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CMS RVU26D · Effective 2026-10-01

29055 in El Centro

Office / nonfacility

$271.52

Base rate per service

Facility setting

$132.42

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 29055: Shoulder spica cast application

Reports application of a shoulder spica cast to immobilize the shoulder and arm when this cast configuration is separately reportable.

A shoulder spica cast stabilizes the shoulder and arm by extending around the shoulder and torso. Orthopedic physicians and other qualified clinicians typically use this configuration when an injury or treatment plan calls for more secure shoulder immobilization than a cast limited to the arm. The clinician applies and molds the cast to hold the prescribed position; the code describes the application, not the underlying injury treatment.

Choose this code when the cast applied is specifically a shoulder spica, rather than a Velpeau cast or a long-arm cast. Document the cast type, the body areas immobilized, and the clinical reason for that configuration. When cast application is included in separately reported fracture or dislocation treatment, do not unbundle it. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this cast application. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 29055

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 RVU1.74 · 23%
  • Practice expense (office) RVU5.62 · 73%
  • Malpractice RVU0.37 · 5%

36

Medicare services in 2024 · #5548 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.

29055 compared with similar codes

Office rates for El Centro, from the same CMS release.

29058

Velpeau cast

Shoulder-to-torso immobilization

$143.36

This code identifies a shoulder spica cast. Code 29058 is for a plaster Velpeau cast; choose according to the configuration applied.

29065

Cast application

Shoulder to hand

$113.21

Code 29065 describes a long-arm cast from shoulder to hand. Use 29055 when the cast is a shoulder spica extending around the shoulder and torso.

29049

Figure-of-eight cast

Shoulder-girdle immobilization

$119.01

Code 29049 is for a figure-of-eight cast, commonly used to immobilize a clavicle injury. It is not a shoulder spica.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 29055 is $272.48—$0.96 higher than the $271.52 rate in El Centro. Both use the same code, release and participation basis.

29055 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $271.52

  2. Bakersfield

    $272.48

    $0.96 higher than El Centro

  3. Chico

    $271.46

    $0.06 lower than El Centro

  4. Fresno

    $271.46

    $0.06 lower than El Centro

  5. Hanford-Corcoran

    $271.46

    $0.06 lower than El Centro

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

    $290.77

    $19.25 higher than El Centro

  7. Madera

    $271.46

    $0.06 lower than El Centro

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, 29055 ranges from $225.73 in Arkansas to $341.82 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 · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Modesto

    California · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Napa

    California · 29055

    Office

    $315.46

    Facility

    $148.18

    $43.94 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29055

    Office

    $289.32

    Facility

    $139.30

    $17.80 higher than El Centro for the office setting.

  • Redding

    California · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Rest Of California

    California · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29055

    Office

    $275.44

    Facility

    $136.33

    $3.92 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29055

    Office

    $285.14

    Facility

    $137.53

    $13.62 higher than El Centro for the office setting.

  • Salinas

    California · 29055

    Office

    $284.10

    Facility

    $137.00

    $12.58 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29055

    Office

    $291.06

    Facility

    $139.26

    $19.54 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29055

    Office

    $333.99

    Facility

    $155.02

    $62.47 higher than El Centro for the office setting.

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

    California · 29055

    Office

    $333.57

    Facility

    $154.60

    $62.05 higher than El Centro for the office setting.

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

    California · 29055

    Office

    $341.82

    Facility

    $158.79

    $70.30 higher than El Centro for the office setting.

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

    California · 29055

    Office

    $340.10

    Facility

    $157.08

    $68.58 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29055

    Office

    $279.53

    Facility

    $134.97

    $8.01 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 29055

    Office

    $294.03

    Facility

    $139.82

    $22.51 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 29055

    Office

    $285.24

    Facility

    $137.25

    $13.72 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 29055

    Office

    $297.00

    Facility

    $141.13

    $25.48 higher than El Centro for the office setting.

  • Stockton

    California · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Vallejo

    California · 29055

    Office

    $314.86

    Facility

    $147.57

    $43.34 higher than El Centro for the office setting.

  • Visalia

    California · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Yuba City

    California · 29055

    Office

    $271.46

    Facility

    $132.36

    $0.06 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 29055

    Office

    $296.14

    Facility

    $146.62

    $24.62 higher than El Centro for the office setting.

  • Miami

    Florida · 29055

    Office

    $284.78

    Facility

    $152.65

    $13.26 higher than El Centro for the office setting.

  • Chicago

    Illinois · 29055

    Office

    $275.54

    Facility

    $147.98

    $4.02 higher than El Centro for the office setting.

  • Manhattan

    New York · 29055

    Office

    $299.56

    Facility

    $152.07

    $28.04 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 29055

    Office

    $293.90

    Facility

    $158.73

    $22.38 higher than El Centro for the office setting.

  • Alabama

    Alabama · 29055

    Office

    $229.36

    Facility

    $118.30

    $42.16 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 29055

    Office

    $225.73

    Facility

    $116.70

    $45.79 lower than El Centro for the office setting.

  • Arizona

    Arizona · 29055

    Office

    $250.59

    Facility

    $127.60

    $20.93 lower than El Centro for the office setting.

  • Colorado

    Colorado · 29055

    Office

    $268.19

    Facility

    $133.15

    $3.33 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 29055

    Office

    $276.40

    Facility

    $139.70

    $4.88 higher than El Centro for the office setting.

  • Delaware

    Delaware · 29055

    Office

    $254.98

    Facility

    $129.58

    $16.54 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 29055

    Office

    $270.61

    Facility

    $142.04

    $0.91 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 29055

    Office

    $256.15

    Facility

    $134.81

    $15.37 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 29055

    Office

    $263.85

    Facility

    $134.90

    $7.67 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 29055

    Office

    $240.29

    Facility

    $127.07

    $31.23 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 29055

    Office

    $278.70

    Facility

    $134.39

    $7.18 higher than El Centro for the office setting.

  • Iowa

    Iowa · 29055

    Office

    $234.78

    Facility

    $118.65

    $36.74 lower than El Centro for the office setting.

  • Idaho

    Idaho · 29055

    Office

    $236.66

    Facility

    $119.89

    $34.86 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 29055

    Office

    $255.70

    Facility

    $138.93

    $15.82 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 29055

    Office

    $248.82

    Facility

    $132.93

    $22.70 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 29055

    Office

    $273.20

    Facility

    $142.85

    $1.68 higher than El Centro for the office setting.

  • Indiana

    Indiana · 29055

    Office

    $238.13

    Facility

    $120.48

    $33.39 lower than El Centro for the office setting.

  • Kansas

    Kansas · 29055

    Office

    $234.04

    Facility

    $119.30

    $37.48 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 29055

    Office

    $236.30

    Facility

    $123.47

    $35.22 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 29055

    Office

    $248.79

    Facility

    $129.36

    $22.73 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 29055

    Office

    $236.08

    Facility

    $123.76

    $35.44 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 29055

    Office

    $295.63

    Facility

    $144.08

    $24.11 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29055

    Office

    $266.56

    Facility

    $132.91

    $4.96 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29055

    Office

    $275.75

    Facility

    $139.56

    $4.23 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 29055

    Office

    $260.01

    Facility

    $131.56

    $11.51 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 29055

    Office

    $238.50

    Facility

    $121.73

    $33.02 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 29055

    Office

    $251.94

    Facility

    $126.16

    $19.58 lower than El Centro for the office setting.

  • Detroit

    Michigan · 29055

    Office

    $260.10

    Facility

    $137.62

    $11.42 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 29055

    Office

    $243.45

    Facility

    $127.57

    $28.07 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 29055

    Office

    $254.93

    Facility

    $124.33

    $16.59 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 29055

    Office

    $246.45

    Facility

    $127.27

    $25.07 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 29055

    Office

    $249.20

    Facility

    $128.37

    $22.32 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 29055

    Office

    $231.96

    Facility

    $122.56

    $39.56 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 29055

    Office

    $228.87

    Facility

    $119.59

    $42.65 lower than El Centro for the office setting.

  • Montana**

    Montana · 29055

    Office

    $258.16

    Facility

    $131.24

    $13.36 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 29055

    Office

    $241.15

    Facility

    $122.73

    $30.37 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 29055

    Office

    $250.85

    Facility

    $123.92

    $20.67 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 29055

    Office

    $236.05

    Facility

    $118.90

    $35.47 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 29055

    Office

    $264.34

    Facility

    $132.21

    $7.18 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 29055

    Office

    $292.72

    Facility

    $145.49

    $21.20 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 29055

    Office

    $278.98

    Facility

    $140.38

    $7.46 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 29055

    Office

    $245.09

    Facility

    $128.70

    $26.43 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 29055

    Office

    $256.31

    Facility

    $129.26

    $15.21 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29055

    Office

    $307.98

    Facility

    $157.07

    $36.46 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29055

    Office

    $281.23

    Facility

    $142.25

    $9.71 higher than El Centro for the office setting.

  • Queens

    New York · 29055

    Office

    $301.53

    Facility

    $151.51

    $30.01 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 29055

    Office

    $245.13

    Facility

    $124.56

    $26.39 lower than El Centro for the office setting.

  • Ohio

    Ohio · 29055

    Office

    $241.96

    Facility

    $126.08

    $29.56 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 29055

    Office

    $235.35

    Facility

    $122.01

    $36.17 lower than El Centro for the office setting.

  • Portland

    Oregon · 29055

    Office

    $276.79

    Facility

    $135.78

    $5.27 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 29055

    Office

    $253.77

    Facility

    $127.35

    $17.75 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29055

    Office

    $269.32

    Facility

    $137.19

    $2.20 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29055

    Office

    $242.12

    Facility

    $125.60

    $29.40 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 29055

    Office

    $260.07

    Facility

    $131.75

    $11.45 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 29055

    Office

    $264.15

    Facility

    $133.04

    $7.37 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 29055

    Office

    $242.07

    Facility

    $124.79

    $29.45 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 29055

    Office

    $249.98

    Facility

    $123.06

    $21.54 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 29055

    Office

    $235.39

    Facility

    $120.01

    $36.13 lower than El Centro for the office setting.

  • Austin

    Texas · 29055

    Office

    $267.78

    Facility

    $133.50

    $3.74 lower than El Centro for the office setting.

  • Beaumont

    Texas · 29055

    Office

    $240.42

    Facility

    $124.92

    $31.10 lower than El Centro for the office setting.

  • Brazoria

    Texas · 29055

    Office

    $254.25

    Facility

    $128.46

    $17.27 lower than El Centro for the office setting.

  • Dallas

    Texas · 29055

    Office

    $256.21

    Facility

    $129.79

    $15.31 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 29055

    Office

    $254.49

    Facility

    $129.34

    $17.03 lower than El Centro for the office setting.

  • Galveston

    Texas · 29055

    Office

    $255.21

    Facility

    $129.18

    $16.31 lower than El Centro for the office setting.

  • Houston

    Texas · 29055

    Office

    $261.99

    Facility

    $135.95

    $9.53 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 29055

    Office

    $247.42

    Facility

    $126.97

    $24.10 lower than El Centro for the office setting.

  • Utah

    Utah · 29055

    Office

    $245.67

    Facility

    $126.36

    $25.85 lower than El Centro for the office setting.

  • Virginia

    Virginia · 29055

    Office

    $251.36

    Facility

    $126.60

    $20.16 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29055

    Office

    $260.07

    Facility

    $131.75

    $11.45 lower than El Centro for the office setting.

  • Vermont

    Vermont · 29055

    Office

    $250.21

    Facility

    $124.55

    $21.31 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 29055

    Office

    $265.94

    Facility

    $132.29

    $5.58 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 29055

    Office

    $301.44

    Facility

    $145.71

    $29.92 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 29055

    Office

    $241.75

    Facility

    $120.16

    $29.77 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 29055

    Office

    $238.92

    Facility

    $128.63

    $32.60 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 29055

    Office

    $254.98

    Facility

    $128.05

    $16.54 lower than El Centro for the office setting.

See how rates vary across the country

29055 · 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.

$225.73

$306.64

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$293.901
AL$229.361
AR$225.731
AZ$250.591
CA$271.46–$341.8229
CO$268.191
CT$276.401
DC$296.141
DE$254.981
FL$256.15–$284.783
GA$240.29–$263.852
GU$278.701
HI$278.701
IA$234.781
ID$236.661
IL$248.82–$275.544
IN$238.131
KS$234.041
KY$236.301
LA$236.08–$248.792
MA$266.56–$295.632
MD$260.01–$296.143
ME$238.50–$251.942
MI$243.45–$260.102
MN$254.931
MO$231.96–$249.203
MS$228.871
MT$258.161
NC$241.151
ND$250.851
NE$236.051
NH$264.341
NJ$278.98–$292.722
NM$245.091
NV$256.311
NY$245.13–$307.985
OH$241.961
OK$235.351
OR$253.77–$276.792
PA$242.12–$269.322
PR$260.071
RI$264.151
SC$242.071
SD$249.981
TN$235.391
TX$240.42–$267.788
UT$245.671
VA$251.36–$296.142
VI$260.071
VT$250.211
WA$265.94–$301.442
WI$241.751
WV$238.921
WY$254.981

Explore 29055 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 29055 in El Centro, the physician’s office rate is $271.52 and the facility-setting rate is $132.42: a difference of $139.10.

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 29055 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$298.67

$271.52 × 110% = $298.67

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 29055 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,270

Code
29055
Physician work
1.74
Practice expense
5.62
Malpractice
0.37

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 29055 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0171.7696
Practice expense5.62× 1.0966.1595
Malpractice0.37× 0.5410.2002
Total RVUs8.1293
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$271.52

Open 29055 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.741.017
Practice expense5.621.096
Malpractice0.370.541

(1.74 × 1.017 + 5.62 × 1.096 + 0.37 × 0.541) × $33.4009 = $271.52

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.741.017
Practice expense1.821.096
Malpractice0.370.541

(1.74 × 1.017 + 1.82 × 1.096 + 0.37 × 0.541) × $33.4009 = $132.42

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

29055 · Office / nonfacility

$271.52

Effective 2026-10-01

The base rate is $31.48 higher than on 2025-10-01, moving from $240.04 to $271.52 (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

    $240.04changed to$271.52

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.78 changed to 1.74
    • Practice expense RVU 4.94 changed to 5.62
    • Malpractice RVU 0.38 changed to 0.37
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $240.04

    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$271.52$132.42RVU26D
2026-07-01$271.52$132.42RVU26C
2026-04-01$271.52$132.42RVU26B
2026-01-01$271.52$132.42RVU26A
2025-10-01$240.04$138.57RVU25D
2025-07-01$240.04$138.57RVU25C
2025-04-01$240.04$138.57RVU25B
2025-01-01$240.04$138.57RVU25A

29055 billing questions

How does this differ from a Velpeau cast?

Report 29055 for a shoulder spica configuration. Code 29058 identifies a plaster Velpeau cast; select the code that matches the cast actually applied.

Can I report this with fracture treatment?

Do not separately report the cast application when it is included in the separately reported fracture or dislocation treatment. Report 29055 when the application is separately reportable.

Should modifier 50 be used for both shoulders?

No. CMS identifies modifier 50 as inappropriate for this cast application.

What documentation supports 29055?

Record that a shoulder spica cast was applied, the areas it immobilized, and the clinical reason for that cast configuration.

How is this handled with other procedures in the same session?

CMS pays the highest-valued procedure in full and reduces other procedures in the session under the standard multiple-procedure rule. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

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 29055PPRRVU2026_Oct_nonQPP.csv, line 3,270 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet