$42.18
Choose 29131 for a dynamic finger splint that allows controlled movement. Choose 29130 when the finger splint is static.
On this page
CMS RVU26D · Effective 2026-10-01
29131 Splint application Medicare reimbursement rates in Iowa
Report this service when a clinician applies a dynamic finger splint to support controlled movement during care of a finger injury or condition. Compare 29131 office and facility rates across CMS payment localities in Iowa.
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 29131 in Iowa?
Iowa 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
$54.55
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$28.57
1 of 1 localities have a supported rate.
Payment area: Iowa
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 splinting
About 29131: Dynamic finger splint application
Report this service when a clinician applies a dynamic finger splint to support controlled movement during care of a finger injury or condition.
This service covers fitting and applying a dynamic splint to a finger. Unlike a rigid splint that holds the digit still, a dynamic design permits controlled movement while providing support or directional force. It may be used in office, emergency, or hand-care settings for a finger injury or condition requiring supported motion. A physician or other qualified clinician selects and positions the splint for the treated finger.
Report 29131 for a dynamic finger splint, not a static finger splint or a splint applied to the short arm. Documentation should identify the clinical problem, treated finger, dynamic splint type, and application. The code has 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. For bilateral application, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 29131
- 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 RVU0.54 · 30%
- Practice expense (office) RVU1.16 · 65%
- Malpractice RVU0.08 · 4%
604
Medicare services in 2024 · #3389 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.
29131 compared with similar codes
Office rates for Iowa, from the same CMS release.
Compare 29131 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
Iowa →
Office / nonfacility
$54.55
Facility
$28.57
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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 29131 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,280
- Code
- 29131
- Physician work
- 0.54
- Practice expense
- 1.16
- Malpractice
- 0.08
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.54 | × 1.000 | 0.5400 |
| Practice expense | 1.16 | × 0.915 | 1.0614 |
| Malpractice | 0.08 | × 0.397 | 0.0318 |
| Total RVUs | 1.6332 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$54.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.54 | 1 |
| Practice expense | 1.16 | 0.915 |
| Malpractice | 0.08 | 0.397 |
(0.54 × 1 + 1.16 × 0.915 + 0.08 × 0.397) × $33.4009 = $54.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.54 | 1 |
| Practice expense | 0.31 | 0.915 |
| Malpractice | 0.08 | 0.397 |
(0.54 × 1 + 0.31 × 0.915 + 0.08 × 0.397) × $33.4009 = $28.57
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.
29131 billing questions
How is 29131 different from 29130?
29131 is for a dynamic finger splint that permits controlled movement; 29130 is for a static finger splint that holds the finger in position.
When would 29126 be a better choice?
Use 29126 for a dynamic short-arm splint. Code 29131 is specific to application of a dynamic finger splint.
What documentation supports 29131?
Record the indication, which finger was treated, the dynamic splint applied, and how it was positioned to support the intended movement.
How does Medicare handle bilateral application?
The CMS bilateral rule specifies modifier 50, with payment at 150% for a bilateral procedure.
Is same-day care included in the payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
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.
3,27729125,,Appl short arm splint static,A,,0.49,1.79,,0.65,,0.09,2.37,1.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27829126,,Appl short arm splint dyn,A,,0.66,1.81,,0.61,,0.09,2.56,1.36,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27929130,,Appl finger splint static,A,,0.49,0.81,,0.20,,0.08,1.38,0.77,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28029131,,Appl finger splint dynamic,A,,0.54,1.16,,0.31,,0.08,1.78,0.93,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28129200,,Strapping thorax,A,,0.38,0.55,,0.07,,0.01,0.94,0.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28229240,,Strapping of shoulder,A,,0.38,0.47,,0.07,,0.01,0.86,0.46,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28329260,,Strapping of elbow or wrist,A,,0.38,0.46,,0.07,,0.02,0.86,0.47,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136