$144.79
Both involve a long-leg cast extending from thigh to toes. Choose 29355 when the cast is configured for walking; 29345 is for the standard long-leg cast.
On this page
CMS RVU26D · Effective 2026-10-01
29355 Walking cast Medicare reimbursement rates in Arizona
Application of a long-leg walking cast extending from thigh to toes, selected when the cast is configured to permit ambulation during immobilization. Compare 29355 office and facility rates across CMS payment localities in Arizona.
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.
What does Medicare pay for 29355 in Arizona?
Arizona has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$150.34
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
Facility setting
$94.35
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic casting
About 29355: Long-leg walking cast application
Application of a long-leg walking cast extending from thigh to toes, selected when the cast is configured to permit ambulation during immobilization.
This service covers applying a long-leg cast that extends from the thigh to the toes and is configured to permit walking. Orthopedic surgeons and other clinicians who manage musculoskeletal injuries may apply it in an office or other treatment setting when an injury requires immobilization across the knee and lower leg but the patient can ambulate in the cast. Selected lower-extremity fractures are a typical reason for this form of immobilization.
Report the code when the documented cast spans the thigh to the toes and has a walking configuration; a standard long-leg cast without that feature is distinguished by code 29345. Document the treated side, cast extent, walking design, and clinical reason for immobilization. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. For bilateral application, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 29355
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.49 · 32%
- Practice expense (office) RVU2.86 · 62%
- Malpractice RVU0.28 · 6%
91
Medicare services in 2024 · #4947 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.
29355 compared with similar codes
Office rates for Arizona, from the same CMS release.
$177.71
This code is for a long-leg walking cast. Code 29358 describes application of a long-leg cast brace, a different immobilization approach.
$134.96
A cylinder cast is a different cast configuration from the long-leg walking cast reported with 29355.
$78.79
Code 29425 is for a short-leg walking cast. Use 29355 when the cast extends from the thigh to the toes.
Compare 29355 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arizona →
Office / nonfacility
$150.34
Facility
$94.35
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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 29355 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
3,288
- Code
- 29355
- Physician work
- 1.49
- Practice expense
- 2.86
- Malpractice
- 0.28
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.49 | × 1.000 | 1.4900 |
| Practice expense | 2.86 | × 0.969 | 2.7713 |
| Malpractice | 0.28 | × 0.856 | 0.2397 |
| Total RVUs | 4.5010 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arizona$150.34
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 2.86 | 0.969 |
| Malpractice | 0.28 | 0.856 |
(1.49 × 1 + 2.86 × 0.969 + 0.28 × 0.856) × $33.4009 = $150.34
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 1.13 | 0.969 |
| Malpractice | 0.28 | 0.856 |
(1.49 × 1 + 1.13 × 0.969 + 0.28 × 0.856) × $33.4009 = $94.35
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.
29355 billing questions
How does this differ from code 29345?
Use 29355 when the long-leg cast is configured for walking. Code 29345 describes a long-leg cast without that walking designation.
What documentation supports reporting 29355?
Document that the cast extends from the thigh to the toes, is configured for walking, and is needed for the treated injury. Record the side treated.
Is same-day care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How is bilateral application reported?
Report modifier 50 for bilateral application. CMS pays the bilateral procedure at 150%.
How does the multiple procedure rule affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
Can an assistant or surgical team be reported?
Assistant-at-surgery payment is statutorily restricted. 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.
3,28529305,,Appl hip spica cast 1 leg,A,,1.98,6.12,,2.14,,0.42,8.52,4.54,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28629325,,Appl hip spica cast1&1/2,A,,2.26,6.65,,2.31,,0.47,9.38,5.04,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28729345,,Application of long leg cast,A,,1.37,2.83,,1.11,,0.26,4.46,2.74,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28829355,,Appl long leg cast walker,A,,1.49,2.86,,1.13,,0.28,4.63,2.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28929358,,Appl long leg cast brace,A,,1.39,3.80,,1.19,,0.29,5.48,2.87,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29029365,,Appl cylinder cast,A,,1.15,2.78,,1.08,,0.23,4.16,2.46,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29129405,,Appl short leg cast,A,,0.78,1.72,,0.76,,0.13,2.63,1.67,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536