or wedging.

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.

RVUs for 29720PPRRVU2026_Oct_nonQPP.csv, line 3,309 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet