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See a sample rate comparisonCPT 29040 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 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body 59 - Distinct Procedural Service RT - Right side of body UB |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 29040 |
| Medicaid Fee Schedule | View Medicaid rates for 29040 |
National average reimbursement for CPT 29040 by major payers:
$323.72
$347.01
$369.72
$440.06
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CPT 29040
5 of 25 sample ratesHigher to lower in this preview
Community Endoscopy Center LLC
$3,922.00Published rateThe Outpatient Center, LLC, The Outpatient Center Of Boynton Beach, Ltd.
The Outpatient Center Of Boynton Beach, Ltd.
$531.00Published rateShadyside Surgi-Center, Inc.
Shadyside Surgicenter Inc
$261.00Published rateColton Ca Multi Asc Lp, Premier Outpatient Surgery Center
Colton Ca Multi Asc Lp
$180.00Published rateNortheast Ambulatory Center Inc
Northeast Ambulatory Center, Inc.
$50.00Published rate
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See a sample payer proposalCPT 29040 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29040 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 29040 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 29040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29040 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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