$64.21–$67.60
29700 covers removal of a gauntlet, boot, or short-leg cast. Choose 29710 when the cast is a shoulder or hip spica.
On this page
CMS RVU26D · Effective 2026-10-01
29710 Spica cast removal Medicare reimbursement rates in Maine
Removal of a shoulder or hip spica cast after immobilization ends or treatment changes, reported for the cast-removal service. Compare 29710 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 29710 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
$126.49–$132.53
2 of 2 localities have a supported rate.
Facility setting
$67.49–$68.97
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 29710: Shoulder or hip spica cast removal
Removal of a shoulder or hip spica cast after immobilization ends or treatment changes, reported for the cast-removal service.
This service covers taking off a shoulder or hip spica cast, which immobilizes the shoulder or hip and may extend along the arm or leg. It is commonly performed by an orthopedic surgeon or other clinician involved in fracture or musculoskeletal care, such as when a patient’s immobilization period is complete or the treatment plan changes. Spica casts are used in situations such as pediatric hip or femur treatment; the code is selected by the type of cast removed, not by the diagnosis alone.
Documentation should identify the spica cast removed and support why removal was performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29710
- 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
- 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 RVU1.31 · 32%
- Practice expense (office) RVU2.51 · 61%
- Malpractice RVU0.27 · 7%
20
Medicare services in 2024 · #5912 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.
29710 compared with similar codes
Office rates for Maine, from the same CMS release.
$64.60–$67.51
29705 is for removal of a full arm or leg cast; 29710 identifies removal of a shoulder or hip spica.
$90.71–$95.83
29720 repairs a spica body cast or jacket that remains in place. Use 29710 when the spica cast is taken off.
Compare 29710 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
$126.49
Facility
$67.49
Southern Maine →
Office / nonfacility
$132.53
Facility
$68.97
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
29710 billing questions
How is this different from removal of a full arm or leg cast?
Use 29710 for a shoulder or hip spica cast. Code 29705 is for removal of a full arm or leg cast.
Can cast removal and application of a new spica cast be reported together?
When a new shoulder spica is applied during the same encounter, removal and application may represent distinct services. Document the cast removed and the new cast application.
Does the code include same-day care?
Yes. Its 0-day global period includes same-day preoperative and postoperative care.
When is modifier 50 appropriate?
CMS treats the procedure as bilateral when modifier 50 is reported and pays it at 150%. A single spica cast that happens to extend across both sides is not, by itself, proof of separately performed bilateral services.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
3,30529584,,Appl mltlay cmprn sys up arm,A,,0.34,1.88,,0.05,,0.01,2.23,0.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30629700,,Rmvl/bivlv gauntlet boot/cst,A,,0.56,1.42,,0.25,,0.09,2.07,0.90,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30729705,,Rmvl/bivlv full arm/leg cast,A,,0.74,1.21,,0.35,,0.13,2.08,1.22,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30829710,,Rmvl/bivlv sho/hip spica,A,,1.31,2.51,,0.59,,0.27,4.09,2.17,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30929720,,Repair spica body cst/jacket,A,,0.66,2.14,,0.36,,0.14,2.94,1.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31029730,,Windowing of cast,A,,0.73,1.16,,0.31,,0.12,2.01,1.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31129740,,Wedging of cast,A,,1.09,1.97,,0.50,,0.22,3.28,1.81,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00