Application of rigid total contact leg cast

CPT 29445 is the billing code for "Application of rigid total contact leg cast". For application of rigid total contact leg cast

Medicare pays approximately $125.83 for CPT 29445 (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 29445 has a total RVU of 6.45, broken down as: Work RVU 3.50, Practice Expense RVU 2.60, and Malpractice RVU 0.35. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 29445 include: Indication for rigid total contact cast; Type of cast applied; Cast material used; Total contact component. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 29445: Includes rigid total contact cast application. Includes cast materials Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 29445 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 29445 is 30-45 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.