Application of short leg cast (walking or ambulatory type)

CPT 29425 is the billing code for "Application of short leg cast (walking or ambulatory type)". For application of walking short leg cast

Medicare pays approximately $75.69 for CPT 29425 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 29425 has a total RVU of 5.08, broken down as: Work RVU 2.80, Practice Expense RVU 2.00, and Malpractice RVU 0.28. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 29425 include: Indication for walking cast; Type of cast applied; Cast material used; Walking boot or heel included. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 29425: Includes walking cast application. Includes cast materials Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 29425 include: 50 (Bilateral procedure when both legs casted same session), 51 (Multiple procedures performed same session), LT (Left side procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 29425 is 20-35 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.