$104.78–$112.29
Use 29750 for wedging a clubfoot cast. Use 29740 for wedging another type of cast.
On this page
CMS RVU26D · Effective 2026-10-01
29750 Cast wedging Medicare reimbursement rates in Michigan
Report clubfoot cast wedging when a clinician modifies an existing cast to adjust alignment during treatment of a clubfoot deformity. Compare 29750 office and facility rates across CMS payment localities in Michigan.
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 29750 in Michigan?
Michigan 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
$113.03–$121.24
2 of 2 localities have a supported rate.
Facility setting
$66.98–$72.57
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 and strapping
About 29750: Clubfoot cast wedging
Report clubfoot cast wedging when a clinician modifies an existing cast to adjust alignment during treatment of a clubfoot deformity.
This service modifies an existing cast used to treat clubfoot by making and adjusting a wedge in the cast to change the position of the foot. It is most often part of serial casting care for an infant or child with clubfoot and is typically performed by an orthopedic surgeon or another clinician managing the cast. The work is an adjustment to the cast, not simply applying or removing one.
Report 29750 when the cast wedging is for clubfoot; use the general cast-wedging code for other casts. Documentation should identify the clubfoot, the cast adjusted, the side treated, and the adjustment performed. The service has 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 the others are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29750
- 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 RVU1.23 · 35%
- Practice expense (office) RVU2.05 · 58%
- Malpractice RVU0.25 · 7%
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.
29750 compared with similar codes
Office rates for Michigan, from the same CMS release.
$64.28–$68.53
29750 changes cast alignment by wedging. 29730 creates a window in a cast for access to the area beneath it.
29799
No office rateUnlisted px casting/strpg
Use 29799 for an unusual casting or strapping service without a specific code; 29750 specifically describes wedging a clubfoot cast.
Compare 29750 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
Detroit →
Office / nonfacility
$121.24
Facility
$72.57
Rest Of Michigan →
Office / nonfacility
$113.03
Facility
$66.98
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29750 billing questions
How is 29750 different from 29740?
29750 is for wedging a cast used to treat clubfoot. 29740 is the general cast-wedging code for casts not treated as clubfoot casts.
Does 29750 include applying a new cast?
The service is adjustment of an existing clubfoot cast. Document any separate cast application performed, rather than treating application as part of the wedge by default.
What documentation supports 29750?
Document the clubfoot diagnosis, the cast and side adjusted, and what cast modification was performed to change alignment.
How should bilateral clubfoot cast wedging be reported?
For a bilateral service, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
How does the multiple procedure rule affect payment?
When 29750 and other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.
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.
3,30929720,,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
3,31529804,,Jaw arthroscopy/surgery,A,,8.65,6.43,NA,6.43,,1.14,16.22,16.22,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00