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CMS RVU26D · Effective 2026-10-01

29358 in Delaware

Office / nonfacility

$180.77

Base rate per service

Facility setting

$94.64

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 29358: Long-leg cast brace application

Reports application of a long-leg cast brace to stabilize the lower extremity when this brace configuration, rather than a standard cast, is used.

This service covers fitting and applying a long-leg cast brace that extends along the lower extremity from the thigh toward the toes. Orthopedic clinicians use this form of immobilization when the treatment plan calls for a cast-brace configuration; it is distinct from a conventional long-leg cast and a walker-type cast. The code describes the application, not a particular diagnosis or fracture-care service.

Select the code based on the device and extent documented. The record should identify the treated side, the long-leg cast-brace configuration, and the clinical reason for using it. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting, modifier 50 is paid at 150%. When performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 29358

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 RVU1.39 · 25%
  • Practice expense (office) RVU3.80 · 69%
  • Malpractice RVU0.29 · 5%

26

Medicare services in 2024 · #5750 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.

29358 compared with similar codes

Office rates for Delaware, from the same CMS release.

29345

Long-leg cast

Standard cast application

$147.19

29358 identifies a long-leg cast brace; 29345 is for a conventional long-leg cast. The documented device determines the choice.

29355

Walking cast

Long leg, thigh to toes

$152.80

29355 describes a walker or ambulatory-type long-leg cast. Use 29358 for a cast-brace application.

29365

Cylinder cast

Knee immobilization

$137.25

29365 is for a cylinder cast rather than a long-leg cast brace. Select according to the cast configuration actually applied.

The same code, a different location

How does Delaware compare?

29358 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $180.77

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

    $204.91

    $24.14 higher than Delaware

  3. Dc + Md/Va Suburbs

    $209.23

    $28.46 higher than Delaware

  4. Miami

    $203.05

    $22.28 higher than Delaware

  5. Chicago

    $196.54

    $15.77 higher than Delaware

  6. Manhattan

    $212.25

    $31.48 higher than Delaware

  7. Alaska*

    $210.15

    $29.38 higher than Delaware

Other payment areas listed in Delaware 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, 29358 ranges from $160.44 in Arkansas to $239.75 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

  • Alabama

    Alabama · 29358

    Office

    $162.97

    Facility

    $86.69

    $17.80 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 29358

    Office

    $160.44

    Facility

    $85.56

    $20.33 lower than Delaware for the office setting.

  • Arizona

    Arizona · 29358

    Office

    $177.71

    Facility

    $93.23

    $3.06 lower than Delaware for the office setting.

  • Bakersfield

    California · 29358

    Office

    $192.32

    Facility

    $96.77

    $11.55 higher than Delaware for the office setting.

  • Chico

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • El Centro

    California · 29358

    Office

    $191.56

    Facility

    $96.02

    $10.79 higher than Delaware for the office setting.

  • Fresno

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Madera

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Merced

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Modesto

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Napa

    California · 29358

    Office

    $221.56

    Facility

    $106.66

    $40.79 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29358

    Office

    $203.79

    Facility

    $100.74

    $23.02 higher than Delaware for the office setting.

  • Redding

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Rest Of California

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29358

    Office

    $194.63

    Facility

    $99.09

    $13.86 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29358

    Office

    $200.90

    Facility

    $99.52

    $20.13 higher than Delaware for the office setting.

  • Salinas

    California · 29358

    Office

    $200.16

    Facility

    $99.13

    $19.39 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29358

    Office

    $204.87

    Facility

    $100.61

    $24.10 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29358

    Office

    $234.25

    Facility

    $111.33

    $53.48 higher than Delaware for the office setting.

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

    California · 29358

    Office

    $233.92

    Facility

    $111.00

    $53.15 higher than Delaware for the office setting.

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

    California · 29358

    Office

    $239.75

    Facility

    $114.04

    $58.98 higher than Delaware for the office setting.

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

    California · 29358

    Office

    $238.40

    Facility

    $112.69

    $57.63 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29358

    Office

    $196.97

    Facility

    $97.68

    $16.20 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 29358

    Office

    $206.81

    Facility

    $100.89

    $26.04 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 29358

    Office

    $200.91

    Facility

    $99.26

    $20.14 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 29358

    Office

    $208.87

    Facility

    $101.82

    $28.10 higher than Delaware for the office setting.

  • Stockton

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Vallejo

    California · 29358

    Office

    $221.08

    Facility

    $106.18

    $40.31 higher than Delaware for the office setting.

  • Visalia

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Yuba City

    California · 29358

    Office

    $191.52

    Facility

    $95.97

    $10.75 higher than Delaware for the office setting.

  • Colorado

    Colorado · 29358

    Office

    $189.60

    Facility

    $96.84

    $8.83 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 29358

    Office

    $195.77

    Facility

    $101.88

    $15.00 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 29358

    Office

    $192.51

    Facility

    $104.20

    $11.74 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 29358

    Office

    $182.32

    Facility

    $98.98

    $1.55 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 29358

    Office

    $187.15

    Facility

    $98.58

    $6.38 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 29358

    Office

    $171.19

    Facility

    $93.43

    $9.58 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 29358

    Office

    $196.35

    Facility

    $97.23

    $15.58 higher than Delaware for the office setting.

  • Iowa

    Iowa · 29358

    Office

    $166.41

    Facility

    $86.64

    $14.36 lower than Delaware for the office setting.

  • Idaho

    Idaho · 29358

    Office

    $167.78

    Facility

    $87.58

    $12.99 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 29358

    Office

    $182.70

    Facility

    $102.50

    $1.93 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 29358

    Office

    $177.45

    Facility

    $97.86

    $3.32 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 29358

    Office

    $194.27

    Facility

    $104.74

    $13.50 higher than Delaware for the office setting.

  • Indiana

    Indiana · 29358

    Office

    $168.79

    Facility

    $87.98

    $11.98 lower than Delaware for the office setting.

  • Kansas

    Kansas · 29358

    Office

    $166.05

    Facility

    $87.24

    $14.72 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 29358

    Office

    $168.13

    Facility

    $90.63

    $12.64 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 29358

    Office

    $176.87

    Facility

    $94.83

    $3.90 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 29358

    Office

    $168.03

    Facility

    $90.88

    $12.74 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 29358

    Office

    $208.50

    Facility

    $104.41

    $27.73 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29358

    Office

    $188.54

    Facility

    $96.74

    $7.77 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29358

    Office

    $195.34

    Facility

    $101.80

    $14.57 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 29358

    Office

    $184.23

    Facility

    $96.01

    $3.46 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 29358

    Office

    $169.22

    Facility

    $89.02

    $11.55 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 29358

    Office

    $178.32

    Facility

    $91.93

    $2.45 lower than Delaware for the office setting.

  • Detroit

    Michigan · 29358

    Office

    $185.24

    Facility

    $101.11

    $4.47 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 29358

    Office

    $173.24

    Facility

    $93.65

    $7.53 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 29358

    Office

    $179.90

    Facility

    $90.19

    $0.87 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 29358

    Office

    $175.07

    Facility

    $93.21

    $5.70 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 29358

    Office

    $176.96

    Facility

    $93.97

    $3.81 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 29358

    Office

    $165.27

    Facility

    $90.12

    $15.50 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 29358

    Office

    $162.87

    Facility

    $87.81

    $17.90 lower than Delaware for the office setting.

  • Montana**

    Montana · 29358

    Office

    $183.02

    Facility

    $95.84

    $2.25 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 29358

    Office

    $171.04

    Facility

    $89.70

    $9.73 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 29358

    Office

    $177.28

    Facility

    $90.11

    $3.49 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 29358

    Office

    $167.24

    Facility

    $86.78

    $13.53 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 29358

    Office

    $187.03

    Facility

    $96.28

    $6.26 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 29358

    Office

    $206.93

    Facility

    $105.80

    $26.16 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 29358

    Office

    $197.51

    Facility

    $102.31

    $16.74 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 29358

    Office

    $174.45

    Facility

    $94.51

    $6.32 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 29358

    Office

    $181.55

    Facility

    $94.28

    $0.78 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29358

    Office

    $218.30

    Facility

    $114.65

    $37.53 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29358

    Office

    $199.22

    Facility

    $103.76

    $18.45 higher than Delaware for the office setting.

  • Queens

    New York · 29358

    Office

    $213.39

    Facility

    $110.35

    $32.62 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 29358

    Office

    $173.81

    Facility

    $91.00

    $6.96 lower than Delaware for the office setting.

  • Ohio

    Ohio · 29358

    Office

    $172.07

    Facility

    $92.48

    $8.70 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 29358

    Office

    $167.30

    Facility

    $89.45

    $13.47 lower than Delaware for the office setting.

  • Portland

    Oregon · 29358

    Office

    $195.39

    Facility

    $98.54

    $14.62 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 29358

    Office

    $179.65

    Facility

    $92.82

    $1.12 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29358

    Office

    $190.95

    Facility

    $100.20

    $10.18 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29358

    Office

    $172.10

    Facility

    $92.07

    $8.67 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 29358

    Office

    $184.29

    Facility

    $96.15

    $3.52 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 29358

    Office

    $187.06

    Facility

    $97.01

    $6.29 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 29358

    Office

    $171.94

    Facility

    $91.39

    $8.83 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 29358

    Office

    $176.61

    Facility

    $89.43

    $4.16 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 29358

    Office

    $167.00

    Facility

    $87.76

    $13.77 lower than Delaware for the office setting.

  • Austin

    Texas · 29358

    Office

    $189.39

    Facility

    $97.15

    $8.62 higher than Delaware for the office setting.

  • Beaumont

    Texas · 29358

    Office

    $170.93

    Facility

    $91.60

    $9.84 lower than Delaware for the office setting.

  • Brazoria

    Texas · 29358

    Office

    $180.14

    Facility

    $93.74

    $0.63 lower than Delaware for the office setting.

  • Dallas

    Texas · 29358

    Office

    $181.57

    Facility

    $94.74

    $0.80 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 29358

    Office

    $180.43

    Facility

    $94.47

    $0.34 lower than Delaware for the office setting.

  • Galveston

    Texas · 29358

    Office

    $180.85

    Facility

    $94.29

    $0.08 higher than Delaware for the office setting.

  • Houston

    Texas · 29358

    Office

    $186.16

    Facility

    $99.60

    $5.39 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 29358

    Office

    $175.62

    Facility

    $92.89

    $5.15 lower than Delaware for the office setting.

  • Utah

    Utah · 29358

    Office

    $174.43

    Facility

    $92.49

    $6.34 lower than Delaware for the office setting.

  • Virginia

    Virginia · 29358

    Office

    $178.03

    Facility

    $92.34

    $2.74 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29358

    Office

    $184.29

    Facility

    $96.15

    $3.52 higher than Delaware for the office setting.

  • Vermont

    Vermont · 29358

    Office

    $176.98

    Facility

    $90.68

    $3.79 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 29358

    Office

    $188.05

    Facility

    $96.26

    $7.28 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 29358

    Office

    $212.40

    Facility

    $105.43

    $31.63 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 29358

    Office

    $171.00

    Facility

    $87.49

    $9.77 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 29358

    Office

    $170.58

    Facility

    $94.83

    $10.19 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 29358

    Office

    $180.52

    Facility

    $93.34

    $0.25 lower than Delaware for the office setting.

See how rates vary across the country

29358 · 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.

$160.44

$215.64

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$210.151
AL$162.971
AR$160.441
AZ$177.711
CA$191.52–$239.7529
CO$189.601
CT$195.771
DC$209.231
DE$180.771
FL$182.32–$203.053
GA$171.19–$187.152
GU$196.351
HI$196.351
IA$166.411
ID$167.781
IL$177.45–$196.544
IN$168.791
KS$166.051
KY$168.131
LA$168.03–$176.872
MA$188.54–$208.502
MD$184.23–$209.233
ME$169.22–$178.322
MI$173.24–$185.242
MN$179.901
MO$165.27–$176.963
MS$162.871
MT$183.021
NC$171.041
ND$177.281
NE$167.241
NH$187.031
NJ$197.51–$206.932
NM$174.451
NV$181.551
NY$173.81–$218.305
OH$172.071
OK$167.301
OR$179.65–$195.392
PA$172.10–$190.952
PR$184.291
RI$187.061
SC$171.941
SD$176.611
TN$167.001
TX$170.93–$189.398
UT$174.431
VA$178.03–$209.232
VI$184.291
VT$176.981
WA$188.05–$212.402
WI$171.001
WV$170.581
WY$180.521

Explore 29358 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 29358 in Delaware, the physician’s office rate is $180.77 and the facility-setting rate is $94.64: a difference of $86.13.

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 29358 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$198.85

$180.77 × 110% = $198.85

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 29358 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,289

Code
29358
Physician work
1.39
Practice expense
3.80
Malpractice
0.29

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 29358 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.39× 1.0051.3969
Practice expense3.80× 0.9883.7544
Malpractice0.29× 0.8990.2607
Total RVUs5.4121
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$180.77

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

Open 29358 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.391.005
Practice expense3.80.988
Malpractice0.290.899

(1.39 × 1.005 + 3.8 × 0.988 + 0.29 × 0.899) × $33.4009 = $180.77

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.391.005
Practice expense1.190.988
Malpractice0.290.899

(1.39 × 1.005 + 1.19 × 0.988 + 0.29 × 0.899) × $33.4009 = $94.64

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

29358 · Office / nonfacility

$180.77

Effective 2026-10-01

The base rate is $18.02 higher than on 2025-10-01, moving from $162.75 to $180.77 (11.1%).

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

    $162.75changed to$180.77

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.43 changed to 1.39
    • Practice expense RVU 3.34 changed to 3.80
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $162.75

    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$180.77$94.64RVU26D
2026-07-01$180.77$94.64RVU26C
2026-04-01$180.77$94.64RVU26B
2026-01-01$180.77$94.64RVU26A
2025-10-01$162.75$101.14RVU25D
2025-07-01$162.75$101.14RVU25C
2025-04-01$162.75$101.14RVU25B
2025-01-01$162.75$101.14RVU25A

29358 billing questions

How is this different from 29345?

Use 29358 for application of a long-leg cast brace. Code 29345 describes application of a conventional long-leg cast.

How is this different from 29355?

Code 29355 is for a long-leg cast of the walker or ambulatory type. Choose 29358 when the documented device is a cast brace.

What documentation supports 29358?

Document the treated side, the long-leg cast-brace configuration, and why that form of stabilization was selected. The record should distinguish it from a standard or walker-type cast.

Can both legs be reported?

For bilateral performance, CMS lists modifier 50 and payment at 150%. Document application to both sides.

Does the code include same-day related care?

The code has a 0-day global period, which includes same-day preoperative and postoperative care. Other procedures in the same session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.

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 29358PPRRVU2026_Oct_nonQPP.csv, line 3,289 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet