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See a sample rate comparisonCPT 29405 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 Short Leg Cast, Application Of Short Leg Cast (Below Knee To Toes)Application Of Short Leg Cast (Below Knee To Toes)
| 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 58 - Staged or related procedure during postoperative period RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 29405 |
| Medicaid Fee Schedule | View Medicaid rates for 29405 |
National average reimbursement for CPT 29405 by major payers:
$103.02
$108.58
$116.03
$101.88
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CPT 29405
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$1,528.00Published rateInland Ear Nose And Throat A Medical Group Inc, Foothill Ambulatory Surgery Center
M.M. Kanok, M.D., A Medical Corpora
$330.00Published rateGadsden Surgery Center Lp
$170.00Published rateJohn Kenyon American Eye Institute LLC, Eye Surgery Center Of Elizabethtown
John-Kenyon American Eye Institute
$109.00Published rateAbsolute Foot & Ankle Specialists Inc
Absolute Foot Ankle Specialists Inc
$51.25Published rate
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See a sample payer proposalCPT 29405 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29405 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 29405 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 |
|---|---|---|
| 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 |
| 29358-CPT | Low | Apply Brace Long Leg Cast |
| 29405-CPT | Low | Application Of Short Leg Cast, Application Of Short Leg Cast (Below Knee To Toes)Application Of Short Leg Cast (Below Knee To Toes) |
| 29425-CPT | Low | Application Of Short Leg Cast, Application Of Short Leg Cast (Below Knee To Toes) Walking Or Ambulatory Type Application Of Shortleg Cast (Below Knee To Toes) Walking |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 29405. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29405 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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