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CMS RVU26D · Effective 2026-10-01

29040 in Chico

Office / nonfacility

$357.81

Base rate per service

Facility setting

$166.72

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.

Orthopedic casting

About 29040: Body cast with head immobilization

Reports application of a body cast extending from the shoulders to the hips with head immobilization, such as a Minerva-type cast for spinal stability.

This service covers applying a rigid body cast from the shoulder region to the hips with the head included for immobilization. An orthopedic surgeon or other qualified clinician may apply this type of cast when a patient needs substantial stabilization of the head, neck, and trunk, such as for selected cervical or upper spinal conditions. The work involves molding and fitting the cast to support the intended alignment and restrict movement.

Report the code when the documented cast includes the head and extends to the hips; a body cast without head inclusion or one extending onto a thigh has a different code. Record the treated condition and the cast’s anatomical extent so the distinction is clear. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.

CMS billing rules for 29040

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.16 · 21%
  • Practice expense (office) RVU7.55 · 74%
  • Malpractice RVU0.45 · 4%

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.

29040 compared with similar codes

Office rates for Chico, from the same CMS release.

29035

Body cast

One thigh included

$317.25

Use 29040 when the body cast includes the head. Code 29035 covers the shoulder-to-hip cast without head inclusion.

29044

Body cast

One thigh included

$352.57

Use 29044 when the body cast also extends onto one thigh; 29040 includes the head and ends at the hips.

29046

Body cast

Head and both thighs

$383.84

Use 29046 when the cast extends onto both thighs. Code 29040 describes head inclusion rather than extension onto the thighs.

29000

Halo-type cast

Cervical spine and trunk

$486.59

Code 29000 describes a halo-type body cast. Code 29040 describes a body cast that includes the head, without specifying a halo method.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 29040 is $359.06—$1.25 higher than the $357.81 rate in Chico. Both use the same code, release and participation basis.

29040 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $357.81

  2. Bakersfield

    $359.06

    $1.25 higher than Chico

  3. El Centro

    $357.89

    $0.08 higher than Chico

  4. Fresno

    $357.81

    The same base rate than Chico

  5. Hanford-Corcoran

    $357.81

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $383.41

    $25.60 higher than Chico

  7. Madera

    $357.81

    The same base rate than Chico

Other payment areas listed in California 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, 29040 ranges from $296.51 in Arkansas to $451.78 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

  • Merced

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Modesto

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Napa

    California · 29040

    Office

    $416.70

    Facility

    $186.90

    $58.89 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29040

    Office

    $381.60

    Facility

    $175.52

    $23.79 higher than Chico for the office setting.

  • Redding

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29040

    Office

    $362.65

    Facility

    $171.56

    $4.84 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29040

    Office

    $376.08

    Facility

    $173.31

    $18.27 higher than Chico for the office setting.

  • Salinas

    California · 29040

    Office

    $374.71

    Facility

    $172.64

    $16.90 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29040

    Office

    $384.06

    Facility

    $175.53

    $26.25 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29040

    Office

    $441.47

    Facility

    $195.63

    $83.66 higher than Chico for the office setting.

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

    California · 29040

    Office

    $440.96

    Facility

    $195.12

    $83.15 higher than Chico for the office setting.

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

    California · 29040

    Office

    $451.78

    Facility

    $200.36

    $93.97 higher than Chico for the office setting.

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

    California · 29040

    Office

    $449.69

    Facility

    $198.27

    $91.88 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29040

    Office

    $368.66

    Facility

    $170.07

    $10.85 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 29040

    Office

    $388.11

    Facility

    $176.27

    $30.30 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 29040

    Office

    $376.26

    Facility

    $172.97

    $18.45 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 29040

    Office

    $392.04

    Facility

    $177.93

    $34.23 higher than Chico for the office setting.

  • Stockton

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 29040

    Office

    $415.96

    Facility

    $186.16

    $58.15 higher than Chico for the office setting.

  • Visalia

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 29040

    Office

    $357.81

    Facility

    $166.72

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 29040

    Office

    $389.83

    Facility

    $184.45

    $32.02 higher than Chico for the office setting.

  • Miami

    Florida · 29040

    Office

    $372.67

    Facility

    $191.17

    $14.86 higher than Chico for the office setting.

  • Chicago

    Illinois · 29040

    Office

    $360.58

    Facility

    $185.36

    $2.77 higher than Chico for the office setting.

  • Manhattan

    New York · 29040

    Office

    $393.63

    Facility

    $191.03

    $35.82 higher than Chico for the office setting.

  • Alaska*

    Alaska · 29040

    Office

    $385.07

    Facility

    $199.38

    $27.26 higher than Chico for the office setting.

  • Alabama

    Alabama · 29040

    Office

    $301.31

    Facility

    $148.75

    $56.50 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 29040

    Office

    $296.51

    Facility

    $146.74

    $61.30 lower than Chico for the office setting.

  • Arizona

    Arizona · 29040

    Office

    $329.37

    Facility

    $160.42

    $28.44 lower than Chico for the office setting.

  • Colorado

    Colorado · 29040

    Office

    $353.07

    Facility

    $167.56

    $4.74 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 29040

    Office

    $363.37

    Facility

    $175.59

    $5.56 higher than Chico for the office setting.

  • Delaware

    Delaware · 29040

    Office

    $335.17

    Facility

    $162.91

    $22.64 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 29040

    Office

    $354.78

    Facility

    $178.16

    $3.03 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 29040

    Office

    $335.82

    Facility

    $169.14

    $21.99 lower than Chico for the office setting.

  • Atlanta

    Georgia · 29040

    Office

    $346.63

    Facility

    $169.48

    $11.18 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 29040

    Office

    $315.00

    Facility

    $159.48

    $42.81 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 29040

    Office

    $367.57

    Facility

    $169.33

    $9.76 higher than Chico for the office setting.

  • Iowa

    Iowa · 29040

    Office

    $308.85

    Facility

    $149.32

    $48.96 lower than Chico for the office setting.

  • Idaho

    Idaho · 29040

    Office

    $311.26

    Facility

    $150.85

    $46.55 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 29040

    Office

    $334.42

    Facility

    $174.02

    $23.39 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 29040

    Office

    $325.88

    Facility

    $166.69

    $31.93 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 29040

    Office

    $358.27

    Facility

    $179.21

    $0.46 higher than Chico for the office setting.

  • Indiana

    Indiana · 29040

    Office

    $313.22

    Facility

    $151.59

    $44.59 lower than Chico for the office setting.

  • Kansas

    Kansas · 29040

    Office

    $307.69

    Facility

    $150.07

    $50.12 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 29040

    Office

    $310.08

    Facility

    $155.08

    $47.73 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 29040

    Office

    $326.52

    Facility

    $162.45

    $31.29 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 29040

    Office

    $309.72

    Facility

    $155.42

    $48.09 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 29040

    Office

    $389.58

    Facility

    $181.40

    $31.77 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29040

    Office

    $350.82

    Facility

    $167.23

    $6.99 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29040

    Office

    $362.48

    Facility

    $175.40

    $4.67 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 29040

    Office

    $341.87

    Facility

    $165.42

    $15.94 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 29040

    Office

    $313.50

    Facility

    $153.09

    $44.31 lower than Chico for the office setting.

  • Southern Maine

    Maine · 29040

    Office

    $331.54

    Facility

    $158.75

    $26.27 lower than Chico for the office setting.

  • Detroit

    Michigan · 29040

    Office

    $340.84

    Facility

    $172.59

    $16.97 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 29040

    Office

    $319.35

    Facility

    $160.17

    $38.46 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 29040

    Office

    $336.08

    Facility

    $156.68

    $21.73 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 29040

    Office

    $323.62

    Facility

    $159.91

    $34.19 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 29040

    Office

    $327.28

    Facility

    $161.29

    $30.53 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 29040

    Office

    $304.16

    Facility

    $153.87

    $53.65 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 29040

    Office

    $300.38

    Facility

    $150.26

    $57.43 lower than Chico for the office setting.

  • Montana**

    Montana · 29040

    Office

    $339.32

    Facility

    $164.97

    $18.49 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 29040

    Office

    $317.03

    Facility

    $154.36

    $40.78 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 29040

    Office

    $330.43

    Facility

    $156.07

    $27.38 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 29040

    Office

    $310.59

    Facility

    $149.66

    $47.22 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 29040

    Office

    $347.81

    Facility

    $166.31

    $10.00 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 29040

    Office

    $385.27

    Facility

    $183.02

    $27.46 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 29040

    Office

    $366.90

    Facility

    $176.50

    $9.09 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 29040

    Office

    $321.44

    Facility

    $161.56

    $36.37 lower than Chico for the office setting.

  • Nevada**

    Nevada · 29040

    Office

    $337.10

    Facility

    $162.57

    $20.71 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29040

    Office

    $404.51

    Facility

    $197.21

    $46.70 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29040

    Office

    $369.71

    Facility

    $178.80

    $11.90 higher than Chico for the office setting.

  • Queens

    New York · 29040

    Office

    $396.51

    Facility

    $190.43

    $38.70 higher than Chico for the office setting.

  • Rest Of New York

    New York · 29040

    Office

    $322.28

    Facility

    $156.65

    $35.53 lower than Chico for the office setting.

  • Ohio

    Ohio · 29040

    Office

    $317.53

    Facility

    $158.35

    $40.28 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 29040

    Office

    $309.02

    Facility

    $153.32

    $48.79 lower than Chico for the office setting.

  • Portland

    Oregon · 29040

    Office

    $364.65

    Facility

    $170.95

    $6.84 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 29040

    Office

    $333.88

    Facility

    $160.23

    $23.93 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29040

    Office

    $353.89

    Facility

    $172.39

    $3.92 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29040

    Office

    $317.85

    Facility

    $157.79

    $39.96 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 29040

    Office

    $341.90

    Facility

    $165.63

    $15.91 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 29040

    Office

    $347.42

    Facility

    $167.32

    $10.39 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 29040

    Office

    $317.93

    Facility

    $156.83

    $39.88 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 29040

    Office

    $329.37

    Facility

    $155.02

    $28.44 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 29040

    Office

    $309.45

    Facility

    $150.96

    $48.36 lower than Chico for the office setting.

  • Austin

    Texas · 29040

    Office

    $352.41

    Facility

    $167.95

    $5.40 lower than Chico for the office setting.

  • Beaumont

    Texas · 29040

    Office

    $315.59

    Facility

    $156.93

    $42.22 lower than Chico for the office setting.

  • Brazoria

    Texas · 29040

    Office

    $334.35

    Facility

    $161.57

    $23.46 lower than Chico for the office setting.

  • Dallas

    Texas · 29040

    Office

    $336.86

    Facility

    $163.20

    $20.95 lower than Chico for the office setting.

  • Fort Worth

    Texas · 29040

    Office

    $334.53

    Facility

    $162.62

    $23.28 lower than Chico for the office setting.

  • Galveston

    Texas · 29040

    Office

    $335.58

    Facility

    $162.45

    $22.23 lower than Chico for the office setting.

  • Houston

    Texas · 29040

    Office

    $343.82

    Facility

    $170.68

    $13.99 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 29040

    Office

    $325.03

    Facility

    $159.57

    $32.78 lower than Chico for the office setting.

  • Utah

    Utah · 29040

    Office

    $322.69

    Facility

    $158.80

    $35.12 lower than Chico for the office setting.

  • Virginia

    Virginia · 29040

    Office

    $330.65

    Facility

    $159.26

    $27.16 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29040

    Office

    $341.90

    Facility

    $165.63

    $15.91 lower than Chico for the office setting.

  • Vermont

    Vermont · 29040

    Office

    $329.41

    Facility

    $156.80

    $28.40 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 29040

    Office

    $350.06

    Facility

    $166.47

    $7.75 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 29040

    Office

    $397.45

    Facility

    $183.52

    $39.64 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 29040

    Office

    $318.36

    Facility

    $151.33

    $39.45 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 29040

    Office

    $312.80

    Facility

    $161.28

    $45.01 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 29040

    Office

    $335.45

    Facility

    $161.09

    $22.36 lower than Chico for the office setting.

See how rates vary across the country

29040 · 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.

$296.51

$404.79

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$385.071
AL$301.311
AR$296.511
AZ$329.371
CA$357.81–$451.7829
CO$353.071
CT$363.371
DC$389.831
DE$335.171
FL$335.82–$372.673
GA$315.00–$346.632
GU$367.571
HI$367.571
IA$308.851
ID$311.261
IL$325.88–$360.584
IN$313.221
KS$307.691
KY$310.081
LA$309.72–$326.522
MA$350.82–$389.582
MD$341.87–$389.833
ME$313.50–$331.542
MI$319.35–$340.842
MN$336.081
MO$304.16–$327.283
MS$300.381
MT$339.321
NC$317.031
ND$330.431
NE$310.591
NH$347.811
NJ$366.90–$385.272
NM$321.441
NV$337.101
NY$322.28–$404.515
OH$317.531
OK$309.021
OR$333.88–$364.652
PA$317.85–$353.892
PR$341.901
RI$347.421
SC$317.931
SD$329.371
TN$309.451
TX$315.59–$352.418
UT$322.691
VA$330.65–$389.832
VI$341.901
VT$329.411
WA$350.06–$397.452
WI$318.361
WV$312.801
WY$335.451

Explore 29040 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 29040 in Chico, the physician’s office rate is $357.81 and the facility-setting rate is $166.72: a difference of $191.09.

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 29040 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$393.59

$357.81 × 110% = $393.59

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.

Compare your contract offer →

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 29040 in Chico.

PPRRVU2026_Oct_nonQPP.csv

3,266

Code
29040
Physician work
2.16
Practice expense
7.55
Malpractice
0.45

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 29040 in Chico
ComponentRVULocality factorAdjusted
Physician work2.16× 1.0172.1967
Practice expense7.55× 1.0968.2748
Malpractice0.45× 0.5360.2412
Total RVUs10.7127
Conversion factor× 33.4009

Office / nonfacility rate, Chico$357.81

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

Open 29040 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.161.017
Practice expense7.551.096
Malpractice0.450.536

(2.16 × 1.017 + 7.55 × 1.096 + 0.45 × 0.536) × $33.4009 = $357.81

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.161.017
Practice expense2.331.096
Malpractice0.450.536

(2.16 × 1.017 + 2.33 × 1.096 + 0.45 × 0.536) × $33.4009 = $166.72

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

29040 · Office / nonfacility

$357.81

Effective 2026-10-01

The base rate is $40.84 higher than on 2025-10-01, moving from $316.97 to $357.81 (12.9%).

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

    $316.97changed to$357.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.22 changed to 2.16
    • Practice expense RVU 6.66 changed to 7.55
    • Malpractice RVU 0.48 changed to 0.45
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $316.97

    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$357.81$166.72RVU26D
2026-07-01$357.81$166.72RVU26C
2026-04-01$357.81$166.72RVU26B
2026-01-01$357.81$166.72RVU26A
2025-10-01$316.97$174.49RVU25D
2025-07-01$316.97$174.49RVU25C
2025-04-01$316.97$174.49RVU25B
2025-01-01$316.97$174.49RVU25A

29040 billing questions

How does this differ from 29035?

This code is for a body cast that includes the head. Code 29035 describes a body cast from the shoulders to the hips without head inclusion.

When should 29044 or 29046 be considered instead?

Those codes describe body casts extending onto one thigh or both thighs, respectively. Choose based on the cast’s actual anatomical extent.

Is same-day postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction.

Can an assistant-at-surgery be reported?

Assistant-at-surgery payment is available only when medical necessity is documented.

Can modifier 50 be used for a cast applied bilaterally?

No. Bilateral adjustment does not apply because the descriptor and anatomy make modifier 50 inappropriate.

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 29040PPRRVU2026_Oct_nonQPP.csv, line 3,266 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet