Billing code 29750: Cast wedgingMedicare rate & RVUs in Florida
Report clubfoot cast wedging when a clinician modifies an existing cast to adjust alignment during treatment of a clubfoot deformity.
Medicare pays $119.09–$133.48 for 29750 in the office in Florida, from Rest Of Florida to Miami. 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 29750 covers
This service modifies an existing cast used to treat clubfoot by making and adjusting a wedge in the cast to change the position of the foot. It is most often part of serial casting care for an infant or child with clubfoot and is typically performed by an orthopedic surgeon or another clinician managing the cast. The work is an adjustment to the cast, not simply applying or removing one.
Report 29750 when the cast wedging is for clubfoot; use the general cast-wedging code for other casts. Documentation should identify the clubfoot, the cast adjusted, the side treated, and the adjustment performed. The service 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 procedure is paid in full and the others are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. 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.
Where 29750 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$119.09 to $133.48
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $125.54 | $74.45 |
| Miami | $133.48 | $80.98 |
| Rest Of Florida | $119.09 | $70.88 |
How the 29750 rate is calculated
Each of 29750’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 · 29750
RVUs × geographic indexes × conversion factor
Work1.23
1.23 RVUs× 1.000 GPCI
Practice expense2.05
2.05 RVUs× 1.000 GPCI
Malpractice0.25
0.25 RVUs× 1.000 GPCI
Adjusted RVUs
3.5300
Conversion factor
$33.4009
Medicare rate
$117.91
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 29750
The CMS indicators that decide how 29750 is paid alongside other services.
CMS payment indicators · 29750
Cast wedging
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 50 · payment effect
With and without the modifier
29750 without 50 · national office
$117.91
Cast wedging
29750-50 · Bilateral: 150%
$176.87
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
29750 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 29740Cast wedging
- Use 29750 for wedging a clubfoot cast. Use 29740 for wedging another type of cast.
- 29730Cast adjustment
- 29750 changes cast alignment by wedging. 29730 creates a window in a cast for access to the area beneath it.
- 29799Unlisted px casting/strpg
- Use 29799 for an unusual casting or strapping service without a specific code; 29750 specifically describes wedging a clubfoot cast.
29750 billing questions
How is 29750 different from 29740?
29750 is for wedging a cast used to treat clubfoot. 29740 is the general cast-wedging code for casts not treated as clubfoot casts.
Does 29750 include applying a new cast?
The service is adjustment of an existing clubfoot cast. Document any separate cast application performed, rather than treating application as part of the wedge by default.
What documentation supports 29750?
Document the clubfoot diagnosis, the cast and side adjusted, and what cast modification was performed to change alignment.
How should bilateral clubfoot cast wedging be reported?
For a bilateral service, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
How does the multiple procedure rule affect payment?
When 29750 and other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
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
Fee sheets
Put 29750 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →