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CMS RVU26D · Effective 2026-10-01

29405 in El Centro

Office / nonfacility

$91.81

Base rate per service

Facility setting

$56.67

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 29405: Short leg cast application

Reports application of a below-knee cast extending to the toes when a nonwalking short leg cast is needed and its application is separately reportable.

CPT 29405 represents applying a short leg cast that extends from below the knee to the toes and is not designed as a walking cast. Orthopedic clinicians, emergency physicians, and other qualified providers may apply one to immobilize an ankle or foot injury or condition. The code describes the cast application, not the underlying diagnosis or a separate fracture-treatment service.

Choose this code when the applied cast is a nonwalking short leg cast; use the walking-cast code when the cast is designed for ambulation. Document the indication, the cast’s extent and type, and whether it is intended for walking. Cast application may be included in a definitive fracture-treatment service, so report 29405 separately only when the applicable coding instructions support separate reporting. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 29405

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 RVU0.78 · 30%
  • Practice expense (office) RVU1.72 · 65%
  • Malpractice RVU0.13 · 5%

31.1K

Medicare services in 2024 · #959 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.

29405 compared with similar codes

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

29425

Walking cast

Short leg

$84.86

29405 is for a nonwalking short leg cast; 29425 is for a short leg cast designed for walking.

29435

PTB cast

Below knee

$145.17

29435 identifies a patellar tendon-bearing cast, rather than the standard nonwalking short leg cast represented by 29405.

29440

Cast walker

Added to prior cast

$45.92

29440 describes adding a walker to a cast already applied. Use 29405 for applying the nonwalking short leg cast itself.

29445

Total contact cast

Rigid leg cast

$136.67

29445 is for a rigid total-contact leg cast, not the standard short leg cast reported with 29405.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 29405 is $92.16—$0.35 higher than the $91.81 rate in El Centro. Both use the same code, release and participation basis.

29405 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $91.81

  2. Bakersfield

    $92.16

    $0.35 higher than El Centro

  3. Chico

    $91.79

    $0.02 lower than El Centro

  4. Fresno

    $91.79

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $91.79

    $0.02 lower than El Centro

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

    $97.97

    $6.16 higher than El Centro

  7. Madera

    $91.79

    $0.02 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, 29405 ranges from $77.64 in Arkansas to $114.09 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 · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 29405

    Office

    $105.62

    Facility

    $63.36

    $13.81 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29405

    Office

    $97.39

    Facility

    $59.49

    $5.58 higher than El Centro for the office setting.

  • Redding

    California · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29405

    Office

    $93.19

    Facility

    $58.05

    $1.38 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29405

    Office

    $96.13

    Facility

    $58.84

    $4.32 higher than El Centro for the office setting.

  • Salinas

    California · 29405

    Office

    $95.77

    Facility

    $58.61

    $3.96 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29405

    Office

    $97.90

    Facility

    $59.55

    $6.09 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29405

    Office

    $111.52

    Facility

    $66.31

    $19.71 higher than El Centro for the office setting.

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

    California · 29405

    Office

    $111.38

    Facility

    $66.17

    $19.57 higher than El Centro for the office setting.

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

    California · 29405

    Office

    $114.09

    Facility

    $67.85

    $22.28 higher than El Centro for the office setting.

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

    California · 29405

    Office

    $113.48

    Facility

    $67.25

    $21.67 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29405

    Office

    $94.26

    Facility

    $57.74

    $2.45 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 29405

    Office

    $98.73

    Facility

    $59.77

    $6.92 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 29405

    Office

    $96.10

    Facility

    $58.71

    $4.29 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 29405

    Office

    $99.71

    Facility

    $60.33

    $7.90 higher than El Centro for the office setting.

  • Stockton

    California · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 29405

    Office

    $105.41

    Facility

    $63.14

    $13.60 higher than El Centro for the office setting.

  • Visalia

    California · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 29405

    Office

    $91.79

    Facility

    $56.64

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 29405

    Office

    $99.97

    Facility

    $62.20

    $8.16 higher than El Centro for the office setting.

  • Miami

    Florida · 29405

    Office

    $96.84

    Facility

    $63.46

    $5.03 higher than El Centro for the office setting.

  • Chicago

    Illinois · 29405

    Office

    $93.94

    Facility

    $61.71

    $2.13 higher than El Centro for the office setting.

  • Manhattan

    New York · 29405

    Office

    $101.36

    Facility

    $64.10

    $9.55 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 29405

    Office

    $102.66

    Facility

    $68.51

    $10.85 higher than El Centro for the office setting.

  • Alabama

    Alabama · 29405

    Office

    $78.78

    Facility

    $50.72

    $13.03 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 29405

    Office

    $77.64

    Facility

    $50.09

    $14.17 lower than El Centro for the office setting.

  • Arizona

    Arizona · 29405

    Office

    $85.44

    Facility

    $54.37

    $6.37 lower than El Centro for the office setting.

  • Colorado

    Colorado · 29405

    Office

    $90.88

    Facility

    $56.77

    $0.93 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 29405

    Office

    $93.70

    Facility

    $59.17

    $1.89 higher than El Centro for the office setting.

  • Delaware

    Delaware · 29405

    Office

    $86.85

    Facility

    $55.17

    $4.96 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 29405

    Office

    $92.10

    Facility

    $59.62

    $0.29 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 29405

    Office

    $87.50

    Facility

    $56.85

    $4.31 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 29405

    Office

    $89.71

    Facility

    $57.14

    $2.10 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 29405

    Office

    $82.47

    Facility

    $53.87

    $9.34 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 29405

    Office

    $93.89

    Facility

    $57.43

    $2.08 higher than El Centro for the office setting.

  • Iowa

    Iowa · 29405

    Office

    $80.34

    Facility

    $51.00

    $11.47 lower than El Centro for the office setting.

  • Idaho

    Idaho · 29405

    Office

    $80.96

    Facility

    $51.46

    $10.85 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 29405

    Office

    $87.65

    Facility

    $58.15

    $4.16 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 29405

    Office

    $85.29

    Facility

    $56.02

    $6.52 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 29405

    Office

    $92.93

    Facility

    $60.00

    $1.12 higher than El Centro for the office setting.

  • Indiana

    Indiana · 29405

    Office

    $81.42

    Facility

    $51.69

    $10.39 lower than El Centro for the office setting.

  • Kansas

    Kansas · 29405

    Office

    $80.18

    Facility

    $51.19

    $11.63 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 29405

    Office

    $81.10

    Facility

    $52.59

    $10.71 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 29405

    Office

    $85.05

    Facility

    $54.87

    $6.76 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 29405

    Office

    $81.06

    Facility

    $52.68

    $10.75 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 29405

    Office

    $99.58

    Facility

    $61.29

    $7.77 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29405

    Office

    $90.42

    Facility

    $56.66

    $1.39 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29405

    Office

    $93.48

    Facility

    $59.08

    $1.67 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 29405

    Office

    $88.44

    Facility

    $55.99

    $3.37 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 29405

    Office

    $81.61

    Facility

    $52.11

    $10.20 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 29405

    Office

    $85.73

    Facility

    $53.95

    $6.08 lower than El Centro for the office setting.

  • Detroit

    Michigan · 29405

    Office

    $88.81

    Facility

    $57.87

    $3.00 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 29405

    Office

    $83.41

    Facility

    $54.13

    $8.40 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 29405

    Office

    $86.45

    Facility

    $53.46

    $5.36 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 29405

    Office

    $84.24

    Facility

    $54.13

    $7.57 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 29405

    Office

    $85.10

    Facility

    $54.57

    $6.71 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 29405

    Office

    $79.80

    Facility

    $52.16

    $12.01 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 29405

    Office

    $78.73

    Facility

    $51.12

    $13.08 lower than El Centro for the office setting.

  • Montana**

    Montana · 29405

    Office

    $87.84

    Facility

    $55.77

    $3.97 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 29405

    Office

    $82.43

    Facility

    $52.51

    $9.38 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 29405

    Office

    $85.27

    Facility

    $53.20

    $6.54 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 29405

    Office

    $80.72

    Facility

    $51.12

    $11.09 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 29405

    Office

    $89.66

    Facility

    $56.28

    $2.15 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 29405

    Office

    $98.97

    Facility

    $61.78

    $7.16 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 29405

    Office

    $94.59

    Facility

    $59.58

    $2.78 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 29405

    Office

    $83.95

    Facility

    $54.55

    $7.86 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 29405

    Office

    $87.18

    Facility

    $55.08

    $4.63 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29405

    Office

    $104.09

    Facility

    $65.97

    $12.28 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29405

    Office

    $95.39

    Facility

    $60.28

    $3.58 higher than El Centro for the office setting.

  • Queens

    New York · 29405

    Office

    $101.89

    Facility

    $63.99

    $10.08 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 29405

    Office

    $83.68

    Facility

    $53.22

    $8.13 lower than El Centro for the office setting.

  • Ohio

    Ohio · 29405

    Office

    $82.88

    Facility

    $53.61

    $8.93 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 29405

    Office

    $80.73

    Facility

    $52.10

    $11.08 lower than El Centro for the office setting.

  • Portland

    Oregon · 29405

    Office

    $93.53

    Facility

    $57.90

    $1.72 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 29405

    Office

    $86.32

    Facility

    $54.39

    $5.49 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29405

    Office

    $91.51

    Facility

    $58.13

    $0.30 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29405

    Office

    $82.89

    Facility

    $53.46

    $8.92 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 29405

    Office

    $88.41

    Facility

    $55.99

    $3.40 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 29405

    Office

    $89.77

    Facility

    $56.64

    $2.04 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 29405

    Office

    $82.83

    Facility

    $53.20

    $8.98 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 29405

    Office

    $84.96

    Facility

    $52.90

    $6.85 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 29405

    Office

    $80.61

    Facility

    $51.46

    $11.20 lower than El Centro for the office setting.

  • Austin

    Texas · 29405

    Office

    $90.73

    Facility

    $56.81

    $1.08 lower than El Centro for the office setting.

  • Beaumont

    Texas · 29405

    Office

    $82.37

    Facility

    $53.19

    $9.44 lower than El Centro for the office setting.

  • Brazoria

    Texas · 29405

    Office

    $86.58

    Facility

    $54.80

    $5.23 lower than El Centro for the office setting.

  • Dallas

    Texas · 29405

    Office

    $87.23

    Facility

    $55.30

    $4.58 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 29405

    Office

    $86.71

    Facility

    $55.10

    $5.10 lower than El Centro for the office setting.

  • Galveston

    Texas · 29405

    Office

    $86.90

    Facility

    $55.06

    $4.91 lower than El Centro for the office setting.

  • Houston

    Texas · 29405

    Office

    $89.28

    Facility

    $57.44

    $2.53 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 29405

    Office

    $84.49

    Facility

    $54.06

    $7.32 lower than El Centro for the office setting.

  • Utah

    Utah · 29405

    Office

    $83.95

    Facility

    $53.81

    $7.86 lower than El Centro for the office setting.

  • Virginia

    Virginia · 29405

    Office

    $85.59

    Facility

    $54.07

    $6.22 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29405

    Office

    $88.41

    Facility

    $55.99

    $3.40 lower than El Centro for the office setting.

  • Vermont

    Vermont · 29405

    Office

    $85.12

    Facility

    $53.38

    $6.69 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 29405

    Office

    $90.19

    Facility

    $56.43

    $1.62 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 29405

    Office

    $101.39

    Facility

    $62.05

    $9.58 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 29405

    Office

    $82.43

    Facility

    $51.71

    $9.38 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 29405

    Office

    $82.19

    Facility

    $54.33

    $9.62 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 29405

    Office

    $86.72

    Facility

    $54.65

    $5.09 lower than El Centro for the office setting.

See how rates vary across the country

29405 · 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.

$77.64

$102.94

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$102.661
AL$78.781
AR$77.641
AZ$85.441
CA$91.79–$114.0929
CO$90.881
CT$93.701
DC$99.971
DE$86.851
FL$87.50–$96.843
GA$82.47–$89.712
GU$93.891
HI$93.891
IA$80.341
ID$80.961
IL$85.29–$93.944
IN$81.421
KS$80.181
KY$81.101
LA$81.06–$85.052
MA$90.42–$99.582
MD$88.44–$99.973
ME$81.61–$85.732
MI$83.41–$88.812
MN$86.451
MO$79.80–$85.103
MS$78.731
MT$87.841
NC$82.431
ND$85.271
NE$80.721
NH$89.661
NJ$94.59–$98.972
NM$83.951
NV$87.181
NY$83.68–$104.095
OH$82.881
OK$80.731
OR$86.32–$93.532
PA$82.89–$91.512
PR$88.411
RI$89.771
SC$82.831
SD$84.961
TN$80.611
TX$82.37–$90.738
UT$83.951
VA$85.59–$99.972
VI$88.411
VT$85.121
WA$90.19–$101.392
WI$82.431
WV$82.191
WY$86.721

Explore 29405 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 29405 in El Centro, the physician’s office rate is $91.81 and the facility-setting rate is $56.67: a difference of $35.14.

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 29405 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$100.99

$91.81 × 110% = $100.99

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 29405 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

3,291

Code
29405
Physician work
0.78
Practice expense
1.72
Malpractice
0.13

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 29405 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0170.7933
Practice expense1.72× 1.0961.8851
Malpractice0.13× 0.5410.0703
Total RVUs2.7487
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$91.81

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

Open 29405 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.781.017
Practice expense1.721.096
Malpractice0.130.541

(0.78 × 1.017 + 1.72 × 1.096 + 0.13 × 0.541) × $33.4009 = $91.81

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.781.017
Practice expense0.761.096
Malpractice0.130.541

(0.78 × 1.017 + 0.76 × 1.096 + 0.13 × 0.541) × $33.4009 = $56.67

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

29405 · Office / nonfacility

$91.81

Effective 2026-10-01

The base rate is $7.67 higher than on 2025-10-01, moving from $84.14 to $91.81 (9.1%).

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

    $84.14changed to$91.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 1.57 changed to 1.72
    • 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: $84.14

    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$91.81$56.67RVU26D
2026-07-01$91.81$56.67RVU26C
2026-04-01$91.81$56.67RVU26B
2026-01-01$91.81$56.67RVU26A
2025-10-01$84.14$59.04RVU25D
2025-07-01$84.14$59.04RVU25C
2025-04-01$84.14$59.04RVU25B
2025-01-01$84.14$59.04RVU25A

29405 billing questions

How do I distinguish 29405 from 29425?

Use 29405 for a nonwalking short leg cast. Use 29425 when the short leg cast is designed as a walking cast.

Can I report 29405 with fracture treatment?

Cast application may be included in the definitive fracture-treatment service. Report 29405 separately only when the applicable coding instructions support separate reporting.

What documentation supports 29405?

Document the reason for immobilization, the cast’s below-knee-to-toes extent, and that it is nonwalking. The record should distinguish it from a walking or specialized cast.

How does Medicare handle bilateral application?

For bilateral procedures reported with modifier 50, CMS pays 150% under the rule for this code.

Can an assistant surgeon or surgical team be billed?

Assistant-at-surgery payment is subject to a statutory restriction for 29405. Co-surgeons and team surgery are not permitted.

What happens when other procedures are performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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 29405PPRRVU2026_Oct_nonQPP.csv, line 3,291 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet