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See a sample rate comparisonCPT 29425 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) Walking Or Ambulatory Type Application Of Shortleg Cast (Below Knee To Toes) Walking
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 29425 |
| Medicaid Fee Schedule | View Medicaid rates for 29425 |
National average reimbursement for CPT 29425 by major payers:
$100.62
$107.62
$113.13
$98.33
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CPT 29425
5 of 25 sample ratesHigher to lower in this preview
Summit Surgical Center, LLC
$1,886.00Published rateSanta Barbara Outpatient Surgery Centers LLC, Santa Barbara Surgery Center
$688.00Published rateSkin & Mohs Surgery Center, LLC
Skin Mohs Surgery Center LLC
$284.00Published rateNrh Pain Management Group LLC, Castle Surgery Center
Nrh Pain Management Group LLC
$123.00Published rateIndiana Ambulatory Surgical Associates, Inc
Indiana Ambulatory Surgical Associates Inc
$50.00Published rate
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See a sample payer proposalCPT 29425 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 29425 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 29425 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 29425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 29425 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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