$82.71
29405 is for a nonwalking short leg cast; 29425 is for a short leg cast designed for walking.
On this page
CMS RVU26D · Effective 2026-10-01
29405 Short leg cast Medicare reimbursement rates in Rhode Island
Reports application of a below-knee cast extending to the toes when a nonwalking short leg cast is needed and its application is separately reportable. Compare 29405 office and facility rates across CMS payment localities in Rhode Island.
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 29405 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$89.77
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$56.64
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 29405: Short leg cast application
Reports application of a below-knee cast extending to the toes when a nonwalking short leg cast is needed and its application is separately reportable.
CPT 29405 represents applying a short leg cast that extends from below the knee to the toes and is not designed as a walking cast. Orthopedic clinicians, emergency physicians, and other qualified providers may apply one to immobilize an ankle or foot injury or condition. The code describes the cast application, not the underlying diagnosis or a separate fracture-treatment service.
Choose this code when the applied cast is a nonwalking short leg cast; use the walking-cast code when the cast is designed for ambulation. Document the indication, the cast’s extent and type, and whether it is intended for walking. Cast application may be included in a definitive fracture-treatment service, so report 29405 separately only when the applicable coding instructions support separate reporting. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 29405
- 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 RVU0.78 · 30%
- Practice expense (office) RVU1.72 · 65%
- Malpractice RVU0.13 · 5%
31.1K
Medicare services in 2024 · #959 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.
29405 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$142.21
29435 identifies a patellar tendon-bearing cast, rather than the standard nonwalking short leg cast represented by 29405.
$45.05
29440 describes adding a walker to a cast already applied. Use 29405 for applying the nonwalking short leg cast itself.
$134.88
29445 is for a rigid total-contact leg cast, not the standard short leg cast reported with 29405.
Compare 29405 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$89.77
Facility
$56.64
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29405 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,291
- Code
- 29405
- Physician work
- 0.78
- Practice expense
- 1.72
- Malpractice
- 0.13
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.019 | 0.7948 |
| Practice expense | 1.72 | × 1.033 | 1.7768 |
| Malpractice | 0.13 | × 0.892 | 0.1160 |
| Total RVUs | 2.6875 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$89.77
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1.019 |
| Practice expense | 1.72 | 1.033 |
| Malpractice | 0.13 | 0.892 |
(0.78 × 1.019 + 1.72 × 1.033 + 0.13 × 0.892) × $33.4009 = $89.77
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1.019 |
| Practice expense | 0.76 | 1.033 |
| Malpractice | 0.13 | 0.892 |
(0.78 × 1.019 + 0.76 × 1.033 + 0.13 × 0.892) × $33.4009 = $56.64
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
29405 billing questions
How do I distinguish 29405 from 29425?
Use 29405 for a nonwalking short leg cast. Use 29425 when the short leg cast is designed as a walking cast.
Can I report 29405 with fracture treatment?
Cast application may be included in the definitive fracture-treatment service. Report 29405 separately only when the applicable coding instructions support separate reporting.
What documentation supports 29405?
Document the reason for immobilization, the cast’s below-knee-to-toes extent, and that it is nonwalking. The record should distinguish it from a walking or specialized cast.
How does Medicare handle bilateral application?
For bilateral procedures reported with modifier 50, CMS pays 150% under the rule for this code.
Can an assistant surgeon or surgical team be billed?
Assistant-at-surgery payment is subject to a statutory restriction for 29405. Co-surgeons and team surgery are not permitted.
What happens when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
3,28829355,,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
3,29329435,,Appl patllr tdn bearing cast,A,,1.15,2.78,,1.04,,0.24,4.17,2.43,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,29429440,,Adding walker to prev cast,A,,0.56,0.71,,0.16,,0.05,1.32,0.77,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537