How much does Medicare pay for CPT 29075?

Medicare allowed an average of $84.06 per service and paid $64.53 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $304.60, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 29075?

Application of elbow to finger cast. It was billed 20,325 times to 16,165 Medicare beneficiaries by 845 providers in 2024.

Does 29075 pay differently in an office than a hospital?

Yes. The allowed amount averaged $84.73 in an office setting and $51.59 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 29075 most?

Hand Surgery, with 7,517 services from 292 clinicians. Next are Orthopedic Surgery, Physician Assistant, Nurse Practitioner.

CPT 29075

Application of elbow to finger cast

$84.06Medicare-allowed amount per service, averaged across 20,325 services

Providers submitted

$304.60

Asking price, not received

Medicare allowed

$84.06

The fee schedule figure

Medicare paid

$64.53

Balance is patient coinsurance

Providers submitted an average of $304.60 for this code and Medicare allowed $84.06 — 3.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $64.53 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $84.73
Hospital / facility: $51.59

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 19,912 services were billed in an office setting and 413 in a facility.

Services: 20,325
Beneficiaries: 16,165
Providers billing it: 845
Total allowed: $1,708,520

What Medicare pays for CPT 29075

Across 20,325 services billed by 845 providers to 16,165 beneficiaries, Medicare allowed an average of $84.06 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 29075

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	7,517	5,879	$88.48	292
Orthopedic Surgery	6,481	5,150	$88.88	273
Physician Assistant	4,882	4,013	$72.24	219
Nurse Practitioner	857	672	$72.62	40
General Surgery	214	151	$89.30	4
Sports Medicine	182	156	$88.24	9
Plastic and Reconstructive Surgery	139	99	$91.44	5
Internal Medicine	27	22	$86.00	1
Emergency Medicine	26	23	$86.64	2

29075 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	3,224	$92.47	$64.46	114
Texas	1,659	$85.11	$65.56	58
Florida	1,589	$82.80	$63.17	61
New York	1,331	$91.25	$64.85	56
Michigan	995	$87.56	$65.03	26
Massachusetts	864	$87.76	$63.62	36
Illinois	700	$83.86	$62.77	34
Georgia	640	$82.41	$62.62	29
Virginia	618	$81.98	$63.28	26
Arizona	610	$77.13	$58.85	27
Maryland	599	$88.48	$64.91	22
Washington	569	$82.66	$61.93	25
North Carolina	546	$72.59	$58.70	27
Pennsylvania	541	$82.85	$62.50	25
Tennessee	478	$75.15	$64.16	21
Colorado	395	$83.74	$62.85	14
New Jersey	360	$93.01	$62.86	18
South Carolina	348	$80.10	$64.53	15
Arkansas	336	$73.56	$64.26	15
Oklahoma	303	$71.19	$60.18	18
Connecticut	277	$89.62	$64.36	13
Oregon	274	$76.98	$59.62	14
Mississippi	255	$74.83	$62.61	12
Nebraska	253	$77.64	$63.94	10
Iowa	245	$76.67	$63.74	14
Ohio	215	$78.06	$63.60	11
New Hampshire	201	$82.94	$65.21	11
Rhode Island	179	$82.97	$63.54	6
Kentucky	163	$72.61	$62.17	9
Kansas	152	$70.64	$59.22	8
Alabama	150	$71.46	$66.41	7
Missouri	135	$81.83	$66.36	6
New Mexico	134	$67.93	$54.46	7
Delaware	133	$81.83	$66.32	3
Louisiana	125	$76.03	$61.55	8
Indiana	122	$75.67	$61.83	6
Nevada	108	$79.10	$61.86	6
District of Columbia	64	$86.31	$62.53	3
Guam	57	$93.32	$67.74	1
Montana	55	$85.56	$68.16	3
Idaho	54	$67.89	$58.24	3
Wisconsin	49	$69.85	$57.21	3
Maine	46	$82.20	$59.37	3
Utah	44	$75.61	$63.28	3
Alaska	43	$86.79	$59.41	2
Minnesota	31	$79.10	$59.35	2
West Virginia	29	$55.62	$47.76	2
South Dakota	16	$84.33	$70.06	1
North Dakota	11	$59.60	$49.26	1

Related codes

29085Application of hand and lower forearm cast$92.63

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.