CPT 29131
Global 000 ActiveAppl finger splint dynamic
CPT 29131 Billing & Documentation Guide
CPT code 29131 (Appl finger splint dynamic) is classified under Surgery (Musculoskeletal) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.54, a non-facility practice expense RVU of 1.16, and a malpractice RVU of 0.08, a total non-facility RVU of 1.78 and facility RVU of 0.93. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $61.13, though rates vary from $52.69 to $77.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 29131, 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 29131 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 29131 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 29131
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.54 | 0.54 |
| Practice Expense RVU | 1.16 | 0.31 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 1.78 | 0.93 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 29131
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 | $65.98 | $32.38 | $62.24 - $77.32 | 29 |
| Florida | $62.11 | $33.63 | $59.09 - $65.13 | 3 |
| Georgia | $58.22 | $31.14 | $55.78 - $60.66 | 2 |
| Illinois | $60.64 | $33.21 | $57.59 - $63.23 | 4 |
| Michigan | $58.18 | $31.52 | $56.43 - $59.93 | 2 |
| North Carolina | $55.89 | $29.4 | $55.89 - $55.89 | 1 |
| New York | $65.75 | $34.07 | $56.72 - $70.22 | 5 |
| Ohio | $56.1 | $30.18 | $56.1 - $56.1 | 1 |
| Pennsylvania | $59.01 | $31.2 | $56.13 - $61.88 | 2 |
| Texas | $58.76 | $30.81 | $55.78 - $61.43 | 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 29131
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 29131 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 29131
What does CPT code 29131 mean? +
CPT code 29131 represents: Appl finger splint dynamic. It's in the Surgery (Musculoskeletal) category with a global period of 000.
What is the Medicare reimbursement for CPT 29131? +
The 2026 Medicare national average non-facility payment for CPT 29131 is $61.13. Rates range from $52.69 to $77.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 29131? +
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 29131? +
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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