$140.74–$155.34
29358 identifies a long-leg cast brace; 29345 is for a conventional long-leg cast. The documented device determines the choice.
On this page
CMS RVU26D · Effective 2026-10-01
29358 Cast brace Medicare reimbursement rates in Pennsylvania
Reports application of a long-leg cast brace to stabilize the lower extremity when this brace configuration, rather than a standard cast, is used. Compare 29358 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 29358 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
$172.10–$190.95
2 of 2 localities have a supported rate.
Facility setting
$92.07–$100.20
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 29358: Long-leg cast brace application
Reports application of a long-leg cast brace to stabilize the lower extremity when this brace configuration, rather than a standard cast, is used.
This service covers fitting and applying a long-leg cast brace that extends along the lower extremity from the thigh toward the toes. Orthopedic clinicians use this form of immobilization when the treatment plan calls for a cast-brace configuration; it is distinct from a conventional long-leg cast and a walker-type cast. The code describes the application, not a particular diagnosis or fracture-care service.
Select the code based on the device and extent documented. The record should identify the treated side, the long-leg cast-brace configuration, and the clinical reason for using it. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral reporting, modifier 50 is paid at 150%. When performed with other procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 29358
- 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
- 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 RVU1.39 · 25%
- Practice expense (office) RVU3.80 · 69%
- Malpractice RVU0.29 · 5%
26
Medicare services in 2024 · #5750 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.
29358 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$146.30–$161.26
29355 describes a walker or ambulatory-type long-leg cast. Use 29358 for a cast-brace application.
$130.91–$144.93
29365 is for a cylinder cast rather than a long-leg cast brace. Select according to the cast configuration actually applied.
Compare 29358 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
$190.95
Facility
$100.20
Rest Of Pennsylvania →
Office / nonfacility
$172.10
Facility
$92.07
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29358 billing questions
How is this different from 29345?
Use 29358 for application of a long-leg cast brace. Code 29345 describes application of a conventional long-leg cast.
How is this different from 29355?
Code 29355 is for a long-leg cast of the walker or ambulatory type. Choose 29358 when the documented device is a cast brace.
What documentation supports 29358?
Document the treated side, the long-leg cast-brace configuration, and why that form of stabilization was selected. The record should distinguish it from a standard or walker-type cast.
Can both legs be reported?
For bilateral performance, CMS lists modifier 50 and payment at 150%. Document application to both sides.
Does the code include same-day related care?
The code has a 0-day global period, which includes same-day preoperative and postoperative care. Other procedures in the same session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
CMS lists a statutory restriction on assistant-at-surgery payment. Co-surgeons and team surgery are not permitted for this code.
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.
3,28629325,,Appl hip spica cast1&1/2,A,,2.26,6.65,,2.31,,0.47,9.38,5.04,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28729345,,Application of long leg cast,A,,1.37,2.83,,1.11,,0.26,4.46,2.74,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28829355,,Appl long leg cast walker,A,,1.49,2.86,,1.13,,0.28,4.63,2.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28929358,,Appl long leg cast brace,A,,1.39,3.80,,1.19,,0.29,5.48,2.87,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29029365,,Appl cylinder cast,A,,1.15,2.78,,1.08,,0.23,4.16,2.46,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29129405,,Appl short leg cast,A,,0.78,1.72,,0.76,,0.13,2.63,1.67,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29229425,,Appl short leg cast walking,A,,0.78,1.55,,0.66,,0.09,2.42,1.53,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00