CPT code 29010: Risser jacket2026 Medicare rate & RVUs in Georgia
Reports application of a body-only Risser jacket, typically a trunk cast used in orthopedic care for scoliosis or other spinal conditions requiring immobilization.
Medicare pays $294.60–$324.17 for 29010 in the office in Georgia, from Rest Of Georgia to Atlanta. 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 29010 covers
Code 29010 describes applying a Risser jacket around the body without a head component. Orthopedic clinicians use this trunk cast most commonly in conservative treatment of scoliosis or other spinal conditions requiring trunk immobilization. Application may take place in an orthopedic office or hospital setting, with casting personnel assisting under the treating clinician’s direction.
Select this code when the service is specifically a body-only Risser jacket, rather than a different body cast or a Risser jacket that includes the head. Documentation should identify the spinal condition and the cast’s body-only extent. Medicare assigns 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 other procedures are subject to the standard 50% reduction. 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.
Where 29010 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $324.17 | $157.55 |
| Rest Of Georgia | $294.60 | $148.31 |
How the 29010 rate is calculated
Each of 29010’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 · 29010
RVUs × geographic indexes × conversion factor
Work2.01
2.01 RVUs× 1.000 GPCI
Practice expense7.06
7.06 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
9.5000
Conversion factor
$33.4009
Medicare rate
$317.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 29010
The CMS indicators that decide how 29010 is paid alongside other services.
CMS payment indicators · 29010
Risser jacket
| 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
29010 without 51 · national office
$317.31
Risser jacket
29010-51 · Second procedure: 50%
$158.66
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%).
29010 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 29015Risser jacket
- Choose 29010 for a body-only Risser jacket; 29015 describes the Risser jacket with a head component.
- 29035Body cast
- 29035 describes a body cast extending from the shoulders to the hips. Use 29010 when the applied cast is specifically a body-only Risser jacket.
- 29040Body cast
- 29040 is for a shoulder-to-hip body cast that includes the head. Code 29010 is for a Risser jacket limited to the body.
29010 billing questions
How does 29010 differ from 29015?
Both describe Risser jacket application, but 29010 is for the body-only jacket. Use 29015 when the jacket includes the head.
Is 29010 appropriate for a removable scoliosis brace?
No. This code describes application of a Risser jacket cast, not fitting or supplying a removable brace.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
What happens if another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant surgeon be paid for this service?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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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