$284.39–$306.02
29010 is for a Risser jacket supporting the body without head support. Choose 29000 when the service is application of a halo-type body cast.
On this page
CMS RVU26D · Effective 2026-10-01
29000 Halo-type cast Medicare reimbursement rates in Missouri
Reports application of a halo-style body cast to immobilize the cervical spine and trunk when rigid external support is needed. Compare 29000 office and facility rates across CMS payment localities in Missouri.
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 29000 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$414.31–$447.67
3 of 3 localities have a supported rate.
Facility setting
$194.92–$205.37
3 of 3 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.
Where 29000 pays more and less in Missouri
3 payment localities
$414.31 to $447.67
Orthopedic casting
About 29000: Halo-type cervical body cast application
Reports application of a halo-style body cast to immobilize the cervical spine and trunk when rigid external support is needed.
This service covers applying a rigid halo-style cast that supports the head, neck, and trunk to immobilize the cervical spine. Orthopedic or spine clinicians may use it when external cast immobilization is selected for a cervical spine condition. It is distinct from applying a halo apparatus secured to the skull and connected to a vest.
Report the code when the documented service is application of this halo-type body cast, rather than a Risser jacket or a body cast with a different extent. The record should identify the cast applied and the clinical need for cervical and trunk immobilization. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29000
- 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
- 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 RVU2.19 · 16%
- Practice expense (office) RVU10.81 · 78%
- Malpractice RVU0.92 · 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.
29000 compared with similar codes
Office rates for Missouri, from the same CMS release.
$303.71–$326.04
29015 describes a Risser jacket that includes head support. The cast type, not simply whether the head is supported, distinguishes it from 29000.
No office rate
20661 reports application of a halo apparatus. Code 29000 is for applying a halo-style body cast, not the halo apparatus itself.
Compare 29000 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$442.21
Facility
$203.22
Metropolitan St. Louis →
Office / nonfacility
$447.67
Facility
$205.37
Rest Of Missouri →
Office / nonfacility
$414.31
Facility
$194.92
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29000 billing questions
How is this different from applying a halo apparatus?
This code is for a halo-style body cast. Code 20661 describes application of a halo apparatus, a different form of external immobilization.
When would a Risser jacket code be more appropriate?
Use the Risser jacket code that matches the cast applied: 29010 for a body-only jacket or 29015 when the jacket includes head support. Code 29000 is for a halo-type body cast.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
When is assistant-at-surgery payment allowed?
Only when documentation supports the medical necessity of the assistant. Co-surgeons and team surgery are 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.
3,25928825,,Partial amputation of toe,A,,3.32,4.97,,0.97,,0.39,8.68,4.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26028890,,Hi enrgy eswt plantar fascia,A,,3.36,5.45,,2.51,,0.29,9.10,6.16,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26128899,,Unlisted px foot/toes,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
3,26229000,,Appl halo type body cast,A,,2.19,10.81,,3.19,,0.92,13.92,6.30,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26329010,,Appl risser jacket body only,A,,2.01,7.06,,2.15,,0.43,9.50,4.59,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26429015,,Appl rissr jacket bdy w/head,A,,2.35,7.28,,2.26,,0.48,10.11,5.09,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26529035,,Appl body cast sho to hips,A,,1.73,6.88,,2.06,,0.37,8.98,4.16,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00