Billing code 29035: Body castMedicare rate & RVUs in Guam
Reports application of a trunk body cast extending from the shoulders to the hips and incorporating one thigh for immobilization.
Medicare pays $326.22 for 29035 in the office in Guam (Hawaii, Guam). 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 29035 covers
This service covers applying a body cast from the shoulder region to the hips with one thigh incorporated into the cast. Orthopedic surgeons and other clinicians who apply casts use this type of immobilization when the prescribed cast must stabilize the trunk and extend onto a thigh, such as in selected fracture or spinal immobilization plans. The documentation should identify the clinical reason for immobilization and the cast’s anatomical extent, including the thigh involved.
Report the code for the cast application performed, not merely because a patient arrives wearing a body cast. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of 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.
29035 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $326.22 | $143.17 |
How the 29035 rate is calculated
Each of 29035’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 · 29035
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.73Practice expense 6.88Malpractice 0.37
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 29035
The CMS indicators that decide how 29035 is paid alongside other services.
CMS payment indicators · 29035
Body 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
29035 without 51 · national office
$299.94
Body cast
29035-51 · Second procedure: 50%
$149.97
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%).
29035 compared with similar codes
Compare codes
29035 vs 29040 vs 29044 vs 29046: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 29040Body cast
- Use 29040 when the body cast includes the head. This code includes one thigh but not the head.
- 29044Body cast
- Use 29044 when both the head and one thigh are incorporated into the body cast; this code includes one thigh without the head.
- 29046Body cast
- Use 29046 when both thighs are included. This code describes a body cast incorporating one thigh.
29035 billing questions
How does this differ from a body cast that does not include a thigh?
This code is for a shoulder-to-hip body cast that incorporates one thigh. Use the code matching the cast’s documented anatomical extent.
When would a code that includes the head be more appropriate?
Choose the corresponding head-inclusion code when the body cast extends to include the head. This code describes a cast extending from the shoulders to the hips with one thigh included.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What documentation supports reporting this application?
Document the indication for immobilization and the cast’s extent, including that it runs from the shoulders to the hips and incorporates one thigh.
How are same-session procedures paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to other procedures performed in the same session.
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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