CPT 29550
Global 000 ActiveStrapping of toes
CPT 29550 Billing & Documentation Guide
CPT code 29550 (Strapping of toes) is classified under Surgery (Musculoskeletal) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.24, a non-facility practice expense RVU of 0.32, and a malpractice RVU of 0.02, a total non-facility RVU of 0.58 and facility RVU of 0.29. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $19.91, though rates vary from $17.54 to $24.67 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 29550, 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 29550 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 29550 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 29550
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.24 | 0.24 |
| Practice Expense RVU | 0.32 | 0.03 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.58 | 0.29 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 29550
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 | $21.31 | $9.85 | $20.22 - $24.67 | 29 |
| Florida | $20.04 | $10.32 | $19.24 - $20.83 | 3 |
| Georgia | $19.03 | $9.79 | $18.35 - $19.7 | 2 |
| Illinois | $19.65 | $10.29 | $18.82 - $20.35 | 4 |
| Michigan | $19 | $9.9 | $18.53 - $19.46 | 2 |
| North Carolina | $18.42 | $9.38 | $18.42 - $18.42 | 1 |
| New York | $21.23 | $10.42 | $18.64 - $22.48 | 5 |
| Ohio | $18.45 | $9.6 | $18.45 - $18.45 | 1 |
| Pennsylvania | $19.27 | $9.79 | $18.46 - $20.08 | 2 |
| Texas | $19.2 | $9.67 | $18.36 - $19.93 | 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 29550
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 29550 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 29550
What does CPT code 29550 mean? +
CPT code 29550 represents: Strapping of toes. It's in the Surgery (Musculoskeletal) category with a global period of 000.
What is the Medicare reimbursement for CPT 29550? +
The 2026 Medicare national average non-facility payment for CPT 29550 is $19.91. Rates range from $17.54 to $24.67 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 29550? +
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 29550? +
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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