CPT 29126
Global 000 ActiveAppl short arm splint dyn
CPT 29126 Billing & Documentation Guide
CPT code 29126 (Appl short arm splint dyn) is classified under Surgery (Musculoskeletal) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.66, a non-facility practice expense RVU of 1.81, and a malpractice RVU of 0.09, a total non-facility RVU of 2.56 and facility RVU of 1.36. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $88.16, though rates vary from $75.52 to $113.26 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 29126, 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 29126 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 29126 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 29126
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.66 | 0.66 |
| Practice Expense RVU | 1.81 | 0.61 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 2.56 | 1.36 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 29126
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 | $96 | $48.57 | $90.29 - $113.26 | 29 |
| Florida | $88.55 | $48.34 | $84.36 - $92.58 | 3 |
| Georgia | $83.35 | $45.11 | $79.55 - $87.14 | 2 |
| Illinois | $86.28 | $47.55 | $81.94 - $89.86 | 4 |
| Michigan | $83.04 | $45.41 | $80.63 - $85.45 | 2 |
| North Carolina | $80.37 | $42.97 | $80.37 - $80.37 | 1 |
| New York | $94.62 | $49.9 | $81.59 - $100.92 | 5 |
| Ohio | $80.27 | $43.68 | $80.27 - $80.27 | 1 |
| Pennsylvania | $84.67 | $45.42 | $80.38 - $88.96 | 2 |
| Texas | $84.48 | $45.02 | $79.85 - $88.71 | 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 29126
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 29126 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 29126
What does CPT code 29126 mean? +
CPT code 29126 represents: Appl short arm splint dyn. It's in the Surgery (Musculoskeletal) category with a global period of 000.
What is the Medicare reimbursement for CPT 29126? +
The 2026 Medicare national average non-facility payment for CPT 29126 is $88.16. Rates range from $75.52 to $113.26 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 29126? +
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 29126? +
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 May 31, 2026.
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