$276.88–$293.31
Choose 29035 for a body cast incorporating both thighs without the head extension. This code includes the head as well as both thighs.
On this page
CMS RVU26D · Effective 2026-10-01
29046 Body cast Medicare reimbursement rates in Maine
Report this service when a body cast extends over the head and torso and incorporates both thighs for the prescribed immobilization. Compare 29046 office and facility rates across CMS payment localities in Maine.
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 29046 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$336.45–$355.73
2 of 2 localities have a supported rate.
Facility setting
$165.90–$172.02
2 of 2 localities have a supported rate.
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.
Casting
About 29046: Head-and-bilateral-thigh body cast application
Report this service when a body cast extends over the head and torso and incorporates both thighs for the prescribed immobilization.
This service covers applying a body cast that extends from the shoulders toward the hips, includes the head, and incorporates both thighs. An orthopedic surgeon or other qualified clinician applies the cast when the treatment plan requires this specific extent of immobilization. The defining feature is the combination of head and bilateral thigh extensions, not simply a torso cast or a cast that includes one thigh.
Select the code from the cast’s documented extent. Record that the head and both thighs are included; a cast without the head extension or with only one thigh belongs to a different code in the family. CMS assigns 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29046
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.35 · 22%
- Practice expense (office) RVU8.07 · 74%
- Malpractice RVU0.48 · 4%
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.
29046 compared with similar codes
Office rates for Maine, from the same CMS release.
$313.50–$331.54
Choose 29040 when the body cast includes the head but not the thigh extensions. This code also incorporates both thighs.
$308.54–$326.45
Choose 29044 when the head and one thigh are included. This code describes the head and both thighs.
Compare 29046 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$336.45
Facility
$165.90
Southern Maine →
Office / nonfacility
$355.73
Facility
$172.02
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29046 billing questions
How does this code differ from a body cast that includes one thigh?
This code is for a cast that includes the head and both thighs. A head-and-one-thigh cast is described by 29044.
Should modifier 50 be appended because both thighs are included?
No. CMS identifies bilateral adjustment as inappropriate for this code; the bilateral cast extent is represented by the code itself.
What documentation supports selecting this code?
Document the cast’s extent, including the head and both thighs. That distinguishes it from head-only or one-thigh variants.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The code has a 0-day global period.
What happens when this cast application is performed with another procedure?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are paid at 50%.
Can an assistant or another surgeon be reported for this service?
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 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.
3,26529035,,Appl body cast sho to hips,A,,1.73,6.88,,2.06,,0.37,8.98,4.16,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26629040,,Appl bdy cst sho to hip head,A,,2.16,7.55,,2.33,,0.45,10.16,4.94,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26729044,,Appl bdy cst sho to hip 1thi,A,,2.07,7.50,,2.30,,0.43,10.00,4.80,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26829046,,Appl bdy cst sho to hip b th,A,,2.35,8.07,,2.52,,0.48,10.90,5.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26929049,,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