Billing code 29345: Long-leg castMedicare rate & RVUs in Georgia
Reports application of a rigid long-leg cast that immobilizes the knee and lower leg, extending from the thigh to the foot.
Medicare pays $140.43–$152.36 for 29345 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 29345 covers
A long-leg cast immobilizes the knee along with the lower leg and foot, typically extending from the upper thigh to the foot. It may be used to stabilize a lower-extremity fracture or protect the leg after treatment of an injury involving the knee or lower leg. The service is performed by a clinician who applies and molds the cast; it may occur in an office, emergency department, or other treatment setting.
Report this code when the long-leg cast application is not included in a separately reported fracture-treatment service. Documentation should identify the treated side, clinical reason for immobilization, and the cast applied. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral application, modifier 50 is paid at 150%. 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 50% reduction. CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.
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 29345 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $152.36 | $93.99 |
| Rest Of Georgia | $140.43 | $89.18 |
How the 29345 rate is calculated
Each of 29345’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 · 29345
RVUs × geographic indexes × conversion factor
Work1.37
1.37 RVUs× 1.000 GPCI
Practice expense2.83
2.83 RVUs× 1.000 GPCI
Malpractice0.26
0.26 RVUs× 1.000 GPCI
Adjusted RVUs
4.4600
Conversion factor
$33.4009
Medicare rate
$148.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 29345
The CMS indicators that decide how 29345 is paid alongside other services.
CMS payment indicators · 29345
Long-leg 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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
29345 without 50 · national office
$148.97
Long-leg cast
29345-50 · Bilateral: 150%
$223.46
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).
29345 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 29355Walking cast
- Choose 29355 for a walking long-leg cast. Code 29345 represents the standard long-leg cast application.
- 29358Cast brace
- Choose 29358 when a long-leg cast brace is applied; 29345 is for a standard cast.
- 29365Cylinder cast
- Code 29365 is for a cylinder cast focused on knee immobilization. Code 29345 describes a long-leg cast extending from the thigh to the foot.
- 29405Short leg cast
- Code 29405 is for a short-leg cast that does not include the knee. Use 29345 when the cast extends above the knee.
29345 billing questions
How is this different from a walking long-leg cast?
Use 29345 for a standard long-leg cast. Code 29355 describes the walking version of the long-leg cast.
Can the cast application be reported with fracture treatment?
Do not separately report the cast application when it is included in the definitive fracture-treatment service. Report 29345 when the application is not included in another reported service.
What documentation supports 29345?
Document the reason for immobilization, the side treated, and that a long-leg cast was applied. The record should distinguish the standard cast from a walking cast, cast brace, or cylinder cast.
How is bilateral application reported?
For casts applied to both legs, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the multiple procedure reduction affect payment?
When other procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Is an assistant or co-surgeon payable?
CMS does not pay an assistant at surgery for 29345 and does not permit co-surgeon or team-surgery billing.
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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