$104.85
Choose 29075 for a short-arm cast extending from the elbow to the fingers. Choose 29065 when the cast reaches from the shoulder region to the hand.
On this page
CMS RVU26D · Effective 2026-10-01
29065 Cast application Medicare reimbursement rates in Hawaii
Reports application of a long-arm cast extending from the shoulder region to the hand to immobilize the elbow and forearm. Compare 29065 office and facility rates across CMS payment localities in Hawaii.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 29065 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$115.99
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$66.24
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cast application
About 29065: Long arm cast application
Reports application of a long-arm cast extending from the shoulder region to the hand to immobilize the elbow and forearm.
This service applies a rigid long-arm cast extending from the upper arm or shoulder region to the hand to immobilize the elbow and forearm. Orthopedic clinicians and emergency or urgent-care physicians commonly use it for injuries requiring control of elbow motion, such as selected elbow or forearm fractures, when a cast rather than a removable support is chosen. The code represents cast application, not fracture evaluation, reduction, or ongoing fracture management.
Select 29065 by the documented cast extent, not simply the diagnosis: the cast must reach from shoulder to hand. Record the indication, laterality, and extent. When fracture treatment is reported, the initial cast application is part of that treatment and should not be separately reported as 29065. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral application, modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 29065
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.85 · 26%
- Practice expense (office) RVU2.22 · 69%
- Malpractice RVU0.17 · 5%
5.6K
Medicare services in 2024 · #1802 by national volume
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.
29065 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$114.65
29085 describes a gauntlet cast covering the hand and lower forearm. It does not describe the shoulder-to-hand extent of 29065.
$103.77
Both describe long-arm immobilization, but 29105 is for a splint and 29065 is for a cast.
Compare 29065 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$115.99
Facility
$66.24
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29065 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
3,272
- Code
- 29065
- Physician work
- 0.85
- Practice expense
- 2.22
- Malpractice
- 0.17
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.85 | × 1.000 | 0.8500 |
| Practice expense | 2.22 | × 1.137 | 2.5241 |
| Malpractice | 0.17 | × 0.579 | 0.0984 |
| Total RVUs | 3.4726 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$115.99
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.85 | 1 |
| Practice expense | 2.22 | 1.137 |
| Malpractice | 0.17 | 0.579 |
(0.85 × 1 + 2.22 × 1.137 + 0.17 × 0.579) × $33.4009 = $115.99
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.85 | 1 |
| Practice expense | 0.91 | 1.137 |
| Malpractice | 0.17 | 0.579 |
(0.85 × 1 + 0.91 × 1.137 + 0.17 × 0.579) × $33.4009 = $66.24
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
29065 billing questions
How does 29065 differ from 29075?
29065 describes a long-arm cast extending from the shoulder region to the hand. 29075 is for a short-arm cast extending from the elbow to the fingers.
Can 29065 be reported separately with fracture treatment?
No. When fracture treatment is reported, the initial cast application is part of that treatment and should not be separately reported as 29065.
What documentation supports 29065?
Document the clinical indication, laterality, and cast extent. The record should support that the cast extends from the shoulder region to the hand.
How is bilateral long-arm cast application reported?
For bilateral application, use modifier 50; CMS pays the bilateral procedure at 150%.
What happens when 29065 is performed with another procedure in the same session?
Under the standard multiple-procedure reduction, 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,26929049,,Appl cast figure-of-eight,A,,0.87,2.35,,0.95,,0.19,3.41,2.01,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27029055,,Appl cast shoulder spica,A,,1.74,5.62,,1.82,,0.37,7.73,3.93,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27129058,,Appl cast plaster velpeau,A,,1.28,2.60,,1.08,,0.26,4.14,2.62,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27229065,,Appl cst sho to hand lng arm,A,,0.85,2.22,,0.91,,0.17,3.24,1.93,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27329075,,Appl cst elbw fngr short arm,A,,0.75,2.03,,0.87,,0.14,2.92,1.76,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27429085,,Appl cast hand&lwr forearm,A,,0.85,2.19,,0.89,,0.16,3.20,1.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27529086,,Application cast finger,A,,0.60,1.82,,0.73,,0.05,2.47,1.38,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014