$33.63–$35.16
This code describes a cast in a figure-of-eight configuration. Code 29200 describes shoulder strapping, not cast application.
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CMS RVU26D · Effective 2026-10-01
29049 Figure-of-eight cast Medicare reimbursement rates in New Jersey
Application of a figure-of-eight cast to immobilize the shoulder girdle, commonly for clavicle injuries when this specific cast configuration is used. Compare 29049 office and facility rates across CMS payment localities in New Jersey.
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 29049 in New Jersey?
New Jersey 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
$122.90–$128.72
2 of 2 localities have a supported rate.
Facility setting
$71.83–$74.47
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 29049: Figure-of-eight cast application
Application of a figure-of-eight cast to immobilize the shoulder girdle, commonly for clavicle injuries when this specific cast configuration is used.
This service applies a rigid figure-of-eight cast around the shoulder girdle, commonly to immobilize a clavicle injury. The configuration holds the shoulders in position and differs from a shoulder spica or a Velpeau-style cast. An orthopedic physician or other qualified clinician may apply it in an office, emergency department, or other treatment setting when this cast design is selected.
Report the application when the figure-of-eight cast is separately performed, not as part of definitive fracture care that already includes cast application. The record should identify the treated condition, cast configuration, and application. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one 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 documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29049
- 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 RVU0.87 · 26%
- Practice expense (office) RVU2.35 · 69%
- Malpractice RVU0.19 · 6%
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.
29049 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$278.28–$291.15
Code 23500 describes closed treatment of a clavicular fracture without manipulation. When cast application is part of definitive fracture treatment, it is included rather than separately reported with this code.
$440.10–$459.67
Code 23505 describes closed treatment of a clavicular fracture with manipulation. The fracture-treatment service includes its cast application; use this code only for a separately performed figure-of-eight cast application.
$148.82–$155.46
Code 29058 is for a Velpeau-style shoulder cast. Choose between the codes based on the cast configuration actually applied.
Compare 29049 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
Northern Nj →
Office / nonfacility
$128.72
Facility
$74.47
Rest Of New Jersey →
Office / nonfacility
$122.90
Facility
$71.83
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29049 billing questions
When should this code be chosen instead of shoulder strapping?
Use this code when the service is application of a figure-of-eight cast. Shoulder strapping is a different service and should not be reported as a cast application.
Can the cast application be reported separately with clavicle fracture care?
Cast application is included when it is part of definitive fracture treatment. Do not separately report this application code for the cast included in that treatment.
Should modifier 50 be appended for a bilateral clavicle injury?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
What documentation supports reporting this code?
Document the condition treated and that a figure-of-eight cast was applied. The record should distinguish this cast configuration from strapping or another shoulder cast.
What is included in the 0-day global period?
Same-day preoperative and postoperative care is included in the procedure.
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.
3,26629040,,Appl bdy cst sho to hip head,A,,2.16,7.55,,2.33,,0.45,10.16,4.94,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26729044,,Appl bdy cst sho to hip 1thi,A,,2.07,7.50,,2.30,,0.43,10.00,4.80,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26829046,,Appl bdy cst sho to hip b th,A,,2.35,8.07,,2.52,,0.48,10.90,5.35,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26929049,,Appl cast figure-of-eight,A,,0.87,2.35,,0.95,,0.19,3.41,2.01,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27029055,,Appl cast shoulder spica,A,,1.74,5.62,,1.82,,0.37,7.73,3.93,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27129058,,Appl cast plaster velpeau,A,,1.28,2.60,,1.08,,0.26,4.14,2.62,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27229065,,Appl cst sho to hand lng arm,A,,0.85,2.22,,0.91,,0.17,3.24,1.93,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00