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See a sample rate comparisonCPT 29365 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.
Application Of Cylinder Cast (, Application Of Cylinder Cast (Thigh To Ankle)Application Of Cylinder Cast (Thigh To Ankle)
| 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 LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 29365 |
| Medicaid Fee Schedule | View Medicaid rates for 29365 |
National average reimbursement for CPT 29365 by major payers:
$161.04
$160.70
$167.97
$148.75
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CPT 29365
5 of 25 sample ratesHigher to lower in this preview
Saint Luke'S Surgicenter
Saint Lukes Surgicenter
$2,347.00Published rateA Center For Foot And Ankle Surgery PA, The Center For Special Surgery Of Hawthorne
A Center For Foot And Ankle Su
$883.00Published rateCdi Twin Cities Asc LLC, Rayus Twin Cities Asc
$500.00Published rateInterventional Therapeutics Institute, LLC, Clearway Surgery Center
Interventional Therapeutics Institute LLC
$153.00Published ratePoole Endoscopy Center, Neel Kamal Md
$68.00Published rate
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See a sample payer proposalCPT 29365 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29365 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 29365 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 |
|---|---|---|
| 29325-CPT | Moderate | Application Of Hip Spica Cast, Application Of Hip Spica Cast One And One-Half Spica Orboth Legs Application Of Hip Spica Cast One And One-Half Spica Or |
| 29345-CPT | Low | Cast Long Leg |
| 29355-CPT | Low | Application Of Long Leg Cast (, Application Of Long Leg Cast (Thigh To Toes) Walker Orambulatory Type Application Of Long Leg Cast(Thigh To Toes) Walker Or |
| 29365-CPT | Low | Application Of Cylinder Cast (, Application Of Cylinder Cast (Thigh To Ankle)Application Of Cylinder Cast (Thigh To Ankle) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29365. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29365 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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