CPT 29445 RVU Values & Medicare Payment 2026
Appl rigid tot cntc leg cast
CPT 29445 is calculated with its CMS 2026 RVU components, the National Average GPCI locality, the non-facility practice expense setting, and the non-QPP conversion factor.
CPT 29445 setting and related-code comparison
Compare the same CPT under both PE settings, then review adjacent codes using National Average GPCI and the selected 2026 conversion factor.
| Setting | Work RVU | PE RVU | MP RVU | Total RVU | Payment |
|---|---|---|---|---|---|
| Non-facility | 1.74 | 2.02 | 0.20 | 3.96 | $132.27 |
| Facility | 1.74 | 0.77 | 0.20 | 2.71 | $90.52 |
| Related CPT | Descriptor | wRVU | Typical setting | National payment |
|---|---|---|---|---|
| CPT 29435 | Appl patllr tdn bearing cast | 1.15 | Non-facility | $139.28 |
| CPT 29440 | Adding walker to prev cast | 0.56 | Non-facility | $44.09 |
| CPT 29450 | Application clubfoot cast | 2.03 | Non-facility | $145.63 |
| CPT 29505 | Application long leg splint | 0.67 | Non-facility | $109.55 |
| CPT 99214 | Office o/p est mod 30 min | 1.92 | Non-facility | $135.61 |
CPT RVU and Medicare payment calculator
Search a CPT code, choose geography and participation status, then review work RVU, PE RVU, MP RVU, total RVU, and estimated Medicare payment. Use work RVU for productivity context and total RVU for Medicare payment estimates.
3.96 total RVU in National Average, National.
- Payment estimate: use total RVU and non-QPP $33.4009 for Medicare payment review.
- Productivity review: use work RVU separately; total RVU is not a physician productivity target.
- Before relying on it: confirm office / non-facility, National Average, and payer-specific billing rules.
Total RVU = work RVU x GPCI work + PE RVU x GPCI PE + MP RVU x GPCI MP. Payment = total RVU x selected 2026 conversion factor. Non-QPP uses $33.4009 and QPP uses $33.5675.
- CPT
- 29445
- Setting
- office / non-facility
- Conversion factor
- non-QPP $33.4009
- Work GPCI
- 1.000
- PE GPCI
- 1.000
- MP GPCI
- 1.000
Payment by representative localities
| Locality | wRVU | Total RVU | Medicare Payment |
|---|---|---|---|
| National: National Average | 1.74 | 3.96 | $132.27 |
| California: San Francisco | 1.74 | 4.60 | $153.62 |
| California: Los Angeles | 1.74 | 4.33 | $144.60 |
| New York: Manhattan | 1.74 | 4.52 | $150.83 |
| New York: Rest of New York | 1.74 | 4.16 | $139.08 |
| Texas: Dallas | 1.74 | 3.94 | $131.57 |
| Texas: Houston | 1.74 | 4.03 | $134.77 |
| Florida: Miami | 1.74 | 4.35 | $145.25 |
CPT 29445 code profile
CMS 2026 Physician Fee Schedule inputs for this CPT/HCPCS code, including the site-of-service assumption used for the payment examples on this page.
Appl rigid tot cntc leg cast
- Typical setting
- Office / non-facility
- Specialty mapping
- Orthopedic Surgery
- Related codes
- 29435, 29440, 29450, 29505, 99214
RVU components are payment inputs, not clinical coding guidance. Confirm code selection, modifiers, payer policy, and documentation requirements through the official CMS source files or billing review. Locality-adjusted estimates should be interpreted with the selected setting, GPCI locality, and QPP status held constant.
How to interpret CPT 29445 RVU data
Use this panel to keep payment modeling, coding selection, and contract interpretation in separate lanes.
- RVU source
- CMS 2026 Physician Fee Schedule
- Payment basis
- Office / non-facility setting, national GPCI baseline
- Conversion factor
- 2026 non-QPP unless changed in the calculator
- Estimating Medicare payment from RVU components and GPCI assumptions.
- Comparing adjacent CPT codes after code selection is independently supported.
- Linking CPT-level RVU values to specialty productivity and compensation models.
- It does not decide whether the CPT code is clinically or documentation-supported.
- It does not replace payer-specific edits, modifier rules, or compliance review.
- It should not be mixed with a different setting or locality when comparing codes.
CPT FAQ
Common RVU and payment questions for CPT 29445.
What is the wRVU for CPT 29445?
The imported CMS 2026 Physician Fee Schedule source files list 1.74 work RVU for CPT 29445.
What is the national payment estimate for CPT 29445?
Using national GPCI and the 2026 non-QPP conversion factor, the estimate is $132.27.
Does locality change the payment?
Yes. GPCI values adjust work, practice expense, and malpractice components by geography.