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CMS RVU26D · Effective 2026-10-01

29450 in Modesto

Office / nonfacility

$150.32

Base rate per service

Facility setting

$100.17

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

About 29450: Clubfoot corrective cast application

Report this service for applying a corrective cast during treatment of clubfoot, commonly as part of serial casting by a pediatric orthopedic provider.

This service covers applying a cast to treat clubfoot, a congenital foot deformity. It is commonly performed by an orthopedic surgeon or pediatric orthopedist during serial correction, including the Ponseti approach, in which the foot is gently manipulated and recast over successive visits. The cast maintains the correction achieved during that treatment session; it is not simply a routine short-leg cast for an unrelated injury.

Document the clubfoot diagnosis, the treated side, the corrective casting performed, and whether one or both feet were treated. The 0-day global period includes same-day preoperative and postoperative care. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 29450

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 RVU2.03 · 47%
  • Practice expense (office) RVU2.12 · 49%
  • Malpractice RVU0.21 · 5%

137

Medicare services in 2024 · #4620 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.

29450 compared with similar codes

Office rates for Modesto, from the same CMS release.

29405

Short leg cast

Nonwalking cast

$91.79

Choose 29450 for corrective casting of clubfoot; 29405 is for short-leg cast application for other indications.

29425

Walking cast

Short leg

$84.85

29425 identifies short-leg walking-cast application. It is not the clubfoot corrective-casting service described by 29450.

29440

Cast walker

Added to prior cast

$45.91

29440 is for adding a walker to a cast already applied; it does not describe applying a corrective clubfoot cast.

29445

Total contact cast

Rigid leg cast

$136.63

29445 describes application of a rigid total-contact leg cast, rather than casting used for clubfoot correction.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 29450 is $150.97—$0.65 higher than the $150.32 rate in Modesto. Both use the same code, release and participation basis.

29450 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $150.32

  2. Bakersfield

    $150.97

    $0.65 higher than Modesto

  3. Chico

    $150.32

    The same base rate than Modesto

  4. El Centro

    $150.36

    $0.04 higher than Modesto

  5. Fresno

    $150.32

    The same base rate than Modesto

  6. Hanford-Corcoran

    $150.32

    The same base rate than Modesto

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

    $159.01

    $8.69 higher than Modesto

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, 29450 ranges from $132.24 in Arkansas to $181.13 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

  • Madera

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Merced

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Napa

    California · 29450

    Office

    $168.97

    Facility

    $108.66

    $18.65 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29450

    Office

    $157.77

    Facility

    $103.68

    $7.45 higher than Modesto for the office setting.

  • Redding

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29450

    Office

    $152.62

    Facility

    $102.46

    $2.30 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29450

    Office

    $156.36

    Facility

    $103.14

    $6.04 higher than Modesto for the office setting.

  • Salinas

    California · 29450

    Office

    $155.73

    Facility

    $102.70

    $5.41 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29450

    Office

    $158.33

    Facility

    $103.60

    $8.01 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29450

    Office

    $177.31

    Facility

    $112.79

    $26.99 higher than Modesto for the office setting.

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

    California · 29450

    Office

    $177.07

    Facility

    $112.55

    $26.75 higher than Modesto for the office setting.

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

    California · 29450

    Office

    $181.13

    Facility

    $115.14

    $30.81 higher than Modesto for the office setting.

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

    California · 29450

    Office

    $180.15

    Facility

    $114.17

    $29.83 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29450

    Office

    $153.37

    Facility

    $101.25

    $3.05 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 29450

    Office

    $159.02

    Facility

    $103.42

    $8.70 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 29450

    Office

    $156.03

    Facility

    $102.67

    $5.71 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 29450

    Office

    $160.55

    Facility

    $104.36

    $10.23 higher than Modesto for the office setting.

  • Stockton

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 29450

    Office

    $168.62

    Facility

    $108.31

    $18.30 higher than Modesto for the office setting.

  • Visalia

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 29450

    Office

    $150.32

    Facility

    $100.17

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 29450

    Office

    $162.69

    Facility

    $108.78

    $12.37 higher than Modesto for the office setting.

  • Miami

    Florida · 29450

    Office

    $159.26

    Facility

    $111.62

    $8.94 higher than Modesto for the office setting.

  • Chicago

    Illinois · 29450

    Office

    $155.54

    Facility

    $109.55

    $5.22 higher than Modesto for the office setting.

  • Manhattan

    New York · 29450

    Office

    $165.55

    Facility

    $112.38

    $15.23 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 29450

    Office

    $180.98

    Facility

    $132.25

    $30.66 higher than Modesto for the office setting.

  • Alabama

    Alabama · 29450

    Office

    $133.73

    Facility

    $93.69

    $16.59 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 29450

    Office

    $132.24

    Facility

    $92.93

    $18.08 lower than Modesto for the office setting.

  • Arizona

    Arizona · 29450

    Office

    $142.42

    Facility

    $98.08

    $7.90 lower than Modesto for the office setting.

  • Colorado

    Colorado · 29450

    Office

    $149.44

    Facility

    $100.75

    $0.88 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 29450

    Office

    $153.91

    Facility

    $104.63

    $3.59 higher than Modesto for the office setting.

  • Delaware

    Delaware · 29450

    Office

    $144.41

    Facility

    $99.20

    $5.91 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 29450

    Office

    $152.22

    Facility

    $105.86

    $1.90 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 29450

    Office

    $146.04

    Facility

    $102.29

    $4.28 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 29450

    Office

    $148.37

    Facility

    $101.88

    $1.95 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 29450

    Office

    $139.33

    Facility

    $98.51

    $10.99 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 29450

    Office

    $152.38

    Facility

    $100.35

    $2.06 higher than Modesto for the office setting.

  • Iowa

    Iowa · 29450

    Office

    $135.38

    Facility

    $93.51

    $14.94 lower than Modesto for the office setting.

  • Idaho

    Idaho · 29450

    Office

    $136.27

    Facility

    $94.17

    $14.05 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 29450

    Office

    $147.08

    Facility

    $104.98

    $3.24 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 29450

    Office

    $143.42

    Facility

    $101.64

    $6.90 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 29450

    Office

    $153.43

    Facility

    $106.43

    $3.11 higher than Modesto for the office setting.

  • Indiana

    Indiana · 29450

    Office

    $136.85

    Facility

    $94.43

    $13.47 lower than Modesto for the office setting.

  • Kansas

    Kansas · 29450

    Office

    $135.35

    Facility

    $93.98

    $14.97 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 29450

    Office

    $137.17

    Facility

    $96.49

    $13.15 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 29450

    Office

    $142.40

    Facility

    $99.34

    $7.92 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 29450

    Office

    $137.19

    Facility

    $96.69

    $13.13 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 29450

    Office

    $161.37

    Facility

    $106.74

    $11.05 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29450

    Office

    $149.04

    Facility

    $100.86

    $1.28 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29450

    Office

    $153.54

    Facility

    $104.44

    $3.22 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 29450

    Office

    $146.58

    Facility

    $100.27

    $3.74 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 29450

    Office

    $137.31

    Facility

    $95.21

    $13.01 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 29450

    Office

    $142.40

    Facility

    $97.05

    $7.92 lower than Modesto for the office setting.

  • Detroit

    Michigan · 29450

    Office

    $147.96

    Facility

    $103.80

    $2.36 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 29450

    Office

    $140.37

    Facility

    $98.59

    $9.95 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 29450

    Office

    $142.74

    Facility

    $95.66

    $7.58 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 29450

    Office

    $141.15

    Facility

    $98.18

    $9.17 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 29450

    Office

    $142.24

    Facility

    $98.68

    $8.08 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 29450

    Office

    $135.67

    Facility

    $96.23

    $14.65 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 29450

    Office

    $133.95

    Facility

    $94.56

    $16.37 lower than Modesto for the office setting.

  • Montana**

    Montana · 29450

    Office

    $145.61

    Facility

    $99.85

    $4.71 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 29450

    Office

    $138.35

    Facility

    $95.66

    $11.97 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 29450

    Office

    $141.46

    Facility

    $95.70

    $8.86 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 29450

    Office

    $135.81

    Facility

    $93.58

    $14.51 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 29450

    Office

    $147.65

    Facility

    $100.02

    $2.67 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 29450

    Office

    $161.71

    Facility

    $108.63

    $11.39 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 29450

    Office

    $155.53

    Facility

    $105.57

    $5.21 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 29450

    Office

    $141.16

    Facility

    $99.20

    $9.16 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 29450

    Office

    $144.53

    Facility

    $98.72

    $5.79 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29450

    Office

    $169.36

    Facility

    $114.95

    $19.04 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29450

    Office

    $156.88

    Facility

    $106.77

    $6.56 higher than Modesto for the office setting.

  • Queens

    New York · 29450

    Office

    $165.96

    Facility

    $111.87

    $15.64 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 29450

    Office

    $140.00

    Facility

    $96.53

    $10.32 lower than Modesto for the office setting.

  • Ohio

    Ohio · 29450

    Office

    $139.52

    Facility

    $97.75

    $10.80 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 29450

    Office

    $136.49

    Facility

    $95.62

    $13.83 lower than Modesto for the office setting.

  • Portland

    Oregon · 29450

    Office

    $152.78

    Facility

    $101.94

    $2.46 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 29450

    Office

    $143.26

    Facility

    $97.69

    $7.06 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29450

    Office

    $151.11

    Facility

    $103.47

    $0.79 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29450

    Office

    $139.44

    Facility

    $97.43

    $10.88 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 29450

    Office

    $146.30

    Facility

    $100.04

    $4.02 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 29450

    Office

    $148.50

    Facility

    $101.23

    $1.82 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 29450

    Office

    $139.19

    Facility

    $96.91

    $11.13 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 29450

    Office

    $140.97

    Facility

    $95.21

    $9.35 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 29450

    Office

    $135.94

    Facility

    $94.34

    $14.38 lower than Modesto for the office setting.

  • Austin

    Texas · 29450

    Office

    $149.07

    Facility

    $100.66

    $1.25 lower than Modesto for the office setting.

  • Beaumont

    Texas · 29450

    Office

    $138.76

    Facility

    $97.12

    $11.56 lower than Modesto for the office setting.

  • Brazoria

    Texas · 29450

    Office

    $143.99

    Facility

    $98.64

    $6.33 lower than Modesto for the office setting.

  • Dallas

    Texas · 29450

    Office

    $144.96

    Facility

    $99.38

    $5.36 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 29450

    Office

    $144.34

    Facility

    $99.22

    $5.98 lower than Modesto for the office setting.

  • Galveston

    Texas · 29450

    Office

    $144.47

    Facility

    $99.03

    $5.85 lower than Modesto for the office setting.

  • Houston

    Texas · 29450

    Office

    $148.31

    Facility

    $102.87

    $2.01 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 29450

    Office

    $141.34

    Facility

    $97.91

    $8.98 lower than Modesto for the office setting.

  • Utah

    Utah · 29450

    Office

    $140.66

    Facility

    $97.65

    $9.66 lower than Modesto for the office setting.

  • Virginia

    Virginia · 29450

    Office

    $142.36

    Facility

    $97.38

    $7.96 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29450

    Office

    $146.30

    Facility

    $100.04

    $4.02 lower than Modesto for the office setting.

  • Vermont

    Vermont · 29450

    Office

    $141.45

    Facility

    $96.15

    $8.87 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 29450

    Office

    $148.59

    Facility

    $100.40

    $1.73 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 29450

    Office

    $163.81

    Facility

    $107.66

    $13.49 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 29450

    Office

    $137.80

    Facility

    $93.96

    $12.52 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 29450

    Office

    $139.37

    Facility

    $99.61

    $10.95 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 29450

    Office

    $143.80

    Facility

    $98.05

    $6.52 lower than Modesto for the office setting.

See how rates vary across the country

29450 · 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.

$132.24

$180.98

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$180.981
AL$133.731
AR$132.241
AZ$142.421
CA$150.32–$181.1329
CO$149.441
CT$153.911
DC$162.691
DE$144.411
FL$146.04–$159.263
GA$139.33–$148.372
GU$152.381
HI$152.381
IA$135.381
ID$136.271
IL$143.42–$155.544
IN$136.851
KS$135.351
KY$137.171
LA$137.19–$142.402
MA$149.04–$161.372
MD$146.58–$162.693
ME$137.31–$142.402
MI$140.37–$147.962
MN$142.741
MO$135.67–$142.243
MS$133.951
MT$145.611
NC$138.351
ND$141.461
NE$135.811
NH$147.651
NJ$155.53–$161.712
NM$141.161
NV$144.531
NY$140.00–$169.365
OH$139.521
OK$136.491
OR$143.26–$152.782
PA$139.44–$151.112
PR$146.301
RI$148.501
SC$139.191
SD$140.971
TN$135.941
TX$138.76–$149.078
UT$140.661
VA$142.36–$162.692
VI$146.301
VT$141.451
WA$148.59–$163.812
WI$137.801
WV$139.371
WY$143.801

Explore 29450 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 29450 in Modesto, the physician’s office rate is $150.32 and the facility-setting rate is $100.17: a difference of $50.15.

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 29450 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$165.35

$150.32 × 110% = $165.35

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 29450 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

3,296

Code
29450
Physician work
2.03
Practice expense
2.12
Malpractice
0.21

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 29450 in Modesto
ComponentRVULocality factorAdjusted
Physician work2.03× 1.0172.0645
Practice expense2.12× 1.0962.3235
Malpractice0.21× 0.5360.1126
Total RVUs4.5006
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$150.32

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

Open 29450 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.031.017
Practice expense2.121.096
Malpractice0.210.536

(2.03 × 1.017 + 2.12 × 1.096 + 0.21 × 0.536) × $33.4009 = $150.32

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.031.017
Practice expense0.751.096
Malpractice0.210.536

(2.03 × 1.017 + 0.75 × 1.096 + 0.21 × 0.536) × $33.4009 = $100.17

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

29450 · Office / nonfacility

$150.32

Effective 2026-10-01

The base rate is $3.34 higher than on 2025-10-01, moving from $146.98 to $150.32 (2.3%).

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

    $146.98changed to$150.32

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.08 changed to 2.03
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $146.98

    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$150.32$100.17RVU26D
2026-07-01$150.32$100.17RVU26C
2026-04-01$150.32$100.17RVU26B
2026-01-01$150.32$100.17RVU26A
2025-10-01$146.98$109.86RVU25D
2025-07-01$146.98$109.86RVU25C
2025-04-01$146.98$109.86RVU25B
2025-01-01$146.98$109.86RVU25A

29450 billing questions

When should 29450 be chosen instead of 29405?

Use 29450 for corrective casting of clubfoot. Code 29405 describes application of a short-leg cast for other indications, rather than serial clubfoot correction.

How is bilateral clubfoot casting reported?

Report modifier 50 when both feet are treated bilaterally. CMS pays the bilateral procedure at 150%.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care. Document the corrective casting service and treated side or sides.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 29450. Co-surgeons and team surgery are not permitted.

How does the multiple-procedure reduction affect 29450?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies a 50% reduction to the others.

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 29450PPRRVU2026_Oct_nonQPP.csv, line 3,296 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet