$317.85–$353.89
Use 29040 when the body cast includes the head. This code includes one thigh but not the head.
On this page
CMS RVU26D · Effective 2026-10-01
29035 Body cast Medicare reimbursement rates in Pennsylvania
Reports application of a trunk body cast extending from the shoulders to the hips and incorporating one thigh for immobilization. Compare 29035 office and facility rates across CMS payment localities in Pennsylvania.
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 29035 in Pennsylvania?
Pennsylvania 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
$280.42–$312.79
2 of 2 localities have a supported rate.
Facility setting
$132.63–$145.19
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.
Orthopedic casting
About 29035: Body cast from shoulders to hips with one thigh
Reports application of a trunk body cast extending from the shoulders to the hips and incorporating one thigh for immobilization.
This service covers applying a body cast from the shoulder region to the hips with one thigh incorporated into the cast. Orthopedic surgeons and other clinicians who apply casts use this type of immobilization when the prescribed cast must stabilize the trunk and extend onto a thigh, such as in selected fracture or spinal immobilization plans. The documentation should identify the clinical reason for immobilization and the cast’s anatomical extent, including the thigh involved.
Report the code for the cast application performed, not merely because a patient arrives wearing a body cast. 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 for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29035
- 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 RVU1.73 · 19%
- Practice expense (office) RVU6.88 · 77%
- Malpractice RVU0.37 · 4%
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.
29035 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$312.68–$348.30
Use 29044 when both the head and one thigh are incorporated into the body cast; this code includes one thigh without the head.
$341.09–$379.63
Use 29046 when both thighs are included. This code describes a body cast incorporating one thigh.
Compare 29035 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 Philadelphia →
Office / nonfacility
$312.79
Facility
$145.19
Rest Of Pennsylvania →
Office / nonfacility
$280.42
Facility
$132.63
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29035 billing questions
How does this differ from a body cast that does not include a thigh?
This code is for a shoulder-to-hip body cast that incorporates one thigh. Use the code matching the cast’s documented anatomical extent.
When would a code that includes the head be more appropriate?
Choose the corresponding head-inclusion code when the body cast extends to include the head. This code describes a cast extending from the shoulders to the hips with one thigh included.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What documentation supports reporting this application?
Document the indication for immobilization and the cast’s extent, including that it runs from the shoulders to the hips and incorporates one thigh.
How are same-session procedures paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to other procedures performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
3,26229000,,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
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