$105.61
Choose 29086 for a cast limited to a finger. Use 29085 when the cast covers the hand and lower forearm.
On this page
CMS RVU26D · Effective 2026-10-01
29086 Finger cast Medicare reimbursement rates in Delaware
Reports rigid cast application limited to a finger when an injured digit, such as one with a phalangeal fracture, needs immobilization. Compare 29086 office and facility rates across CMS payment localities in Delaware.
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 29086 in Delaware?
Delaware 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
$81.70
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$45.73
1 of 1 localities have a supported rate.
Payment area: Delaware
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 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 Delaware, from the same CMS release.
$96.37
Code 29075 describes a short-arm cast extending from the elbow to the fingers; 29086 is limited to a finger.
$45.58
Code 29130 is for applying a static finger splint. Use 29086 when a rigid cast, rather than a splint, is applied.
Compare 29086 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
Delaware →
Office / nonfacility
$81.70
Facility
$45.73
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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 29086 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,275
- Code
- 29086
- Physician work
- 0.60
- Practice expense
- 1.82
- Malpractice
- 0.05
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.60 | × 1.005 | 0.6030 |
| Practice expense | 1.82 | × 0.988 | 1.7982 |
| Malpractice | 0.05 | × 0.899 | 0.0450 |
| Total RVUs | 2.4461 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$81.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1.005 |
| Practice expense | 1.82 | 0.988 |
| Malpractice | 0.05 | 0.899 |
(0.6 × 1.005 + 1.82 × 0.988 + 0.05 × 0.899) × $33.4009 = $81.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.6 | 1.005 |
| Practice expense | 0.73 | 0.988 |
| Malpractice | 0.05 | 0.899 |
(0.6 × 1.005 + 0.73 × 0.988 + 0.05 × 0.899) × $33.4009 = $45.73
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.
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.
3,27229065,,Appl cst sho to hand lng arm,A,,0.85,2.22,,0.91,,0.17,3.24,1.93,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27329075,,Appl cst elbw fngr short arm,A,,0.75,2.03,,0.87,,0.14,2.92,1.76,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27429085,,Appl cast hand&lwr forearm,A,,0.85,2.19,,0.89,,0.16,3.20,1.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27529086,,Application cast finger,A,,0.60,1.82,,0.73,,0.05,2.47,1.38,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27629105,,Application long arm splint,A,,0.78,1.96,,0.18,,0.17,2.91,1.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27729125,,Appl short arm splint static,A,,0.49,1.79,,0.65,,0.09,2.37,1.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27829126,,Appl short arm splint dyn,A,,0.66,1.81,,0.61,,0.09,2.56,1.36,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503