Billing code 29325: Hip spica castMedicare rate & RVUs in Delaware
Report this service when a hip spica cast extends over the pelvis, one full leg, and part of the opposite leg for orthopedic immobilization.
Medicare pays $309.43 for 29325 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 29325 covers
This service covers applying a hip spica cast that extends over the pelvis and trunk, one full leg, and part of the opposite leg. Orthopedic surgeons and other qualified clinicians use this extent of immobilization when treatment must control the hip and pelvis as well as the injured lower extremity. A common clinical setting is immobilization of a child's femoral fracture when a spica cast is selected.
Choose this code based on the cast's extent, rather than the diagnosis alone; a cast involving only one leg is reported with 29305. The record should identify the treated condition, the need for immobilization, and the cast's actual extent. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
29325 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $309.43 | $166.21 |
How the 29325 rate is calculated
Each of 29325’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 29325
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.26Practice expense 6.65Malpractice 0.47
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 29325
The CMS indicators that decide how 29325 is paid alongside other services.
CMS payment indicators · 29325
Hip spica cast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
29325 without 51 · national office
$313.30
Hip spica cast
29325-51 · Second procedure: 50%
$156.65
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
29325 compared with similar codes
Compare codes
29325 vs 29305 vs 29345 vs 29355: national Medicare rates
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How to choose
- 29305Hip spica cast
- Use 29305 for a one-leg hip spica. Use 29325 when the cast includes one full leg and part of the opposite leg.
- 29345Long-leg cast
- 29345 describes a long-leg cast, while 29325 describes a hip spica extending over the pelvis and lower trunk.
- 29355Walking cast
- 29355 is for a walker-style long-leg cast; 29325 is for the broader one-and-one-half hip-spica extent.
29325 billing questions
How does 29325 differ from 29305?
29325 describes a one-and-one-half spica, extending over one full leg and part of the other. Use 29305 when the spica involves one leg.
Can 29305 and 29325 be reported for the same cast application?
No. They distinguish the extent of the hip spica application; select the code matching the cast that was actually applied.
Does modifier 50 apply when both legs are involved?
No. Modifier 50 is inappropriate for 29325; the one-and-one-half spica extent is represented by this code.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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