This code describes a cast in a figure-of-eight configuration. Code 29200 describes shoulder strapping, not cast application.
On this page
CMS RVU26D · Effective 2026-10-01
29049 in Chico
Office / nonfacility
$118.98
Base rate per service
Facility setting
$67.73
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.
Casting and strapping
About 29049: Figure-of-eight cast application
Application of a figure-of-eight cast to immobilize the shoulder girdle, commonly for clavicle injuries when this specific cast configuration is used.
This service applies a rigid figure-of-eight cast around the shoulder girdle, commonly to immobilize a clavicle injury. The configuration holds the shoulders in position and differs from a shoulder spica or a Velpeau-style cast. An orthopedic physician or other qualified clinician may apply it in an office, emergency department, or other treatment setting when this cast design is selected.
Report the application when the figure-of-eight cast is separately performed, not as part of definitive fracture care that already includes cast application. The record should identify the treated condition, cast configuration, and application. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29049
- 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 RVU0.87 · 26%
- Practice expense (office) RVU2.35 · 69%
- Malpractice RVU0.19 · 6%
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.
29049 compared with similar codes
Office rates for Chico, from the same CMS release.
Code 23500 describes closed treatment of a clavicular fracture without manipulation. When cast application is part of definitive fracture treatment, it is included rather than separately reported with this code.
Code 23505 describes closed treatment of a clavicular fracture with manipulation. The fracture-treatment service includes its cast application; use this code only for a separately performed figure-of-eight cast application.
Code 29058 is for a Velpeau-style shoulder cast. Choose between the codes based on the cast configuration actually applied.
The same code, a different location
How does Chico compare?
In Bakersfield, the office rate for 29049 is $119.50—$0.52 higher than the $118.98 rate in Chico. Both use the same code, release and participation basis.
29049 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
$118.98
$119.50
$0.52 higher than Chico
$119.01
$0.03 higher than Chico
$118.98
The same base rate than Chico
$118.98
The same base rate than Chico
$8.34 higher than Chico
$118.98
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, 29049 ranges from $99.75 in Arkansas to $148.84 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 · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Modesto
California · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Napa
California · 29049
Office
$137.57
Facility
$75.93
$18.59 higher than Chico for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 29049
Office
$126.60
Facility
$71.33
$7.62 higher than Chico for the office setting.
Redding
California · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Rest Of California
California · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Riverside-San Bernardino-Ontario
California · 29049
Office
$121.02
Facility
$69.77
$2.04 higher than Chico for the office setting.
Sacramento-Roseville-Folsom
California · 29049
Office
$124.79
Facility
$70.41
$5.81 higher than Chico for the office setting.
Salinas
California · 29049
Office
$124.33
Facility
$70.14
$5.35 higher than Chico for the office setting.
San Diego-Chula Vista-Carlsbad
California · 29049
Office
$127.25
Facility
$71.32
$8.27 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 29049
Office
$145.41
Facility
$79.47
$26.43 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 29049
Office
$145.19
Facility
$79.26
$26.21 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 29049
Office
$148.84
Facility
$81.41
$29.86 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 29049
Office
$147.96
Facility
$80.53
$28.98 higher than Chico for the office setting.
San Luis Obispo-Paso Robles
California · 29049
Office
$122.36
Facility
$69.10
$3.38 higher than Chico for the office setting.
Santa Cruz-Watsonville
California · 29049
Office
$128.44
Facility
$71.62
$9.46 higher than Chico for the office setting.
Santa Maria-Santa Barbara
California · 29049
Office
$124.80
Facility
$70.27
$5.82 higher than Chico for the office setting.
Santa Rosa-Petaluma
California · 29049
Office
$129.72
Facility
$72.30
$10.74 higher than Chico for the office setting.
Stockton
California · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Vallejo
California · 29049
Office
$137.25
Facility
$75.62
$18.27 higher than Chico for the office setting.
Visalia
California · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Yuba City
California · 29049
Office
$118.98
Facility
$67.73
The same base rate than Chico for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 29049
Office
$130.15
Facility
$75.07
$11.17 higher than Chico for the office setting.
Miami
Florida · 29049
Office
$126.82
Facility
$78.14
$7.84 higher than Chico for the office setting.
Chicago
Illinois · 29049
Office
$122.71
Facility
$75.72
$3.73 higher than Chico for the office setting.
Manhattan
New York · 29049
Office
$132.19
Facility
$77.85
$13.21 higher than Chico for the office setting.
Alaska*
Alaska · 29049
Office
$130.68
Facility
$80.88
$11.70 higher than Chico for the office setting.
Alabama
Alabama · 29049
Office
$101.33
Facility
$60.42
$17.65 lower than Chico for the office setting.
Arkansas
Arkansas · 29049
Office
$99.75
Facility
$59.58
$19.23 lower than Chico for the office setting.
Arizona
Arizona · 29049
Office
$110.55
Facility
$65.24
$8.43 lower than Chico for the office setting.
Colorado
Colorado · 29049
Office
$117.88
Facility
$68.13
$1.10 lower than Chico for the office setting.
Connecticut
Connecticut · 29049
Office
$121.85
Facility
$71.49
$2.87 higher than Chico for the office setting.
Delaware
Delaware · 29049
Office
$112.46
Facility
$66.26
$6.52 lower than Chico for the office setting.
Fort Lauderdale
Florida · 29049
Office
$120.05
Facility
$72.68
$1.07 higher than Chico for the office setting.
Rest Of Florida
Florida · 29049
Office
$113.64
Facility
$68.93
$5.34 lower than Chico for the office setting.
Atlanta
Georgia · 29049
Office
$116.52
Facility
$69.01
$2.46 lower than Chico for the office setting.
Rest Of Georgia
Georgia · 29049
Office
$106.64
Facility
$64.93
$12.34 lower than Chico for the office setting.
Hawaii, Guam
Hawaii · 29049
Office
$121.98
Facility
$68.81
$3.00 higher than Chico for the office setting.
Iowa
Iowa · 29049
Office
$103.40
Facility
$60.61
$15.58 lower than Chico for the office setting.
Idaho
Idaho · 29049
Office
$104.27
Facility
$61.25
$14.71 lower than Chico for the office setting.
East St. Louis
Illinois · 29049
Office
$114.05
Facility
$71.03
$4.93 lower than Chico for the office setting.
Rest Of Illinois
Illinois · 29049
Office
$110.64
Facility
$67.95
$8.34 lower than Chico for the office setting.
Suburban Chicago
Illinois · 29049
Office
$121.12
Facility
$73.10
$2.14 higher than Chico for the office setting.
Indiana
Indiana · 29049
Office
$104.91
Facility
$61.56
$14.07 lower than Chico for the office setting.
Kansas
Kansas · 29049
Office
$103.21
Facility
$60.94
$15.77 lower than Chico for the office setting.
Kentucky
Kentucky · 29049
Office
$104.65
Facility
$63.07
$14.33 lower than Chico for the office setting.
New Orleans
Louisiana · 29049
Office
$110.13
Facility
$66.13
$8.85 lower than Chico for the office setting.
Rest Of Louisiana
Louisiana · 29049
Office
$104.60
Facility
$63.22
$14.38 lower than Chico for the office setting.
Metropolitan Boston
Massachusetts · 29049
Office
$129.62
Facility
$73.78
$10.64 higher than Chico for the office setting.
Rest Of Massachusetts
Massachusetts · 29049
Office
$117.23
Facility
$67.99
$1.75 lower than Chico for the office setting.
Baltimore/Surr. Cntys
Maryland · 29049
Office
$121.60
Facility
$71.42
$2.62 higher than Chico for the office setting.
Rest Of Maryland
Maryland · 29049
Office
$114.61
Facility
$67.29
$4.37 lower than Chico for the office setting.
Rest Of Maine
Maine · 29049
Office
$105.22
Facility
$62.20
$13.76 lower than Chico for the office setting.
Southern Maine
Maine · 29049
Office
$110.85
Facility
$64.51
$8.13 lower than Chico for the office setting.
Detroit
Michigan · 29049
Office
$115.50
Facility
$70.38
$3.48 lower than Chico for the office setting.
Rest Of Michigan
Michigan · 29049
Office
$107.89
Facility
$65.19
$11.09 lower than Chico for the office setting.
Minnesota
Minnesota · 29049
Office
$111.71
Facility
$63.59
$7.27 lower than Chico for the office setting.
Metropolitan Kansas City
Missouri · 29049
Office
$108.96
Facility
$65.05
$10.02 lower than Chico for the office setting.
Metropolitan St. Louis
Missouri · 29049
Office
$110.14
Facility
$65.63
$8.84 lower than Chico for the office setting.
Rest Of Missouri
Missouri · 29049
Office
$102.90
Facility
$62.59
$16.08 lower than Chico for the office setting.
Mississippi
Mississippi · 29049
Office
$101.33
Facility
$61.07
$17.65 lower than Chico for the office setting.
Montana**
Montana · 29049
Office
$113.88
Facility
$67.12
$5.10 lower than Chico for the office setting.
North Carolina
North Carolina · 29049
Office
$106.35
Facility
$62.72
$12.63 lower than Chico for the office setting.
North Dakota**
North Dakota · 29049
Office
$110.13
Facility
$63.37
$8.85 lower than Chico for the office setting.
Nebraska
Nebraska · 29049
Office
$103.91
Facility
$60.75
$15.07 lower than Chico for the office setting.
New Hampshire
New Hampshire · 29049
Office
$116.32
Facility
$67.64
$2.66 lower than Chico for the office setting.
Northern Nj
New Jersey · 29049
Office
$128.72
Facility
$74.47
$9.74 higher than Chico for the office setting.
Rest Of New Jersey
New Jersey · 29049
Office
$122.90
Facility
$71.83
$3.92 higher than Chico for the office setting.
New Mexico
New Mexico · 29049
Office
$108.66
Facility
$65.78
$10.32 lower than Chico for the office setting.
Nevada**
Nevada · 29049
Office
$112.92
Facility
$66.11
$6.06 lower than Chico for the office setting.
Nyc Suburbs/Long Island
New York · 29049
Office
$136.03
Facility
$80.43
$17.05 higher than Chico for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 29049
Office
$123.99
Facility
$72.79
$5.01 higher than Chico for the office setting.
Queens
New York · 29049
Office
$132.85
Facility
$77.58
$13.87 higher than Chico for the office setting.
Rest Of New York
New York · 29049
Office
$108.09
Facility
$63.66
$10.89 lower than Chico for the office setting.
Ohio
Ohio · 29049
Office
$107.12
Facility
$64.43
$11.86 lower than Chico for the office setting.
Oklahoma
Oklahoma · 29049
Office
$104.08
Facility
$62.33
$14.90 lower than Chico for the office setting.
Portland
Oregon · 29049
Office
$121.45
Facility
$69.50
$2.47 higher than Chico for the office setting.
Rest Of Oregon
Oregon · 29049
Office
$111.70
Facility
$65.12
$7.28 lower than Chico for the office setting.
Metropolitan Philadelphia
Pennsylvania · 29049
Office
$118.86
Facility
$70.18
$0.12 lower than Chico for the office setting.
Rest Of Pennsylvania
Pennsylvania · 29049
Office
$107.11
Facility
$64.18
$11.87 lower than Chico for the office setting.
Puerto Rico
Puerto Rico · 29049
Office
$114.67
Facility
$67.39
$4.31 lower than Chico for the office setting.
Rhode Island
Rhode Island · 29049
Office
$116.35
Facility
$68.05
$2.63 lower than Chico for the office setting.
South Carolina
South Carolina · 29049
Office
$106.98
Facility
$63.77
$12.00 lower than Chico for the office setting.
South Dakota**
South Dakota · 29049
Office
$109.68
Facility
$62.92
$9.30 lower than Chico for the office setting.
Tennessee
Tennessee · 29049
Office
$103.82
Facility
$61.31
$15.16 lower than Chico for the office setting.
Austin
Texas · 29049
Office
$117.78
Facility
$68.31
$1.20 lower than Chico for the office setting.
Beaumont
Texas · 29049
Office
$106.38
Facility
$63.83
$12.60 lower than Chico for the office setting.
Brazoria
Texas · 29049
Office
$112.03
Facility
$65.69
$6.95 lower than Chico for the office setting.
Dallas
Texas · 29049
Office
$112.94
Facility
$66.37
$6.04 lower than Chico for the office setting.
Fort Worth
Texas · 29049
Office
$112.24
Facility
$66.13
$6.74 lower than Chico for the office setting.
Galveston
Texas · 29049
Office
$112.49
Facility
$66.05
$6.49 lower than Chico for the office setting.
Houston
Texas · 29049
Office
$115.97
Facility
$69.53
$3.01 lower than Chico for the office setting.
Rest Of Texas
Texas · 29049
Office
$109.28
Facility
$64.90
$9.70 lower than Chico for the office setting.
Utah
Utah · 29049
Office
$108.54
Facility
$64.58
$10.44 lower than Chico for the office setting.
Virginia
Virginia · 29049
Office
$110.70
Facility
$64.73
$8.28 lower than Chico for the office setting.
Virgin Islands
United States Virgin Islands · 29049
Office
$114.67
Facility
$67.39
$4.31 lower than Chico for the office setting.
Vermont
Vermont · 29049
Office
$109.98
Facility
$63.68
$9.00 lower than Chico for the office setting.
Rest Of Washington
Washington · 29049
Office
$116.92
Facility
$67.68
$2.06 lower than Chico for the office setting.
Seattle (King Cnty)
Washington · 29049
Office
$132.01
Facility
$74.63
$13.03 higher than Chico for the office setting.
Wisconsin
Wisconsin · 29049
Office
$106.21
Facility
$61.41
$12.77 lower than Chico for the office setting.
West Virginia
West Virginia · 29049
Office
$106.35
Facility
$65.71
$12.63 lower than Chico for the office setting.
Wyoming**
Wyoming · 29049
Office
$112.25
Facility
$65.49
$6.73 lower than Chico for the office setting.
See how rates vary across the country
29049 · 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.
$99.75
$133.91
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 | $130.68 | 1 |
| AL | $101.33 | 1 |
| AR | $99.75 | 1 |
| AZ | $110.55 | 1 |
| CA | $118.98–$148.84 | 29 |
| CO | $117.88 | 1 |
| CT | $121.85 | 1 |
| DC | $130.15 | 1 |
| DE | $112.46 | 1 |
| FL | $113.64–$126.82 | 3 |
| GA | $106.64–$116.52 | 2 |
| GU | $121.98 | 1 |
| HI | $121.98 | 1 |
| IA | $103.40 | 1 |
| ID | $104.27 | 1 |
| IL | $110.64–$122.71 | 4 |
| IN | $104.91 | 1 |
| KS | $103.21 | 1 |
| KY | $104.65 | 1 |
| LA | $104.60–$110.13 | 2 |
| MA | $117.23–$129.62 | 2 |
| MD | $114.61–$130.15 | 3 |
| ME | $105.22–$110.85 | 2 |
| MI | $107.89–$115.50 | 2 |
| MN | $111.71 | 1 |
| MO | $102.90–$110.14 | 3 |
| MS | $101.33 | 1 |
| MT | $113.88 | 1 |
| NC | $106.35 | 1 |
| ND | $110.13 | 1 |
| NE | $103.91 | 1 |
| NH | $116.32 | 1 |
| NJ | $122.90–$128.72 | 2 |
| NM | $108.66 | 1 |
| NV | $112.92 | 1 |
| NY | $108.09–$136.03 | 5 |
| OH | $107.12 | 1 |
| OK | $104.08 | 1 |
| OR | $111.70–$121.45 | 2 |
| PA | $107.11–$118.86 | 2 |
| PR | $114.67 | 1 |
| RI | $116.35 | 1 |
| SC | $106.98 | 1 |
| SD | $109.68 | 1 |
| TN | $103.82 | 1 |
| TX | $106.38–$117.78 | 8 |
| UT | $108.54 | 1 |
| VA | $110.70–$130.15 | 2 |
| VI | $114.67 | 1 |
| VT | $109.98 | 1 |
| WA | $116.92–$132.01 | 2 |
| WI | $106.21 | 1 |
| WV | $106.35 | 1 |
| WY | $112.25 | 1 |
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.
Why are the office and facility amounts different?
For 29049 in Chico, the physician’s office rate is $118.98 and the facility-setting rate is $67.73: a difference of $51.25.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 29049 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$130.88
$118.98 × 110% = $130.88
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.
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 29049 in Chico.
PPRRVU2026_Oct_nonQPP.csv
3,269
- Code
- 29049
- Physician work
- 0.87
- Practice expense
- 2.35
- Malpractice
- 0.19
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.87 | × 1.017 | 0.8848 |
| Practice expense | 2.35 | × 1.096 | 2.5756 |
| Malpractice | 0.19 | × 0.536 | 0.1018 |
| Total RVUs | 3.5622 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Chico$118.98
Open 29049 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.87 | 1.017 |
| Practice expense | 2.35 | 1.096 |
| Malpractice | 0.19 | 0.536 |
(0.87 × 1.017 + 2.35 × 1.096 + 0.19 × 0.536) × $33.4009 = $118.98
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.87 | 1.017 |
| Practice expense | 0.95 | 1.096 |
| Malpractice | 0.19 | 0.536 |
(0.87 × 1.017 + 0.95 × 1.096 + 0.19 × 0.536) × $33.4009 = $67.73
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
29049 · Office / nonfacility
$118.98
Effective 2026-10-01
The base rate is $13.70 higher than on 2025-10-01, moving from $105.28 to $118.98 (13.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$105.28changed to$118.98
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.89 changed to 0.87
- Practice expense RVU 2.06 changed to 2.35
- Malpractice RVU 0.18 changed to 0.19
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $105.28
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
29049 billing questions
When should this code be chosen instead of shoulder strapping?
Use this code when the service is application of a figure-of-eight cast. Shoulder strapping is a different service and should not be reported as a cast application.
Can the cast application be reported separately with clavicle fracture care?
Cast application is included when it is part of definitive fracture treatment. Do not separately report this application code for the cast included in that treatment.
Should modifier 50 be appended for a bilateral clavicle injury?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
What documentation supports reporting this code?
Document the condition treated and that a figure-of-eight cast was applied. The record should distinguish this cast configuration from strapping or another shoulder cast.
What is included in the 0-day global period?
Same-day preoperative and postoperative care is included in the procedure.
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.
