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CMS RVU26D · Effective 2026-10-01

29086 in Wyoming**

Office / nonfacility

$82.07

Base rate per service

Facility setting

$45.66

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 29086: Finger cast application

Reports rigid cast application limited to a finger when an injured digit, such as one with a phalangeal fracture, needs immobilization.

Code 29086 represents a clinician applying a rigid cast to immobilize an injured finger, commonly after a phalangeal fracture when circumferential immobilization is selected instead of a splint. The service is limited to the finger; casts extending to the hand or forearm belong to broader cast-application codes. It is commonly performed in an office, emergency department, or other setting where acute hand injuries are treated.

Report the service when documentation identifies the injured digit, the clinical reason for immobilization, and the cast applied. A cast application included in definitive fracture treatment is not separately reported for the same work. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral service, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 29086

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 RVU0.60 · 24%
  • Practice expense (office) RVU1.82 · 74%
  • Malpractice RVU0.05 · 2%

485

Medicare services in 2024 · #3593 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.

29086 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

29085

Gauntlet cast

Hand and lower forearm

$105.49

Choose 29086 for a cast limited to a finger. Use 29085 when the cast covers the hand and lower forearm.

29075

Cast application

Forearm to hand

$96.31

Code 29075 describes a short-arm cast extending from the elbow to the fingers; 29086 is limited to a finger.

29130

Finger splint

Static application

$45.40

Code 29130 is for applying a static finger splint. Use 29086 when a rigid cast, rather than a splint, is applied.

The same code, a different location

How does Wyoming** compare?

29086 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $82.07

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

    $93.89

    $11.82 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $94.59

    $12.52 higher than Wyoming**

  4. Miami

    $87.55

    $5.48 higher than Wyoming**

  5. Chicago

    $85.11

    $3.04 higher than Wyoming**

  6. Manhattan

    $94.61

    $12.54 higher than Wyoming**

  7. Alaska*

    $95.72

    $13.65 higher than Wyoming**

Other payment areas listed in Wyoming 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, 29086 ranges from $73.12 in Arkansas to $110.80 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 · 29086

    Office

    $74.18

    Facility

    $42.32

    $7.89 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 29086

    Office

    $73.12

    Facility

    $41.85

    $8.95 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 29086

    Office

    $80.38

    Facility

    $45.10

    $1.69 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 29086

    Office

    $88.06

    Facility

    $48.16

    $5.99 higher than Wyoming** for the office setting.

  • Chico

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • El Centro

    California · 29086

    Office

    $87.91

    Facility

    $48.01

    $5.84 higher than Wyoming** for the office setting.

  • Fresno

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Madera

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Merced

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Modesto

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Napa

    California · 29086

    Office

    $102.27

    Facility

    $54.29

    $20.20 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29086

    Office

    $93.50

    Facility

    $50.46

    $11.43 higher than Wyoming** for the office setting.

  • Redding

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29086

    Office

    $88.45

    Facility

    $48.55

    $6.38 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29086

    Office

    $92.36

    Facility

    $50.01

    $10.29 higher than Wyoming** for the office setting.

  • Salinas

    California · 29086

    Office

    $92.01

    Facility

    $49.82

    $9.94 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29086

    Office

    $94.25

    Facility

    $50.71

    $12.18 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29086

    Office

    $108.42

    Facility

    $57.09

    $26.35 higher than Wyoming** for the office setting.

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

    California · 29086

    Office

    $108.37

    Facility

    $57.03

    $26.30 higher than Wyoming** for the office setting.

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

    California · 29086

    Office

    $110.80

    Facility

    $58.30

    $28.73 higher than Wyoming** for the office setting.

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

    California · 29086

    Office

    $110.57

    Facility

    $58.07

    $28.50 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29086

    Office

    $90.52

    Facility

    $49.05

    $8.45 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 29086

    Office

    $95.22

    Facility

    $50.98

    $13.15 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 29086

    Office

    $92.38

    Facility

    $49.93

    $10.31 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 29086

    Office

    $96.19

    Facility

    $51.48

    $14.12 higher than Wyoming** for the office setting.

  • Stockton

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Vallejo

    California · 29086

    Office

    $102.19

    Facility

    $54.21

    $20.12 higher than Wyoming** for the office setting.

  • Visalia

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Yuba City

    California · 29086

    Office

    $87.90

    Facility

    $48.00

    $5.83 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 29086

    Office

    $86.27

    Facility

    $47.53

    $4.20 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 29086

    Office

    $87.93

    Facility

    $48.72

    $5.86 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 29086

    Office

    $81.70

    Facility

    $45.73

    $0.37 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 29086

    Office

    $84.64

    Facility

    $47.76

    $2.57 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 29086

    Office

    $80.67

    Facility

    $45.86

    $1.40 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 29086

    Office

    $83.87

    Facility

    $46.88

    $1.80 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 29086

    Office

    $76.26

    Facility

    $43.78

    $5.81 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 29086

    Office

    $90.13

    Facility

    $48.73

    $8.06 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 29086

    Office

    $76.33

    Facility

    $43.01

    $5.74 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 29086

    Office

    $76.76

    Facility

    $43.26

    $5.31 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 29086

    Office

    $79.33

    Facility

    $45.84

    $2.74 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 29086

    Office

    $78.15

    Facility

    $44.91

    $3.92 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 29086

    Office

    $85.57

    Facility

    $48.18

    $3.50 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 29086

    Office

    $77.20

    Facility

    $43.45

    $4.87 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 29086

    Office

    $75.84

    Facility

    $42.92

    $6.23 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 29086

    Office

    $75.61

    Facility

    $43.24

    $6.46 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 29086

    Office

    $79.14

    Facility

    $44.88

    $2.93 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 29086

    Office

    $75.44

    Facility

    $43.22

    $6.63 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 29086

    Office

    $94.93

    Facility

    $51.46

    $12.86 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29086

    Office

    $85.70

    Facility

    $47.37

    $3.63 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29086

    Office

    $87.65

    Facility

    $48.59

    $5.58 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 29086

    Office

    $83.29

    Facility

    $46.45

    $1.22 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 29086

    Office

    $77.01

    Facility

    $43.51

    $5.06 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 29086

    Office

    $81.34

    Facility

    $45.26

    $0.73 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 29086

    Office

    $81.52

    Facility

    $46.39

    $0.55 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 29086

    Office

    $77.43

    Facility

    $44.19

    $4.64 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 29086

    Office

    $83.09

    Facility

    $45.62

    $1.02 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 29086

    Office

    $78.75

    Facility

    $44.57

    $3.32 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 29086

    Office

    $79.59

    Facility

    $44.93

    $2.48 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 29086

    Office

    $74.07

    Facility

    $42.69

    $8.00 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 29086

    Office

    $73.61

    Facility

    $42.27

    $8.46 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 29086

    Office

    $82.50

    Facility

    $46.09

    $0.43 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 29086

    Office

    $77.82

    Facility

    $43.86

    $4.25 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 29086

    Office

    $81.51

    Facility

    $45.10

    $0.56 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 29086

    Office

    $76.78

    Facility

    $43.18

    $5.29 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 29086

    Office

    $84.78

    Facility

    $46.88

    $2.71 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 29086

    Office

    $93.60

    Facility

    $51.37

    $11.53 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 29086

    Office

    $89.06

    Facility

    $49.30

    $6.99 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 29086

    Office

    $77.79

    Facility

    $44.41

    $4.28 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 29086

    Office

    $82.28

    Facility

    $45.84

    $0.21 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29086

    Office

    $96.70

    Facility

    $53.42

    $14.63 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29086

    Office

    $89.53

    Facility

    $49.66

    $7.46 higher than Wyoming** for the office setting.

  • Queens

    New York · 29086

    Office

    $95.58

    Facility

    $52.55

    $13.51 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 29086

    Office

    $78.96

    Facility

    $44.38

    $3.11 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 29086

    Office

    $77.22

    Facility

    $43.99

    $4.85 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 29086

    Office

    $75.62

    Facility

    $43.11

    $6.45 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 29086

    Office

    $89.14

    Facility

    $48.69

    $7.07 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 29086

    Office

    $81.76

    Facility

    $45.50

    $0.31 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29086

    Office

    $85.68

    Facility

    $47.78

    $3.61 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29086

    Office

    $77.42

    Facility

    $44.00

    $4.65 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 29086

    Office

    $83.14

    Facility

    $46.34

    $1.07 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 29086

    Office

    $84.71

    Facility

    $47.10

    $2.64 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 29086

    Office

    $77.63

    Facility

    $43.99

    $4.44 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 29086

    Office

    $81.39

    Facility

    $44.98

    $0.68 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 29086

    Office

    $76.20

    Facility

    $43.10

    $5.87 lower than Wyoming** for the office setting.

  • Austin

    Texas · 29086

    Office

    $85.88

    Facility

    $47.36

    $3.81 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 29086

    Office

    $76.91

    Facility

    $43.78

    $5.16 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 29086

    Office

    $81.75

    Facility

    $45.67

    $0.32 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 29086

    Office

    $82.20

    Facility

    $45.94

    $0.13 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 29086

    Office

    $81.61

    Facility

    $45.72

    $0.46 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 29086

    Office

    $81.95

    Facility

    $45.80

    $0.12 lower than Wyoming** for the office setting.

  • Houston

    Texas · 29086

    Office

    $82.86

    Facility

    $46.71

    $0.79 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 29086

    Office

    $79.24

    Facility

    $44.69

    $2.83 lower than Wyoming** for the office setting.

  • Utah

    Utah · 29086

    Office

    $78.68

    Facility

    $44.46

    $3.39 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 29086

    Office

    $80.98

    Facility

    $45.19

    $1.09 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29086

    Office

    $83.14

    Facility

    $46.34

    $1.07 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 29086

    Office

    $81.07

    Facility

    $45.02

    $1.00 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 29086

    Office

    $85.58

    Facility

    $47.25

    $3.51 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 29086

    Office

    $97.00

    Facility

    $52.32

    $14.93 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 29086

    Office

    $78.79

    Facility

    $43.91

    $3.28 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 29086

    Office

    $75.26

    Facility

    $43.62

    $6.81 lower than Wyoming** for the office setting.

See how rates vary across the country

29086 · 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.

$73.12

$99.35

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$95.721
AL$74.181
AR$73.121
AZ$80.381
CA$87.90–$110.8029
CO$86.271
CT$87.931
DC$94.591
DE$81.701
FL$80.67–$87.553
GA$76.26–$83.872
GU$90.131
HI$90.131
IA$76.331
ID$76.761
IL$78.15–$85.574
IN$77.201
KS$75.841
KY$75.611
LA$75.44–$79.142
MA$85.70–$94.932
MD$83.29–$94.593
ME$77.01–$81.342
MI$77.43–$81.522
MN$83.091
MO$74.07–$79.593
MS$73.611
MT$82.501
NC$77.821
ND$81.511
NE$76.781
NH$84.781
NJ$89.06–$93.602
NM$77.791
NV$82.281
NY$78.96–$96.705
OH$77.221
OK$75.621
OR$81.76–$89.142
PA$77.42–$85.682
PR$83.141
RI$84.711
SC$77.631
SD$81.391
TN$76.201
TX$76.91–$85.888
UT$78.681
VA$80.98–$94.592
VI$83.141
VT$81.071
WA$85.58–$97.002
WI$78.791
WV$75.261
WY$82.071

Explore 29086 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 29086 in Wyoming**, the physician’s office rate is $82.07 and the facility-setting rate is $45.66: a difference of $36.41.

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 29086 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$90.28

$82.07 × 110% = $90.28

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 29086 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

3,275

Code
29086
Physician work
0.60
Practice expense
1.82
Malpractice
0.05

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 29086 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.60× 1.0000.6000
Practice expense1.82× 1.0001.8200
Malpractice0.05× 0.7400.0370
Total RVUs2.4570
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$82.07

Open 29086 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.61
Practice expense1.821
Malpractice0.050.74

(0.6 × 1 + 1.82 × 1 + 0.05 × 0.74) × $33.4009 = $82.07

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.61
Practice expense0.731
Malpractice0.050.74

(0.6 × 1 + 0.73 × 1 + 0.05 × 0.74) × $33.4009 = $45.66

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

29086 · Office / nonfacility

$82.07

Effective 2026-10-01

The base rate is $4.54 higher than on 2025-10-01, moving from $77.53 to $82.07 (5.9%).

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

    $77.53changed to$82.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.62 changed to 0.60
    • Practice expense RVU 1.74 changed to 1.82
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $77.53

    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$82.07$45.66RVU26D
2026-07-01$82.07$45.66RVU26C
2026-04-01$82.07$45.66RVU26B
2026-01-01$82.07$45.66RVU26A
2025-10-01$77.53$48.10RVU25D
2025-07-01$77.53$48.10RVU25C
2025-04-01$77.53$48.10RVU25B
2025-01-01$77.53$48.10RVU25A

29086 billing questions

When should 29086 be used instead of a finger splint code?

Use 29086 for a rigid cast applied to a finger. A static finger splint is reported with 29130 rather than this cast-application code.

Can 29086 be billed separately with fracture treatment?

When cast application is included in the definitive fracture-treatment service, do not separately report 29086 for that same work.

What documentation supports 29086?

Document the injured finger, the reason for immobilization, and the cast applied. The record should make clear that the service was a finger cast, not a splint or a cast extending to the hand or forearm.

How is bilateral application reported?

For bilateral service, report modifier 50; CMS pays the bilateral procedure at 150%. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

Can an assistant or surgical team be reported?

An assistant at surgery is not paid for 29086. Co-surgeons and team surgery are not permitted.

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 29086PPRRVU2026_Oct_nonQPP.csv, line 3,275 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet