$147.96
Choose 29355 for a walking long-leg cast. Code 29345 represents the standard long-leg cast application.
On this page
CMS RVU26D · Effective 2026-10-01
29345 Long-leg cast Medicare reimbursement rates in Utah
Reports application of a rigid long-leg cast that immobilizes the knee and lower leg, extending from the thigh to the foot. Compare 29345 office and facility rates across CMS payment localities in Utah.
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 29345 in Utah?
Utah 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
$142.41
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$88.41
1 of 1 localities have a supported rate.
Payment area: Utah
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 29345: Long-leg cast application
Reports application of a rigid long-leg cast that immobilizes the knee and lower leg, extending from the thigh to the foot.
A long-leg cast immobilizes the knee along with the lower leg and foot, typically extending from the upper thigh to the foot. It may be used to stabilize a lower-extremity fracture or protect the leg after treatment of an injury involving the knee or lower leg. The service is performed by a clinician who applies and molds the cast; it may occur in an office, emergency department, or other treatment setting.
Report this code when the long-leg cast application is not included in a separately reported fracture-treatment service. Documentation should identify the treated side, clinical reason for immobilization, and the cast applied. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral application, modifier 50 is paid at 150%. 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% reduction. CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.
CMS billing rules for 29345
- 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 RVU1.37 · 31%
- Practice expense (office) RVU2.83 · 63%
- Malpractice RVU0.26 · 6%
955
Medicare services in 2024 · #3006 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.
29345 compared with similar codes
Office rates for Utah, from the same CMS release.
$174.43
Choose 29358 when a long-leg cast brace is applied; 29345 is for a standard cast.
$132.59
Code 29365 is for a cylinder cast focused on knee immobilization. Code 29345 describes a long-leg cast extending from the thigh to the foot.
$83.95
Code 29405 is for a short-leg cast that does not include the knee. Use 29345 when the cast extends above the knee.
Compare 29345 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
Utah →
Office / nonfacility
$142.41
Facility
$88.41
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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 29345 in Utah.
PPRRVU2026_Oct_nonQPP.csv
3,287
- Code
- 29345
- Physician work
- 1.37
- Practice expense
- 2.83
- Malpractice
- 0.26
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.37 | × 1.000 | 1.3700 |
| Practice expense | 2.83 | × 0.940 | 2.6602 |
| Malpractice | 0.26 | × 0.898 | 0.2335 |
| Total RVUs | 4.2637 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$142.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.37 | 1 |
| Practice expense | 2.83 | 0.94 |
| Malpractice | 0.26 | 0.898 |
(1.37 × 1 + 2.83 × 0.94 + 0.26 × 0.898) × $33.4009 = $142.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.37 | 1 |
| Practice expense | 1.11 | 0.94 |
| Malpractice | 0.26 | 0.898 |
(1.37 × 1 + 1.11 × 0.94 + 0.26 × 0.898) × $33.4009 = $88.41
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.
29345 billing questions
How is this different from a walking long-leg cast?
Use 29345 for a standard long-leg cast. Code 29355 describes the walking version of the long-leg cast.
Can the cast application be reported with fracture treatment?
Do not separately report the cast application when it is included in the definitive fracture-treatment service. Report 29345 when the application is not included in another reported service.
What documentation supports 29345?
Document the reason for immobilization, the side treated, and that a long-leg cast was applied. The record should distinguish the standard cast from a walking cast, cast brace, or cylinder cast.
How is bilateral application reported?
For casts applied to both legs, report modifier 50; CMS pays the bilateral procedure at 150%.
How does the multiple procedure reduction affect payment?
When other procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Is an assistant or co-surgeon payable?
CMS does not pay an assistant at surgery for 29345 and does not permit co-surgeon or team-surgery billing.
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.
3,28429280,,Strapping of hand or finger,A,,0.38,0.48,,0.09,,0.04,0.90,0.51,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28529305,,Appl hip spica cast 1 leg,A,,1.98,6.12,,2.14,,0.42,8.52,4.54,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,28629325,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985