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29505

Application of long leg splint (thigh to ankle or toes)

Orthopedics Casting/Splinting 5.08 Total RVUs
Quick Reference
For application of long leg splint from thigh to ankle or toes

Relative Value Units (RVUs)

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Work RVU
2.80
Physician effort
PE RVU
2.00
Practice expense
MP RVU
0.28
Malpractice
Total RVU
5.08
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

For application of long leg splint from thigh to ankle or toes

Time Requirement
20-30 minutes typical procedure time

Common Scenarios

Femoral fracture requiring splinting
Knee fracture requiring long leg splint
Tibial fracture requiring splinting
Post-operative splinting
Lower extremity injury requiring splinting

Documentation Requirements

  • Indication for long leg splint
  • Type of splint applied
  • Splint material used
  • Patient positioning
  • Follow-up instructions

Coding Guidelines

Common Modifiers

50 Bilateral procedure when both legs splinted same session
51 Multiple procedures performed same session
LT Left side procedure
RT Right side procedure

Bundling Rules

  • Includes splint application
  • Includes splint materials
  • Removal of old splint coded separately
  • Follow-up visits within global period bundled
  • X-rays coded separately

Exclusions

  • 29515 (application of short leg splint)
  • 29405 (application of short leg cast)
  • 29105 (application of long arm splint)
  • 29425 (application of short leg cast; walking type)

Coding Notes

Long leg splint application
Global period is 10 days
Document indication and splint type
Splint removal bundled within global period

Clinical scenarios

Femoral fracture requiring splinting
Femoral fracture requiring splinting
When to use:For application of long leg splint from thigh to ankle or toes
  • Indication for long leg splint
  • Type of splint applied
  • Splint material used
Knee fracture requiring long leg splint
Knee fracture requiring long leg splint
When to use:For application of long leg splint from thigh to ankle or toes
  • Indication for long leg splint
  • Type of splint applied
  • Splint material used
Tibial fracture requiring splinting
Tibial fracture requiring splinting
When to use:For application of long leg splint from thigh to ankle or toes
  • Indication for long leg splint
  • Type of splint applied
  • Splint material used

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Code Details

Code 29505
Category Orthopedics
Subcategory Casting/Splinting
Total RVUs 5.08

Medicare Pricing

PFS
2025 National Rate
$91.54
Facility
$52.08
Non-Facility
$91.54
RVU Breakdown
Work RVU:0.69PE RVU:2.01MP RVU:0.13Total RVU:2.83CF:$32.3465Global Days:000
OPPS Details
APC:5101Status:TCopayment:
Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 29505?

CPT 29505 is the billing code for "Application of long leg splint (thigh to ankle or toes)". For application of long leg splint from thigh to ankle or toes

How much does Medicare pay for CPT 29505?

Medicare pays approximately $91.54 for CPT 29505 (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.

What are the RVUs for CPT 29505?

CPT 29505 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.

What documentation is required for CPT 29505?

Key documentation requirements for CPT 29505 include: Indication for long leg splint; Type of splint applied; Splint material used; Patient positioning. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 29505 be billed with other codes?

Bundling considerations for CPT 29505: Includes splint application. Includes splint materials Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 29505?

Common modifiers for CPT 29505 include: 50 (Bilateral procedure when both legs splinted same session), 51 (Multiple procedures performed same session), LT (Left side procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 29505?

The typical time requirement for CPT 29505 is 20-30 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.

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