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CMS RVU26D · Effective 2026-10-01

29044 Body cast Medicare reimbursement rates in Arkansas

Reports application of a trunk cast extending from the shoulders to the hips and over one thigh when treatment requires trunk and one-thigh immobilization. Compare 29044 office and facility rates across CMS payment localities in Arkansas.

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 29044 in Arkansas?

Arkansas 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

$291.72

1 of 1 localities have a supported rate.

Payment area: Arkansas

One mapped payment locality.

Facility setting

$142.53

1 of 1 localities have a supported rate.

Payment area: Arkansas

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.

Find 29044 in your payment locality →

Orthopedic casting

About 29044: Shoulder-to-hip body cast with one thigh

Reports application of a trunk cast extending from the shoulders to the hips and over one thigh when treatment requires trunk and one-thigh immobilization.

This service involves applying a rigid cast from shoulder level to the hips, with the cast extending over one thigh. The configuration stabilizes the trunk while also limiting movement through one hip and thigh. It may be selected for certain spinal or hip conditions when that extent of immobilization is needed. Orthopedic surgeons and other qualified clinicians may apply the cast in an office or hospital setting.

Report the service when the cast includes one thigh; document the clinical need and the cast’s actual extent. A trunk-only cast, a cast that includes the head, or one that includes both thighs has a different code in this family. The service has a 0-day global period, so same-day preoperative and postoperative care is included. 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 multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 29044

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 RVU2.07 · 21%
  • Practice expense (office) RVU7.50 · 75%
  • Malpractice RVU0.43 · 4%

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.

29044 compared with similar codes

Office rates for Arkansas, from the same CMS release.

29035

Body cast

One thigh included

$261.54

Choose 29035 for a body cast extending from the shoulders to the hips without a thigh extension. This code includes one thigh.

29040

Body cast

Shoulder to hips, including head

$296.51

Choose 29040 when the body cast includes the head. This code covers the trunk and one thigh without the head-including configuration.

29046

Body cast

Head and both thighs

$318.29

Choose 29046 when the body cast includes both thighs. This code is for a cast that includes one thigh.

Compare 29044 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

Office and facility base rates · shared scale starting at $0

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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 29044 in Arkansas.

PPRRVU2026_Oct_nonQPP.csv

3,267

Code
29044
Physician work
2.07
Practice expense
7.50
Malpractice
0.43

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office / nonfacility calculation for 29044 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.07× 1.0002.0700
Practice expense7.50× 0.8596.4425
Malpractice0.43× 0.5150.2215
Total RVUs8.7340
Conversion factor× 33.4009

Office / nonfacility rate, Arkansas$291.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.071
Practice expense7.50.859
Malpractice0.430.515

(2.07 × 1 + 7.5 × 0.859 + 0.43 × 0.515) × $33.4009 = $291.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.071
Practice expense2.30.859
Malpractice0.430.515

(2.07 × 1 + 2.3 × 0.859 + 0.43 × 0.515) × $33.4009 = $142.53

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.

29044 billing questions

How does this differ from a trunk-only body cast?

Use this code when the cast extends over one thigh as well as the trunk. A cast that stops at the hips is represented by 29035.

Which body cast codes distinguish head or thigh coverage?

Code 29040 describes a body cast that includes the head, while 29046 describes one that includes both thighs. This code is for one thigh.

Should modifier 50 be used for bilateral casting?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 is not appropriate.

How are same-day related procedures paid?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple procedure reduction.

What documentation supports reporting this service?

Document the clinical reason for immobilization and the cast’s extent, including that it covers the trunk and one thigh. The recorded configuration should distinguish it from trunk-only, head-including, and both-thigh casts.

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 29044PPRRVU2026_Oct_nonQPP.csv, line 3,267 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)