$120.50–$131.95
29750 is specific to wedging a clubfoot cast. Use 29740 for other cast-wedging situations.
On this page
CMS RVU26D · Effective 2026-10-01
29740 Cast wedging Medicare reimbursement rates in Massachusetts
Report cast wedging when a clinician modifies an existing cast to adjust alignment, commonly during fracture care, without replacing the cast. Compare 29740 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 29740 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
$112.13–$123.00
2 of 2 localities have a supported rate.
Facility setting
$60.43–$64.38
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 29740: Cast wedging for alignment adjustment
Report cast wedging when a clinician modifies an existing cast to adjust alignment, commonly during fracture care, without replacing the cast.
Cast wedging modifies an existing cast to change the position or alignment of the underlying limb, often after reassessment of a fracture. The clinician makes a controlled cut in the cast, adjusts the opening or overlap to alter alignment, and secures the cast again. Orthopedic clinicians commonly perform this service during fracture follow-up when the cast can remain in place but its position needs correction.
Report 29740 for the cast adjustment, not for creating a window to reach the skin or repairing a damaged spica cast. Document the reason for the adjustment, the cast modification performed, and the clinical assessment supporting the alignment change. CMS assigns 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% multiple procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 29740
- 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
- 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 RVU1.09 · 33%
- Practice expense (office) RVU1.97 · 60%
- Malpractice RVU0.22 · 7%
14
Medicare services in 2024 · #6095 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.
29740 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$68.77–$75.21
29730 describes making a window in a cast for access to an underlying site; 29740 changes cast alignment.
$101.39–$112.45
29720 is for repairing a spica body cast or jacket. It does not describe wedging a cast to adjust alignment.
Compare 29740 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
$123.00
Facility
$64.38
Rest Of Massachusetts →
Office / nonfacility
$112.13
Facility
$60.43
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29740 billing questions
How is 29740 different from 29750?
29740 is for wedging a cast to adjust alignment generally. Use 29750 for wedging a clubfoot cast.
Can cast wedging be reported with fracture care?
The code describes the cast adjustment itself. Document the alignment issue and the work performed; same-session procedures are subject to the CMS multiple procedure reduction.
Is cast wedging subject to a postoperative global period?
CMS assigns 29740 a 0-day global period. Same-day preoperative and postoperative care is included.
Should modifier 50 be appended for wedging both sides?
No. The descriptor or anatomy makes modifier 50 inappropriate for 29740.
Can an assistant or co-surgeon be paid for this service?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted for 29740.
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.
3,30829710,,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
3,31229750,,Wedging of clubfoot cast,A,,1.23,2.05,,0.54,,0.25,3.53,2.02,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31329799,,Unlisted px casting/strpg,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31429800,,Jaw arthroscopy/surgery,A,,6.67,7.14,NA,7.14,,1.42,15.23,15.23,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00