Choose 29075 for a cast extending from the forearm to the hand and stopping below the elbow. Code 29065 describes a long arm cast extending from the shoulder to the hand.
On this page
CMS RVU26D · Effective 2026-10-01
29075 Cast application Medicare reimbursement rates in Indiana
Reports application of a short arm cast extending from forearm to hand when cast placement is separately reportable for wrist or forearm immobilization. Compare 29075 office and facility rates across CMS payment localities in Indiana.
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 29075 in Indiana?
Indiana 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
$90.18
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$54.26
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Orthopedic casting
About 29075: Short arm cast application
Reports application of a short arm cast extending from forearm to hand when cast placement is separately reportable for wrist or forearm immobilization.
This service covers applying a short arm cast that extends from the forearm to the hand and stops below the elbow. Orthopedic clinicians, emergency physicians, and other qualified practitioners may apply it to immobilize wrist or forearm injuries, including when a cast is needed as part of fracture care. The code describes cast application, not the fracture treatment itself.
Report the code when the short arm cast is separately reportable; cast application is generally included in a fracture treatment service that includes casting. Document the treated side, cast extent, and clinical reason for immobilization. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 29075
- 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 RVU0.75 · 26%
- Practice expense (office) RVU2.03 · 70%
- Malpractice RVU0.14 · 5%
50.7K
Medicare services in 2024 · #776 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.
29075 compared with similar codes
Office rates for Indiana, from the same CMS release.
Code 29085 is for a cast covering the hand and lower forearm; 29075 describes the short arm cast extending from the forearm to the hand.
Use 29086 when the cast is limited to a finger, rather than the forearm-to-hand short arm cast reported with 29075.
Code 29125 reports application of a short arm splint. Use 29075 for a short arm cast.
Compare 29075 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
Indiana →
Office / nonfacility
$90.18
Facility
$54.26
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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 29075 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
3,273
- Code
- 29075
- Physician work
- 0.75
- Practice expense
- 2.03
- Malpractice
- 0.14
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.75 | × 1.000 | 0.7500 |
| Practice expense | 2.03 | × 0.927 | 1.8818 |
| Malpractice | 0.14 | × 0.486 | 0.0680 |
| Total RVUs | 2.6998 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$90.18
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.75 | 1 |
| Practice expense | 2.03 | 0.927 |
| Malpractice | 0.14 | 0.486 |
(0.75 × 1 + 2.03 × 0.927 + 0.14 × 0.486) × $33.4009 = $90.18
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.75 | 1 |
| Practice expense | 0.87 | 0.927 |
| Malpractice | 0.14 | 0.486 |
(0.75 × 1 + 0.87 × 0.927 + 0.14 × 0.486) × $33.4009 = $54.26
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.
29075 billing questions
When should 29075 be reported instead of a fracture treatment code?
Report 29075 for the short arm cast application when it is separately reportable. When the fracture treatment service includes cast application, do not separately report the cast application.
What cast extent supports 29075?
The cast extends from the forearm to the hand and stops below the elbow. A cast extending from the shoulder to the hand is a different application.
Can 29075 be reported for casts on both arms?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150% when bilateral reporting applies. Document the cast application on each side.
Does the 0-day global period include same-day follow-up care?
Same-day preoperative and postoperative care is included in the 0-day global period. The global period does not extend beyond the day of the procedure.
Can an assistant or co-surgeon be billed for 29075?
Medicare does not pay an assistant at surgery for this service. 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 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.
