$90.42–$99.58
Choose 29450 for corrective casting of clubfoot; 29405 is for short-leg cast application for other indications.
On this page
CMS RVU26D · Effective 2026-10-01
29450 Clubfoot cast Medicare reimbursement rates in Massachusetts
Report this service for applying a corrective cast during treatment of clubfoot, commonly as part of serial casting by a pediatric orthopedic provider. Compare 29450 office and facility rates across CMS payment localities in Massachusetts.
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 29450 in Massachusetts?
Massachusetts 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
$149.04–$161.37
2 of 2 localities have a supported rate.
Facility setting
$100.86–$106.74
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 29450: Clubfoot corrective cast application
Report this service for applying a corrective cast during treatment of clubfoot, commonly as part of serial casting by a pediatric orthopedic provider.
This service covers applying a cast to treat clubfoot, a congenital foot deformity. It is commonly performed by an orthopedic surgeon or pediatric orthopedist during serial correction, including the Ponseti approach, in which the foot is gently manipulated and recast over successive visits. The cast maintains the correction achieved during that treatment session; it is not simply a routine short-leg cast for an unrelated injury.
Document the clubfoot diagnosis, the treated side, the corrective casting performed, and whether one or both feet were treated. The 0-day global period includes same-day preoperative and postoperative care. For bilateral treatment, modifier 50 is paid at 150%. 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 29450
- 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 RVU2.03 · 47%
- Practice expense (office) RVU2.12 · 49%
- Malpractice RVU0.21 · 5%
137
Medicare services in 2024 · #4620 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.
29450 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$83.38–$91.61
29425 identifies short-leg walking-cast application. It is not the clubfoot corrective-casting service described by 29450.
$45.31–$49.27
29440 is for adding a walker to a cast already applied; it does not describe applying a corrective clubfoot cast.
$135.42–$147.00
29445 describes application of a rigid total-contact leg cast, rather than casting used for clubfoot correction.
Compare 29450 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
Metropolitan Boston →
Office / nonfacility
$161.37
Facility
$106.74
Rest Of Massachusetts →
Office / nonfacility
$149.04
Facility
$100.86
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29450 billing questions
When should 29450 be chosen instead of 29405?
Use 29450 for corrective casting of clubfoot. Code 29405 describes application of a short-leg cast for other indications, rather than serial clubfoot correction.
How is bilateral clubfoot casting reported?
Report modifier 50 when both feet are treated bilaterally. CMS pays the bilateral procedure at 150%.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. Document the corrective casting service and treated side or sides.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 29450. Co-surgeons and team surgery are not permitted.
How does the multiple-procedure reduction affect 29450?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies a 50% reduction to the others.
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.
3,29329435,,Appl patllr tdn bearing cast,A,,1.15,2.78,,1.04,,0.24,4.17,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29429440,,Adding walker to prev cast,A,,0.56,0.71,,0.16,,0.05,1.32,0.77,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29529445,,Appl rigid tot cntc leg cast,A,,1.74,2.02,,0.77,,0.20,3.96,2.71,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29629450,,Application clubfoot cast,A,,2.03,2.12,,0.75,,0.21,4.36,2.99,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29729505,,Application long leg splint,A,,0.67,2.48,,0.84,,0.13,3.28,1.64,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29829515,,Application short leg splint,A,,0.71,1.64,,0.66,,0.12,2.47,1.49,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29929520,,Strapping of hip,A,,0.38,0.65,,0.07,,0.01,1.04,0.46,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00