$313.57
Both describe Risser jacket casts; choose 29015 when the cast includes the head and 29010 when it is body-only.
On this page
CMS RVU26D · Effective 2026-10-01
29015 Risser jacket Medicare reimbursement rates in Wyoming
Application of a Risser jacket cast that includes the head for trunk immobilization in selected spinal conditions, including scoliosis management. Compare 29015 office and facility rates across CMS payment localities in Wyoming.
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 29015 in Wyoming?
Wyoming 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
$333.51
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$165.84
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 29015: Risser jacket cast including head
Application of a Risser jacket cast that includes the head for trunk immobilization in selected spinal conditions, including scoliosis management.
This service covers applying a Risser jacket cast around the trunk with a head component. Orthopedic clinicians use this type of cast for selected spinal conditions, including scoliosis, when the prescribed immobilization requires the head to be incorporated into the cast. An orthopedic physician typically performs the application, sometimes with assistance from cast personnel, in an orthopedic clinic or hospital setting.
Report 29015 when the applied construct is a Risser jacket that includes the head; a body-only Risser jacket is distinguished by 29010. Documentation should identify the Risser jacket design, the head component, and the clinical reason for the cast. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 29015
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.35 · 23%
- Practice expense (office) RVU7.28 · 72%
- Malpractice RVU0.48 · 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.
29015 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$335.45
29040 describes a shoulder-to-hip body cast that includes the head, while 29015 is specifically a Risser jacket cast with a head component.
$296.73
29035 is a shoulder-to-hip body cast without a head component; 29015 is a Risser jacket cast that includes the head.
Compare 29015 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
Wyoming** →
Office / nonfacility
$333.51
Facility
$165.84
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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 29015 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,264
- Code
- 29015
- Physician work
- 2.35
- Practice expense
- 7.28
- Malpractice
- 0.48
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.35 | × 1.000 | 2.3500 |
| Practice expense | 7.28 | × 1.000 | 7.2800 |
| Malpractice | 0.48 | × 0.740 | 0.3552 |
| Total RVUs | 9.9852 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$333.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.35 | 1 |
| Practice expense | 7.28 | 1 |
| Malpractice | 0.48 | 0.74 |
(2.35 × 1 + 7.28 × 1 + 0.48 × 0.74) × $33.4009 = $333.51
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.35 | 1 |
| Practice expense | 2.26 | 1 |
| Malpractice | 0.48 | 0.74 |
(2.35 × 1 + 2.26 × 1 + 0.48 × 0.74) × $33.4009 = $165.84
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.
29015 billing questions
How do I distinguish 29015 from 29010?
Use 29015 for a Risser jacket cast that includes the head. Use 29010 when the Risser jacket is body-only.
How does 29015 differ from 29040?
29015 identifies a Risser jacket cast with a head component. Code 29040 describes a different body-cast construction extending from the shoulders to the hips and including the head.
Is modifier 50 appropriate for 29015?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What same-day care is included in the global period?
The 0-day global period includes preoperative and postoperative care provided on the day of the cast application.
What documentation supports reporting 29015?
Document the Risser jacket cast design, that the head is included, and the clinical reason for the prescribed immobilization.
When can an assistant at surgery be paid?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
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.
3,26128899,,Unlisted px foot/toes,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26229000,,Appl halo type body cast,A,,2.19,10.81,,3.19,,0.92,13.92,6.30,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26329010,,Appl risser jacket body only,A,,2.01,7.06,,2.15,,0.43,9.50,4.59,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26429015,,Appl rissr jacket bdy w/head,A,,2.35,7.28,,2.26,,0.48,10.11,5.09,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26529035,,Appl body cast sho to hips,A,,1.73,6.88,,2.06,,0.37,8.98,4.16,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26629040,,Appl bdy cst sho to hip head,A,,2.16,7.55,,2.33,,0.45,10.16,4.94,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,26729044,,Appl bdy cst sho to hip 1thi,A,,2.07,7.50,,2.30,,0.43,10.00,4.80,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,