CPT code 29581: Compression wrap, below knee, including foot2026 Medicare rate & RVUs in Marin County, CA
Report this service when a clinician applies a multilayer compression system to treat conditions such as venous edema or a lower-leg ulcer.
In Marin County, CA, Medicare pays $111.21 for 29581 in the office and $25.97 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 29581 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 29581 covers
A clinician applies a multilayer compression system to a leg from the foot and ankle to below the knee. It is commonly used in outpatient wound care for venous stasis ulcers, chronic venous insufficiency, and edema or lymphedema requiring compression. The treated area and the compression system applied distinguish this service from localized strapping or a splint.
Report one service for each treated leg, documenting the condition, side, area treated, and application. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction. For bilateral treatment, modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; 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 Marin County, CA compares for 29581
Across 109 of 109 payment localities, the office rate for 29581 runs from $74.39 in Arkansas to $113.57 in San Benito County, CA. Marin County, CA pays $111.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$111.21
- Bakersfield, CA · California$89.84−$21.37
- Chico, CA · California$89.77−$21.44
- El Centro, CA · California$89.78−$21.43
- Fresno, CA · California$89.77−$21.44
- Hanford, CA · California$89.77−$21.44
- Los Angeles, CA · California$95.81−$15.40
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $89.77 | $23.52 |
| Merced, CACalifornia | $89.77 | $23.52 |
| Modesto, CACalifornia | $89.77 | $23.52 |
| Napa, CACalifornia | $104.76 | $25.08 |
| Oxnard, CACalifornia | $95.48 | $24.02 |
| Redding, CACalifornia | $89.77 | $23.52 |
| Rest of CaliforniaCalifornia | $89.77 | $23.52 |
| Riverside, CACalifornia | $89.90 | $23.64 |
| Sacramento, CACalifornia | $94.40 | $24.09 |
| Salinas, CACalifornia | $94.05 | $23.98 |
| San Diego, CACalifornia | $96.38 | $24.07 |
| San Francisco, CACalifornia | $111.20 | $25.96 |
| San Benito County, CACalifornia | $113.57 | $26.39 |
| Santa Clara County, CACalifornia | $113.52 | $26.34 |
| San Luis Obispo, CACalifornia | $92.50 | $23.64 |
| Santa Cruz, CACalifornia | $97.41 | $23.95 |
| Santa Maria, CACalifornia | $94.43 | $23.94 |
| Santa Rosa, CACalifornia | $98.41 | $24.17 |
| Stockton, CACalifornia | $89.77 | $23.52 |
| Vallejo, CACalifornia | $104.74 | $25.06 |
| Visalia, CACalifornia | $89.77 | $23.52 |
| Yuba City, CACalifornia | $89.77 | $23.52 |
| Washington, DC areaDistrict of Columbia | $95.90 | $24.68 |
| Miami, FLFlorida | $86.61 | $23.68 |
| Chicago, ILIllinois | $84.39 | $23.63 |
| Manhattan, NYNew York | $95.24 | $24.99 |
| AlaskaAlaska | $97.33 | $32.95 |
| AlabamaAlabama | $75.42 | $22.53 |
| ArkansasArkansas | $74.39 | $22.46 |
| ArizonaArizona | $81.49 | $22.91 |
| ColoradoColorado | $87.73 | $23.40 |
| ConnecticutConnecticut | $88.85 | $23.74 |
| DelawareDelaware | $82.81 | $23.08 |
| Fort Lauderdale, FLFlorida | $84.60 | $23.36 |
| Rest of FloridaFlorida | $80.88 | $23.08 |
| Atlanta, GAGeorgia | $84.64 | $23.22 |
| Rest of GeorgiaGeorgia | $76.71 | $22.79 |
| Hawaii, Guam, HIHawaii | $92.06 | $23.32 |
| IowaIowa | $77.91 | $22.59 |
| IdahoIdaho | $78.25 | $22.63 |
| East St. Louis, ILIllinois | $78.76 | $23.14 |
| Rest of IllinoisIllinois | $78.17 | $22.97 |
| Suburban Chicago, ILIllinois | $85.61 | $23.52 |
| IndianaIndiana | $78.70 | $22.66 |
| KansasKansas | $77.24 | $22.59 |
| KentuckyKentucky | $76.43 | $22.68 |
| New Orleans, LALouisiana | $79.80 | $22.91 |
| Rest of LouisianaLouisiana | $76.19 | $22.69 |
| Metropolitan Boston, MAMassachusetts | $96.59 | $24.40 |
| Rest of MassachusettsMassachusetts | $87.11 | $23.45 |
| Baltimore area, MDMaryland | $88.53 | $23.66 |
| Rest of MarylandMaryland | $84.43 | $23.25 |
| Rest of MaineMaine | $78.30 | $22.68 |
| Southern Maine, MEMaine | $82.81 | $22.90 |
| Detroit, MIMichigan | $81.51 | $23.17 |
| Rest of MichiganMichigan | $78.02 | $22.83 |
| MinnesotaMinnesota | $85.11 | $22.90 |
| Metropolitan Kansas City, MOMissouri | $79.62 | $22.86 |
| Metropolitan St. Louis, MOMissouri | $80.46 | $22.90 |
| Rest of MissouriMissouri | $74.74 | $22.62 |
| MississippiMississippi | $74.59 | $22.54 |
| MontanaMontana | $83.50 | $23.05 |
| North CarolinaNorth Carolina | $79.13 | $22.72 |
| North DakotaNorth Dakota | $83.30 | $22.85 |
| NebraskaNebraska | $78.41 | $22.61 |
| New HampshireNew Hampshire | $86.06 | $23.13 |
| Northern New JerseyNew Jersey | $94.92 | $24.79 |
| Rest of New JerseyNew Jersey | $90.16 | $24.14 |
| New MexicoNew Mexico | $78.30 | $22.86 |
| NevadaNevada | $83.51 | $22.99 |
| NYC suburbs and Long Island, NYNew York | $97.04 | $25.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $90.49 | $24.29 |
| Queens, NYNew York | $96.46 | $25.00 |
| Rest of New YorkNew York | $80.23 | $22.80 |
| OhioOhio | $77.98 | $22.79 |
| OklahomaOklahoma | $76.64 | $22.65 |
| Portland, OROregon | $90.78 | $23.61 |
| Rest of OregonOregon | $83.15 | $22.94 |
| Metropolitan Philadelphia, PAPennsylvania | $86.52 | $23.59 |
| Rest of PennsylvaniaPennsylvania | $78.28 | $22.78 |
| Puerto RicoPuerto Rico | $84.20 | $23.07 |
| Rhode IslandRhode Island | $85.93 | $23.48 |
| South CarolinaSouth Carolina | $78.63 | $22.77 |
| South DakotaSouth Dakota | $83.28 | $22.82 |
| TennesseeTennessee | $77.57 | $22.62 |
| Austin, TXTexas | $87.18 | $23.22 |
| Beaumont, TXTexas | $77.77 | $22.75 |
| Brazoria, TXTexas | $83.02 | $23.10 |
| Dallas, TXTexas | $83.38 | $23.16 |
| Fort Worth, TXTexas | $82.75 | $23.14 |
| Galveston, TXTexas | $83.16 | $23.13 |
| Houston, TXTexas | $83.34 | $23.31 |
| Rest of TexasTexas | $80.23 | $22.86 |
| UtahUtah | $79.66 | $22.83 |
| VirginiaVirginia | $82.33 | $22.90 |
| Virgin Islands, VIUnited States Virgin Islands | $84.20 | $23.07 |
| VermontVermont | $82.70 | $22.85 |
| Rest of WashingtonWashington | $87.04 | $23.38 |
| King County, WAWashington | $98.83 | $24.65 |
| WisconsinWisconsin | $80.61 | $22.69 |
| West VirginiaWest Virginia | $75.33 | $22.80 |
| WyomingWyoming | $83.42 | $22.96 |
29581 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$74.39
$101.67
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $97.33 | 1 |
| AL | $75.42 | 1 |
| AR | $74.39 | 1 |
| AZ | $81.49 | 1 |
| CA | $89.77–$113.57 | 29 |
| CO | $87.73 | 1 |
| CT | $88.85 | 1 |
| DC | $95.90 | 1 |
| DE | $82.81 | 1 |
| FL | $80.88–$86.61 | 3 |
| GA | $76.71–$84.64 | 2 |
| GU | $92.06 | 1 |
| HI | $92.06 | 1 |
| IA | $77.91 | 1 |
| ID | $78.25 | 1 |
| IL | $78.17–$85.61 | 4 |
| IN | $78.70 | 1 |
| KS | $77.24 | 1 |
| KY | $76.43 | 1 |
| LA | $76.19–$79.80 | 2 |
| MA | $87.11–$96.59 | 2 |
| MD | $84.43–$95.90 | 3 |
| ME | $78.30–$82.81 | 2 |
| MI | $78.02–$81.51 | 2 |
| MN | $85.11 | 1 |
| MO | $74.74–$80.46 | 3 |
| MS | $74.59 | 1 |
| MT | $83.50 | 1 |
| NC | $79.13 | 1 |
| ND | $83.30 | 1 |
| NE | $78.41 | 1 |
| NH | $86.06 | 1 |
| NJ | $90.16–$94.92 | 2 |
| NM | $78.30 | 1 |
| NV | $83.51 | 1 |
| NY | $80.23–$97.04 | 5 |
| OH | $77.98 | 1 |
| OK | $76.64 | 1 |
| OR | $83.15–$90.78 | 2 |
| PA | $78.28–$86.52 | 2 |
| PR | $84.20 | 1 |
| RI | $85.93 | 1 |
| SC | $78.63 | 1 |
| SD | $83.28 | 1 |
| TN | $77.57 | 1 |
| TX | $77.77–$87.18 | 8 |
| UT | $79.66 | 1 |
| VA | $82.33–$95.90 | 2 |
| VI | $84.20 | 1 |
| VT | $82.70 | 1 |
| WA | $87.04–$98.83 | 2 |
| WI | $80.61 | 1 |
| WV | $75.33 | 1 |
| WY | $83.42 | 1 |
How the 29581 rate is calculated
Each of 29581’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 · 29581
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense1.90
1.90 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.5000
Conversion factor
$33.4009
Medicare rate
$83.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,304
- Code
- 29581
- Physician work
- 0.59
- Practice expense
- 1.90
- Malpractice
- 0.01
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.095 | 0.6460 |
| Practice expense | 1.90 | × 1.410 | 2.6790 |
| Malpractice | 0.01 | × 0.459 | 0.0046 |
| Total RVUs | 3.3296 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$111.21
Office: (0.59 × 1.095 + 1.9 × 1.41 + 0.01 × 0.459) × $33.4009 = $111.21
Facility: (0.59 × 1.095 + 0.09 × 1.41 + 0.01 × 0.459) × $33.4009 = $25.97
Payment rules and modifiers for 29581
The CMS indicators that decide how 29581 is paid alongside other services.
CMS payment indicators · 29581
Compression wrap, below knee, including foot
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
29581 without 50 · national office
$83.50
Compression wrap, below knee, including foot
29581-50 · Bilateral: 150%
$125.25
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).
How 29581 has changed in Marin County, CA
29581 · Office / nonfacility
$111.21
Effective 2026-10-01
The base rate is $1.86 lower than on 2025-10-01, moving from $113.07 to $111.21 (1.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$113.07changed to$111.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.60 changed to 0.59
- Practice expense RVU 2.00 changed to 1.90
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$117.77changed to$113.07
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.03 changed to 2.00
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$115.85changed to$117.77
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$118.08changed to$115.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.06 changed to 2.03
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$116.53changed to$118.08
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.04 changed to 2.06
- Malpractice RVU 0.02 changed to 0.01
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$115.64changed to$116.53
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.03 changed to 2.04
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$113.48changed to$115.64
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.92 changed to 2.03
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$109.43changed to$113.48
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.85 changed to 1.92
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$106.15changed to$109.43
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.80 changed to 1.85
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$78.54changed to$106.15
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 0.25 changed to 0.60
- Practice expense RVU 1.51 changed to 1.80
- Malpractice RVU 0.01 changed to 0.02
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$78.54
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $111.21 | $25.97 | RVU26D |
| 2026-07-01 | $111.21 | $25.97 | RVU26C |
| 2026-04-01 | $111.21 | $25.97 | RVU26B |
| 2026-01-01 | $111.21 | $25.97 | RVU26A |
| 2025-10-01 | $113.07 | $29.53 | RVU25D |
| 2025-07-01 | $113.07 | $29.53 | RVU25C |
| 2025-04-01 | $113.07 | $29.53 | RVU25B |
| 2025-01-01 | $113.07 | $29.53 | RVU25A |
| 2024-10-01 | $117.77 | $30.39 | RVU24D |
| 2024-07-01 | $117.77 | $30.39 | RVU24C |
| 2024-04-01 | $117.77 | $30.39 | RVU24B |
| 2024-03-09 | $117.77 | $30.39 | RVU24AR |
| 2024-01-01 | $115.85 | $29.89 | RVU24A |
| 2023-10-01 | $118.08 | $30.55 | RVU23D |
| 2023-07-01 | $118.08 | $30.55 | RVU23C |
| 2023-04-01 | $118.08 | $30.55 | RVU23B |
| 2023-01-01 | $118.08 | $30.55 | RVU23A |
| 2022-10-01 | $116.53 | $30.99 | RVU22D |
| 2022-07-01 | $116.53 | $30.99 | RVU22C |
| 2022-04-01 | $116.53 | $30.99 | RVU22B |
| 2022-01-01 | $116.53 | $30.99 | RVU22A |
| 2021-10-01 | $115.64 | $31.01 | RVU21D |
| 2021-07-01 | $115.64 | $31.01 | RVU21C |
| 2021-04-01 | $115.64 | $31.01 | RVU21B |
| 2021-01-01 | $115.64 | $31.01 | RVU21A |
| 2020-10-01 | $113.48 | $31.91 | RVU20D |
| 2020-07-01 | $113.48 | $31.91 | RVU20C |
| 2020-04-01 | $113.48 | $31.91 | RVU20B |
| 2020-01-01 | $113.48 | $31.91 | RVU20A |
| 2019-10-01 | $109.43 | $31.73 | RVU19D |
| 2019-07-01 | $109.43 | $31.73 | RVU19C |
| 2019-04-01 | $109.43 | $31.73 | RVU19B |
| 2019-01-01 | $109.43 | $31.73 | RVU19A |
| 2018-10-01 | $106.15 | $31.56 | RVU18D |
| 2018-07-01 | $106.15 | $31.56 | RVU18C |
| 2018-04-01 | $106.15 | $31.56 | RVU18B |
| 2018-01-01 | $106.15 | $31.56 | RVU18AR1 |
| 2017-10-01 | $78.54 | $14.68 | RVU17D |
| 2017-07-01 | $78.54 | $14.68 | RVU17C |
| 2017-04-01 | $78.54 | $14.68 | RVU17B |
| 2017-01-01 | $78.54 | $14.68 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
29581 billing questions
How does 29581 differ from 29580?
29581 is for a multilayer compression system on the lower leg, including the ankle and foot. 29580 is for Unna boot strapping.
Can 29581 be reported for both legs?
Yes. Document treatment of both legs and report modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports 29581?
Record the diagnosis or clinical condition being treated, the leg and area treated, and application of the multilayer compression system.
Does 29581 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or another surgeon be paid with 29581?
Assistant-at-surgery payment requires documentation of medical necessity. 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
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