$90.34–$95.19
Use 29085 for a gauntlet-style cast over the hand and lower forearm. Use 29075 when the cast extends from below the elbow to the hand.
On this page
CMS RVU26D · Effective 2026-10-01
29085 Gauntlet cast Medicare reimbursement rates in Maine
Reports application of a gauntlet-style cast over the hand and lower forearm when that extent of immobilization is needed for a wrist or hand injury. Compare 29085 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 29085 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
$99.01–$104.25
2 of 2 localities have a supported rate.
Facility setting
$59.06–$61.22
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.
Orthopedic casting
About 29085: Gauntlet cast of hand and forearm
Reports application of a gauntlet-style cast over the hand and lower forearm when that extent of immobilization is needed for a wrist or hand injury.
CPT 29085 represents application of a gauntlet-style cast that covers the hand and lower forearm, leaving the elbow free. It is used when an injury requires immobilization across the wrist and hand, such as selected carpal or metacarpal injuries. Orthopedic clinicians commonly apply this cast in office, emergency, or facility settings. The coverage distinguishes it from a cast that extends from below the elbow to the hand and from a cast limited to a finger.
Select the code from the cast’s extent and configuration, not the diagnosis alone. Document the treated side, the areas immobilized, and why this cast was used; replacement of the cast is included in the service. When cast application is part of fracture treatment that already includes it, do not separately report 29085. The 0-day global includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 applies to bilateral performance, paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 29085
- 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 · 27%
- Practice expense (office) RVU2.19 · 68%
- Malpractice RVU0.16 · 5%
7.2K
Medicare services in 2024 · #1639 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.
29085 compared with similar codes
Office rates for Maine, from the same CMS release.
$77.01–$81.34
Use 29086 when the cast is limited to a finger. Use 29085 when the cast covers the hand and lower forearm.
$100.14–$105.46
Use 29065 for a long-arm cast extending from the shoulder to the hand; 29085 covers the hand and lower forearm.
Compare 29085 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
$99.01
Facility
$59.06
Southern Maine →
Office / nonfacility
$104.25
Facility
$61.22
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29085 billing questions
How does 29085 differ from a short-arm cast?
Choose 29085 for a gauntlet-style cast covering the hand and lower forearm. A short-arm cast under 29075 extends from below the elbow to the hand.
Can 29085 be reported with fracture treatment?
Do not separately report the cast application when the fracture-treatment service already includes it. Report 29085 when the cast application is separately reportable.
Does the code include cast replacement?
Yes. Replacement of the cast is included in this service.
How is bilateral application reported?
For bilateral performance, report modifier 50. CMS pays the bilateral procedure at 150%.
What documentation supports selecting 29085?
Document the side treated, the cast’s coverage over the hand and lower forearm, and the clinical reason for that extent of immobilization.
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.
3,27129058,,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
3,27629105,,Application long arm splint,A,,0.78,1.96,,0.18,,0.17,2.91,1.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27729125,,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