$67.59
Choose 29700 for a gauntlet or boot cast; choose 29705 for a full arm or leg cast.
On this page
CMS RVU26D · Effective 2026-10-01
29700 Cast removal Medicare reimbursement rates in Minnesota
Report this service when a gauntlet or boot cast is removed or split, such as to relieve constriction or end immobilization. Compare 29700 office and facility rates across CMS payment localities in Minnesota.
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 29700 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$68.40
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$28.19
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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.
Cast services
About 29700: Gauntlet or boot cast removal or bivalving
Report this service when a gauntlet or boot cast is removed or split, such as to relieve constriction or end immobilization.
This service covers removing or splitting a cast in the gauntlet or boot category. Bivalving means cutting the cast lengthwise so it separates into sections; removal takes the cast off. Orthopedic clinicians commonly perform the work in an office or facility when a cast needs to be opened for pressure relief or removed when immobilization is complete. Document the cast type and site, whether it was split or removed, and the clinical reason for the work.
Select this code for a gauntlet or boot cast, not a full arm or leg cast or a shoulder or hip spica. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. A bilateral adjustment is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 29700
- 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 RVU0.56 · 27%
- Practice expense (office) RVU1.42 · 69%
- Malpractice RVU0.09 · 4%
1.5K
Medicare services in 2024 · #2646 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.
29700 compared with similar codes
Office rates for Minnesota, from the same CMS release.
Compare 29700 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
$68.40
Facility
$28.19
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29700 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
3,306
- Code
- 29700
- Physician work
- 0.56
- Practice expense
- 1.42
- Malpractice
- 0.09
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.56 | × 1.000 | 0.5600 |
| Practice expense | 1.42 | × 1.029 | 1.4612 |
| Malpractice | 0.09 | × 0.296 | 0.0266 |
| Total RVUs | 2.0478 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$68.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.56 | 1 |
| Practice expense | 1.42 | 1.029 |
| Malpractice | 0.09 | 0.296 |
(0.56 × 1 + 1.42 × 1.029 + 0.09 × 0.296) × $33.4009 = $68.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.56 | 1 |
| Practice expense | 0.25 | 1.029 |
| Malpractice | 0.09 | 0.296 |
(0.56 × 1 + 0.25 × 1.029 + 0.09 × 0.296) × $33.4009 = $28.19
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
29700 billing questions
How is this different from 29705?
29700 is for a gauntlet or boot cast. Use 29705 for removal or bivalving of a full arm or leg cast.
When is bivalving reported instead of removal?
Report bivalving when the cast is split lengthwise but remains on the patient; report removal when the cast is taken off. Document which service was performed and why.
Can the service be reported with a replacement cast?
The code covers removal or bivalving, not application of a new cast. Document each service performed and apply the multiple procedure reduction when multiple procedures occur in the same session.
Should modifier 50 be appended for casts on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is an assistant surgeon payable for this service?
No. CMS lists a statutory restriction on assistant-at-surgery payment for this code; co-surgeons and team surgery are also not permitted.
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.
3,30329580,,Strapping unna boot,A,,0.54,1.28,,0.09,,0.07,1.89,0.70,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30429581,,Appl multlayer cmprn sys leg,A,,0.59,1.90,,0.09,,0.01,2.50,0.69,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30529584,,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002