CPT 29010
Global 000 ActiveAppl risser jacket body only
CPT 29010 Billing & Documentation Guide
CPT code 29010 (Appl risser jacket body only) is classified under Surgery (Musculoskeletal) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.01, a non-facility practice expense RVU of 7.06, and a malpractice RVU of 0.43, a total non-facility RVU of 9.5 and facility RVU of 4.59. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $326.9, though rates vary from $277.09 to $422.26 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 29010, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 29010 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 29010 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 29010
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.01 | 2.01 |
| Practice Expense RVU | 7.06 | 2.15 |
| Malpractice RVU | 0.43 | 0.43 |
| Total RVU | 9.5 | 4.59 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 29010
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $356.36 | $162.3 | $334.42 - $422.26 | 29 |
| Florida | $331.69 | $167.14 | $314.16 - $348.94 | 3 |
| Georgia | $309.39 | $152.93 | $294.6 - $324.17 | 2 |
| Illinois | $322.67 | $164.21 | $304.88 - $337.56 | 4 |
| Michigan | $308.78 | $154.79 | $298.65 - $318.91 | 2 |
| North Carolina | $296.32 | $143.31 | $296.32 - $296.32 | 1 |
| New York | $352.91 | $169.96 | $301.25 - $378.48 | 5 |
| Ohio | $296.91 | $147.18 | $296.91 - $296.91 | 1 |
| Pennsylvania | $314.07 | $153.43 | $297.18 - $330.96 | 2 |
| Texas | $313 | $151.54 | $295.07 - $329.48 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 29010
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 29010 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 29010
What does CPT code 29010 mean? +
CPT code 29010 represents: Appl risser jacket body only. It's in the Surgery (Musculoskeletal) category with a global period of 000.
What is the Medicare reimbursement for CPT 29010? +
The 2026 Medicare national average non-facility payment for CPT 29010 is $326.9. Rates range from $277.09 to $422.26 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 29010? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 29010? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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