$129.24–$142.58
29710 describes removal of a shoe or hip spica cast; 29720 is for repairing a body spica cast or jacket that remains in use.
On this page
CMS RVU26D · Effective 2026-10-01
29720 Cast repair Medicare reimbursement rates in Pennsylvania
Report repair of a damaged body spica cast or jacket when the existing immobilization is restored rather than removed or revised. Compare 29720 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 29720 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
$92.08–$102.43
2 of 2 localities have a supported rate.
Facility setting
$37.50–$40.54
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.
Cast management
About 29720: Spica cast or jacket repair
Report repair of a damaged body spica cast or jacket when the existing immobilization is restored rather than removed or revised.
This service covers restoring a damaged body spica cast or jacket so it can continue to immobilize the torso and affected body area. It may involve reinforcing or replacing a damaged section while preserving the existing cast. Orthopedic clinicians commonly provide or direct this cast care in an office or other treatment setting when a cast has cracked, softened, or otherwise lost structural integrity.
Select this code when the documented work repairs the existing spica cast or jacket, rather than removing it or changing its shape or access. The note should identify the cast, the damage, and the repair performed. CMS assigns 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 multiple procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 29720
- 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 RVU0.66 · 22%
- Practice expense (office) RVU2.14 · 73%
- Malpractice RVU0.14 · 5%
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.
29720 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$63.74–$69.94
Use 29730 when creating an opening in a cast for access. Use 29720 when restoring damaged cast material.
$103.76–$114.33
29740 is for changing cast alignment or shape by wedging. It is not the repair code for a damaged body spica cast or jacket.
29799
No office rateUnlisted px casting/strpg
29799 is an unlisted casting or strapping service for work without a specific code. Use 29720 when the documented service is repair of a body spica cast or jacket.
Compare 29720 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
$102.43
Facility
$40.54
Rest Of Pennsylvania →
Office / nonfacility
$92.08
Facility
$37.50
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29720 billing questions
When should 29720 be chosen over cast removal?
Use 29720 when the existing body spica cast or jacket is repaired and remains in use. If the cast is removed, select the applicable removal service instead.
Is opening a cast the same as repairing it?
No. Use the cast-windowing service when the work creates an access opening; 29720 describes repair of damage to the existing body cast or jacket.
How does repair differ from cast wedging?
Repair restores damaged cast material. Wedging changes cast alignment or shape, so report the service that matches the work documented.
Can modifier 50 be reported for repair on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What documentation supports 29720?
Document the body spica cast or jacket, the damage, and how the existing cast was restored. The record should make clear that the service was repair, not removal, windowing, or wedging.
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.
3,30629700,,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
3,31029730,,Windowing of cast,A,,0.73,1.16,,0.31,,0.12,2.01,1.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31129740,,Wedging of cast,A,,1.09,1.97,,0.50,,0.22,3.28,1.81,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,31229750,,Wedging of clubfoot cast,A,,1.23,2.05,,0.54,,0.25,3.53,2.02,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00