CPT 29086
Global 000 ActiveApplication cast finger
CPT 29086 Billing & Documentation Guide
CPT code 29086 (Application cast finger) is classified under Surgery (Musculoskeletal) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.6, a non-facility practice expense RVU of 1.82, and a malpractice RVU of 0.05, a total non-facility RVU of 2.47 and facility RVU of 1.38. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $85.32, though rates vary from $73.12 to $110.8 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 29086, 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 29086 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 2 units of 29086 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 29086
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.6 | 0.6 |
| Practice Expense RVU | 1.82 | 0.73 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 2.47 | 1.38 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 29086
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 | $93.6 | $50.52 | $87.9 - $110.8 | 29 |
| Florida | $84.29 | $47.76 | $80.67 - $87.55 | 3 |
| Georgia | $80.07 | $45.33 | $76.26 - $83.87 | 2 |
| Illinois | $82.04 | $46.86 | $78.15 - $85.57 | 4 |
| Michigan | $79.48 | $45.29 | $77.43 - $81.52 | 2 |
| North Carolina | $77.82 | $43.86 | $77.82 - $77.82 | 1 |
| New York | $91.08 | $50.46 | $78.96 - $96.7 | 5 |
| Ohio | $77.22 | $43.99 | $77.22 - $77.22 | 1 |
| Pennsylvania | $81.55 | $45.89 | $77.42 - $85.68 | 2 |
| Texas | $81.55 | $45.71 | $76.91 - $85.88 | 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 29086
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 29086 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 29086
What does CPT code 29086 mean? +
CPT code 29086 represents: Application cast finger. It's in the Surgery (Musculoskeletal) category with a global period of 000.
What is the Medicare reimbursement for CPT 29086? +
The 2026 Medicare national average non-facility payment for CPT 29086 is $85.32. Rates range from $73.12 to $110.8 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 29086? +
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 29086? +
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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