$77.26–$91.03
Use 29105 when the splint extends along the upper arm to the hand to control the elbow. Use 29125 for a short-arm splint from the forearm to the hand.
On this page
CMS RVU26D · Effective 2026-10-01
29105 Splint application Medicare reimbursement rates in Virginia
Clinician application of an upper-arm-to-hand splint to immobilize the elbow and forearm after selected acute injuries when a long-arm splint is needed. Compare 29105 office and facility rates across CMS payment localities in Virginia.
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 29105 in Virginia?
Virginia 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
$94.41–$110.90
2 of 2 localities have a supported rate.
Facility setting
$35.97–$40.86
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 procedure
About 29105: Long arm splint application
Clinician application of an upper-arm-to-hand splint to immobilize the elbow and forearm after selected acute injuries when a long-arm splint is needed.
29105 represents application of an upper-extremity splint spanning the upper arm and forearm to the hand, generally holding the elbow in a controlled position. Emergency clinicians, orthopedic clinicians, and other qualified practitioners use it for acute injuries such as elbow or forearm fractures, dislocations after reduction, or significant soft-tissue injuries when elbow motion needs restriction. The splint is molded and secured without forming a full circumferential cast; select the code based on the splint’s actual extent, not just the injury label.
Report the application with documentation identifying the treated side, splint extent, clinical reason for elbow immobilization, and relevant assessment before and after application. The CMS global period is zero days, so same-day preoperative and postoperative care is included. When other procedures occur 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 bilateral payment is 150%. CMS does not pay an assistant at surgery for this service and does not permit co-surgeons or team surgery.
CMS billing rules for 29105
- 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 · 27%
- Practice expense (office) RVU1.96 · 67%
- Malpractice RVU0.17 · 6%
21.1K
Medicare services in 2024 · #1124 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.
29105 compared with similar codes
Office rates for Virginia, from the same CMS release.
$83.59–$97.80
29126 describes a dynamic short-arm splint. 29105 is for a long-arm splint that spans the upper arm and controls elbow motion.
$105.29–$123.59
Both services involve long-arm immobilization, but 29065 is for cast application. 29105 is for a splint rather than a circumferential cast.
Compare 29105 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
Dc + Md/Va Suburbs →
Office / nonfacility
$110.90
Facility
$40.86
Virginia →
Office / nonfacility
$94.41
Facility
$35.97
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29105 billing questions
How does 29105 differ from 29125?
29105 is for a splint that spans the upper arm to the hand and controls elbow motion. 29125 covers a short-arm splint extending from the forearm to the hand.
Can 29105 be reported with fracture treatment?
Do not separately report the application when the definitive fracture-treatment service includes the initial immobilization. Consider 29105 when the splint application is the service being reported rather than part of a more comprehensive treatment service.
What documentation supports 29105?
Document the side, the splint’s extent, why elbow and forearm motion require restriction, and the patient’s relevant status before and after application.
What is the global period for 29105?
It has a zero-day global period. Same-day preoperative and postoperative care is included.
How does Medicare handle bilateral application and other same-session procedures?
Modifier 50 bilateral payment is 150%. For multiple procedures in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
3,27329075,,Appl cst elbw fngr short arm,A,,0.75,2.03,,0.87,,0.14,2.92,1.76,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27429085,,Appl cast hand&lwr forearm,A,,0.85,2.19,,0.89,,0.16,3.20,1.90,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27529086,,Application cast finger,A,,0.60,1.82,,0.73,,0.05,2.47,1.38,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27629105,,Application long arm splint,A,,0.78,1.96,,0.18,,0.17,2.91,1.13,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27729125,,Appl short arm splint static,A,,0.49,1.79,,0.65,,0.09,2.37,1.23,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27829126,,Appl short arm splint dyn,A,,0.66,1.81,,0.61,,0.09,2.56,1.36,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,27929130,,Appl finger splint static,A,,0.49,0.81,,0.20,,0.08,1.38,0.77,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00