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29358 application long leg cast brace

Surgery Global 0d

Also known as: long leg cast with brace, hinged knee cast, articulated cast

Application of a long leg cast with an articulated brace or hinge mechanism at the knee to allow controlled knee flexion and extension.

In Plain Language

bendable knee cast; leg cast with moving knee

Clinical Context

Indicated for distal femur and proximal tibia fractures allowing controlled knee motion during healing and rehabilitation.

RVU Breakdown

Work RVU1.39
Total RVU1.39

Est. Medicare Payment

$46.43

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 1.39, this code ranks in the 8th percentile among Surgery codes — 5.8x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Orthopedic Surgery

Frequently Asked Questions

What is CPT code 29358?

CPT 29358 (application long leg cast brace) is a Surgery code. Application of a long leg cast with an articulated brace or hinge mechanism at the knee to allow controlled knee flexion and extension.

What is the wRVU value for CPT 29358?

The work RVU for CPT 29358 is 1.39. This code is primarily used by Orthopedic Surgery.

When is CPT 29358 used?

Indicated for distal femur and proximal tibia fractures allowing controlled knee motion during healing and rehabilitation.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.