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CPT code 29580: Unna boot, zinc oxide compression wrap2026 Medicare rate & RVUs in San Francisco, CA

Report this service when a clinician applies an Unna boot compression dressing to the lower leg, commonly for venous stasis ulcer or edema care.

CMS RVU26DEffective Oct 1, 2026One payment locality137K Medicare services in 2024

In San Francisco, CA, Medicare pays $81.03 for 29580 in the office and $24.98 when it’s performed in a hospital or facility.

$81.03Office (non-facility)
$24.98Hospital or facility
+28.4%vs the national office rate ($63.13)

Check a contract rate as a % of Medicare · 29580 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 29580 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in San Francisco, CA
  2. What 29580 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 29580 covers

A clinician applies a zinc oxide-impregnated dressing and compression wrap to the lower leg, commonly as part of care for venous stasis ulcers or related edema. The service is seen in wound-care clinics, vascular practices, podiatry offices, and outpatient settings. The wrap supports compression treatment; it is distinct from immobilizing the leg in a splint or applying a different multilayer compression system.

Report 29580 for the Unna boot application, with documentation identifying the treated leg, the condition prompting compression, and the dressing and wrap applied. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral service, modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How San Francisco, CA compares for 29580

Across 109 of 109 payment localities, the office rate for 29580 runs from $55.97 in Arkansas to $82.92 in San Benito County, CA. San Francisco, CA pays $81.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

29580 in San Francisco, CA vs other payment areas
  1. San Francisco, CA · this page$81.03
  2. Bakersfield, CA · California$66.66−$14.37
  3. Chico, CA · California$66.45−$14.58
  4. El Centro, CA · California$66.47−$14.56
  5. Fresno, CA · California$66.45−$14.58
  6. Hanford, CA · California$66.45−$14.58
  7. Los Angeles, CA · California$70.91−$10.12

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

29580 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$66.45$22.89
Merced, CACalifornia$66.45$22.89
Modesto, CACalifornia$66.45$22.89
Napa, CACalifornia$76.71$24.32
Oxnard, CACalifornia$70.53$23.55
Redding, CACalifornia$66.45$22.89
Rest of CaliforniaCalifornia$66.45$22.89
Riverside, CACalifornia$67.21$23.65

29580 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$55.97

$74.69

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
29580 office rate range by state
State / territoryOffice rate rangeLocalities
AK$73.881
AL$56.771
AR$55.971
AZ$61.471
CA$66.45–$82.9229
CO$65.571
CT$67.271
DC$71.981
DE$62.471
FL$62.42–$68.463
GA$58.96–$64.342
GU$68.001
HI$68.001
IA$58.081
ID$58.481
IL$60.72–$66.504
IN$58.801
KS$57.861
KY$58.181
LA$58.11–$60.922
MA$65.21–$71.902
MD$63.63–$71.983
ME$58.82–$61.882
MI$59.71–$63.242
MN$62.721
MO$57.17–$61.083
MS$56.571
MT$63.121
NC$59.421
ND$61.741
NE$58.381
NH$64.591
NJ$68.01–$71.262
NM$60.051
NV$62.781
NY$60.30–$74.375
OH$59.431
OK$58.031
OR$62.26–$67.562
PA$59.49–$65.662
PR$63.561
RI$64.631
SC$59.531
SD$61.581
TN$58.151
TX$59.11–$65.388
UT$60.321
VA$61.71–$71.982
VI$63.561
VT$61.551
WA$65.07–$73.312
WI$59.711
WV$58.531
WY$62.521

See 29580 in every payment locality

How the 29580 rate is calculated

Each of 29580’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 29580

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense1.28

1.28 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.8900

Conversion factor

$33.4009

Medicare rate

$63.13

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact San Francisco, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,303

Code
29580
Physician work
0.54
Practice expense
1.28
Malpractice
0.07

GPCI2026.csv

24

Locality
San Francisco, CA
Physician work
1.095
Practice expense
1.410
Malpractice
0.425
Office calculation for 29580 in San Francisco, CA
ComponentRVULocality factorAdjusted
Physician work0.54× 1.0950.5913
Practice expense1.28× 1.4101.8048
Malpractice0.07× 0.4250.0298
Total RVUs2.4259
Conversion factor× 33.4009

Office rate, San Francisco, CA$81.03

Office: (0.54 × 1.095 + 1.28 × 1.41 + 0.07 × 0.425) × $33.4009 = $81.03

Facility: (0.54 × 1.095 + 0.09 × 1.41 + 0.07 × 0.425) × $33.4009 = $24.98

Open 29580 in the RVU calculator

Payment rules and modifiers for 29580

The CMS indicators that decide how 29580 is paid alongside other services.

CMS payment indicators · 29580

Unna boot, zinc oxide compression wrap

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

29580 without 50 · national office

$63.13

Unna boot, zinc oxide compression wrap

29580-50 · Bilateral: 150%

$94.70

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 29580

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 29580
CodeHow it relatesOffice range, San Francisco, CA
Used instead
29581Compression wrap, below knee, including footUsed for a multilayer compression system rather than an Unna boot.$111.20
29515Splint application, short legApplies a short-leg splint for immobilization, not Unna boot compression.$104.91
Same family
29540Ankle/foot strapping, supportive tape applicationStrapping service focused on the ankle or foot rather than an Unna boot.$34.57
29530Knee strapping, supportive knee tapingStrapping service for the knee; differs by treated body site.$36.17

How 29580 has changed in San Francisco, CA

29580 · Office / nonfacility

$81.03

Effective 2026-10-01

The base rate is $2.06 higher than on 2025-10-01, moving from $78.97 to $81.03 (2.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $78.97changed to$81.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.55 changed to 0.54
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.088 changed to 1.095
    • Practice expense GPCI 1.419 changed to 1.410
    • Malpractice GPCI 0.445 changed to 0.425

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $82.36changed to$78.97

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.30 changed to 1.28
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $81.02changed to$82.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $80.37changed to$81.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.27 changed to 1.30
    • Work GPCI 1.082 changed to 1.088
    • Practice expense GPCI 1.374 changed to 1.419
    • Malpractice GPCI 0.452 changed to 0.445

  5. January 1, 2023

    RVU23A

    $80.18changed to$80.37

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.077 changed to 1.082
    • Practice expense GPCI 1.329 changed to 1.374
    • Malpractice GPCI 0.458 changed to 0.452

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $80.06changed to$80.18

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.26 changed to 1.27
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $78.66changed to$80.06

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.17 changed to 1.26
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.076 changed to 1.077
    • Practice expense GPCI 1.327 changed to 1.329
    • Malpractice GPCI 0.440 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $77.76changed to$78.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.16 changed to 1.17
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.075 changed to 1.076
    • Practice expense GPCI 1.325 changed to 1.327
    • Malpractice GPCI 0.421 changed to 0.440

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $76.25changed to$77.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.13 changed to 1.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $64.73changed to$76.25

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.87 changed to 1.13
    • Work GPCI 1.077 changed to 1.075
    • Practice expense GPCI 1.357 changed to 1.325
    • Malpractice GPCI 0.439 changed to 0.421

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $66.13changed to$64.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.88 changed to 0.87
    • Work GPCI 1.079 changed to 1.077
    • Practice expense GPCI 1.388 changed to 1.357
    • Malpractice GPCI 0.457 changed to 0.439

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $66.20changed to$66.13

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $65.87changed to$66.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $65.24changed to$65.87

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.87 changed to 0.88
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.076 changed to 1.079
    • Practice expense GPCI 1.374 changed to 1.388
    • Malpractice GPCI 0.487 changed to 0.457

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $66.17changed to$65.24

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.97 changed to 0.87
    • Work GPCI 1.072 changed to 1.076
    • Practice expense GPCI 1.360 changed to 1.374
    • Malpractice GPCI 0.516 changed to 0.487

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$66.17

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$81.03$24.98RVU26D
2026-07-01$81.03$24.98RVU26C
2026-04-01$81.03$24.98RVU26B
2026-01-01$81.03$24.98RVU26A
2025-10-01$78.97$28.02RVU25D
2025-07-01$78.97$28.02RVU25C
2025-04-01$78.97$28.02RVU25B
2025-01-01$78.97$28.02RVU25A
2024-10-01$82.36$28.51RVU24D
2024-07-01$82.36$28.51RVU24C
2024-04-01$82.36$28.51RVU24B
2024-03-09$82.36$28.51RVU24AR
2024-01-01$81.02$28.05RVU24A
2023-10-01$80.37$28.69RVU23D
2023-07-01$80.37$28.69RVU23C
2023-04-01$80.37$28.69RVU23B
2023-01-01$80.37$28.69RVU23A
2022-10-01$80.18$29.13RVU22D
2022-07-01$80.18$29.13RVU22C
2022-04-01$80.18$29.13RVU22B
2022-01-01$80.18$29.13RVU22A
2021-10-01$80.06$29.05RVU21D
2021-07-01$80.06$29.05RVU21C
2021-04-01$80.06$29.05RVU21B
2021-01-01$80.06$29.05RVU21A
2020-10-01$78.66$30.29RVU20D
2020-07-01$78.66$30.29RVU20C
2020-04-01$78.66$30.29RVU20B
2020-01-01$78.66$30.29RVU20A
2019-10-01$77.76$30.49RVU19D
2019-07-01$77.76$30.49RVU19C
2019-04-01$77.76$30.49RVU19B
2019-01-01$77.76$30.49RVU19A
2018-10-01$76.25$32.36RVU18D
2018-07-01$76.25$32.36RVU18C
2018-04-01$76.25$32.36RVU18B
2018-01-01$76.25$32.36RVU18AR1
2017-10-01$64.73$41.84RVU17D
2017-07-01$64.73$41.84RVU17C
2017-04-01$64.73$41.84RVU17B
2017-01-01$64.73$41.84RVU17A
2016-10-01$66.13$42.27RVU16D
2016-07-01$66.13$42.27RVU16C
2016-04-01$66.13$42.27RVU16B
2016-01-01$66.13$42.27RVU16A
2015-10-01$66.20$42.26RVU15D
2015-07-01$66.20$42.26RVU15C
2015-04-01$65.87$42.05RVU15B
2015-01-01$65.87$42.05RVU15A
2014-10-01$65.24$42.11RVU14D
2014-07-01$65.24$42.11RVU14C
2014-04-01$65.24$42.11RVU14B
2014-01-01$65.24$42.11RVU14A
2013-10-01$66.17$41.65RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29580 for an earlier date of service

Where the San Francisco, CA rate applies

San Francisco, CA is a Medicare payment area, not a city. Our Census mapping connects it to 107 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Alameda
  • Berkeley
  • Oakland
  • San Francisco
  • San Mateo
  • Acalanes Ridge
  • Alamo
  • Albany

Browse all communities in California

29580 billing questions

How is 29580 different from 29581?

Use 29580 for an Unna boot dressing. Code 29581 describes application of a multilayer compression system, a different compression method.

What documentation supports 29580?

Record the treated leg, the condition requiring compression, and that an Unna boot dressing was applied. Document laterality when only one leg is treated.

Can 29580 be reported for both legs?

For bilateral service, CMS pays the service with modifier 50 at 150%. Document the application on both legs.

Is same-day evaluation and management included?

The 0-day global period includes same-day preoperative and postoperative care. The application itself remains reportable when performed.

How does a splint differ from an Unna boot?

An Unna boot provides compression through a zinc oxide dressing and wrap. A lower-leg splint, such as 29515, is used for immobilization.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 29580PPRRVU2026_Oct_nonQPP.csv, line 3,303 (RVU26D)
Geographic factors for San Francisco, CAGPCI2026.csv, line 24 (RVU26D)

Open CMS sourceHow we calculate rates

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