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See a sample rate comparisonCPT 29035 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Shoulder-To-Hip Body Cast, Application Of A Body Cast That Fully Encases The Trunk From Shoulder To Hips. The Cast May Extend To One Or Both Thighs Or The Head As Well.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 29035 |
| Medicaid Fee Schedule | View Medicaid rates for 29035 |
National average reimbursement for CPT 29035 by major payers:
$304.11
$320.02
$334.98
$249.74
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CPT 29035
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgical Center Of Morris County LLC, Ridgedale Surgery Center
Ambulatory Surgical Center Of Morris County, Inc.
$1,413.00Published rateSurgcenter Tucson, LLC
$555.00Published rateNorthshore Surgical Center, LLC
Northshore Surgical Center LLC
$225.00Published rateEmerson Endoscopy And Digestive Health Center, LLC
Emerson Endoscopy And Digestive Health Center LLC
$122.00Published rateDoctors Surgery Center, Inc
Doctors Surgery Center Inc
$56.00Published rate
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See a sample payer proposalCPT 29035 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29035 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 29035 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 29000-CPT | Moderate | Application Of Halo Type Body, Application Of Halo Type Body Cast (See 20661-20663 Forinsertion) Application Of Halo Type Body Cast (See 20661-20663 For |
| 29010-CPT | Moderate | Application Of Risser Jacket, Application Of Risser Jacket Localizer Body Onlyapplication Of Risser Jacket Localizer Body Only |
| 29035-CPT | Moderate | Shoulder-To-Hip Body Cast, Application Of A Body Cast That Fully Encases The Trunk From Shoulder To Hips. The Cast May Extend To One Or Both Thighs Or The Head As Well. |
| 29040-CPT | Moderate | Shoulder-To-Hip Body Cast, Application Of A Body Cast That Fully Encases The Trunk From Shoulder To Hips. The Cast May Extend To One Or Both Thighs Or The Head As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29035 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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