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CPT code 29581: Compression wrap, below knee, including foot2026 Medicare rate & RVUs in Detroit, MI

Report this service when a clinician applies a multilayer compression system to treat conditions such as venous edema or a lower-leg ulcer.

CMS RVU26DEffective Oct 1, 2026One payment locality173.7K Medicare services in 2024

In Detroit, MI, Medicare pays $81.51 for 29581 in the office and $23.17 when it’s performed in a hospital or facility.

$81.51Office (non-facility)
$23.17Hospital or facility
−2.4%vs the national office rate ($83.50)

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.

We’ll open 29581 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 29581 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 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 Detroit, MI 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. Detroit, MI pays $81.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

29581 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$81.51
  2. Rest of Michigan · Michigan$78.02−$3.49
  3. Los Angeles, CA · California$95.81+$14.30
  4. Washington, DC area · District of Columbia$95.90+$14.39
  5. Miami, FL · Florida$86.61+$5.10
  6. Chicago, IL · Illinois$84.39+$2.88
  7. Manhattan, NY · New York$95.24+$13.73

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

Every other payment area

29581 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$97.33$32.95
AlabamaAlabama$75.42$22.53
ArkansasArkansas$74.39$22.46
ArizonaArizona$81.49$22.91
Bakersfield, CACalifornia$89.84$23.58
Chico, CACalifornia$89.77$23.52
El Centro, CACalifornia$89.78$23.52
Fresno, CACalifornia$89.77$23.52

29581 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.

$74.39

$101.67

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

View every state and territory as a table
29581 office rate range by state
State / territoryOffice rate rangeLocalities
AK$97.331
AL$75.421
AR$74.391
AZ$81.491
CA$89.77–$113.5729
CO$87.731
CT$88.851
DC$95.901
DE$82.811
FL$80.88–$86.613
GA$76.71–$84.642
GU$92.061
HI$92.061
IA$77.911
ID$78.251
IL$78.17–$85.614
IN$78.701
KS$77.241
KY$76.431
LA$76.19–$79.802
MA$87.11–$96.592
MD$84.43–$95.903
ME$78.30–$82.812
MI$78.02–$81.512
MN$85.111
MO$74.74–$80.463
MS$74.591
MT$83.501
NC$79.131
ND$83.301
NE$78.411
NH$86.061
NJ$90.16–$94.922
NM$78.301
NV$83.511
NY$80.23–$97.045
OH$77.981
OK$76.641
OR$83.15–$90.782
PA$78.28–$86.522
PR$84.201
RI$85.931
SC$78.631
SD$83.281
TN$77.571
TX$77.77–$87.188
UT$79.661
VA$82.33–$95.902
VI$84.201
VT$82.701
WA$87.04–$98.832
WI$80.611
WV$75.331
WY$83.421

See 29581 in every payment locality

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

Office or facility?

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 Detroit, MI 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

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 29581 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense1.90× 0.9651.8335
Malpractice0.01× 1.6860.0169
Total RVUs2.4404
Conversion factor× 33.4009

Office rate, Detroit, MI$81.51

Office: (0.59 × 1 + 1.9 × 0.965 + 0.01 × 1.686) × $33.4009 = $81.51

Facility: (0.59 × 1 + 0.09 × 0.965 + 0.01 × 1.686) × $33.4009 = $23.17

Open 29581 in the RVU calculator

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

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)0Not paid without supporting documentation.
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

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).

When to use modifier 50

Codes related to 29581

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

Codes related to 29581
CodeHow it relatesOffice range, Detroit, MI
Used instead
29580Unna boot, zinc oxide compression wrapUnna boot strapping is a different compression approach for lower-leg treatment.$63.24
Same family
29584Compression application, upper arm through handA related multilayer compression service is for the upper arm rather than the leg.$72.52

How 29581 has changed in Detroit, MI

29581 · Office / nonfacility

$81.51

Effective 2026-10-01

The base rate is $2.30 lower than on 2025-10-01, moving from $83.81 to $81.51 (2.7%).

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

    $83.81changed to$81.51

    • 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 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $87.23changed to$83.81

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.03 changed to 2.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $85.81changed to$87.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $90.15changed to$85.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.06 changed to 2.03
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $92.27changed to$90.15

    • 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
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $92.69changed to$92.27

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.03 changed to 2.04

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $91.66changed to$92.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.92 changed to 2.03
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $88.78changed to$91.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.85 changed to 1.92
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $86.90changed to$88.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.80 changed to 1.85

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $63.27changed to$86.90

    • 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
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $62.45changed to$63.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.49 changed to 1.51
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $63.63changed to$62.45

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.03 changed to 0.01

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $63.32changed to$63.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $63.10changed to$63.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.48 changed to 1.49
    • Malpractice RVU 0.01 changed to 0.03
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $66.04changed to$63.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.63 changed to 1.48
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $66.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$81.51$23.17RVU26D
2026-07-01$81.51$23.17RVU26C
2026-04-01$81.51$23.17RVU26B
2026-01-01$81.51$23.17RVU26A
2025-10-01$83.81$25.76RVU25D
2025-07-01$83.81$25.76RVU25C
2025-04-01$83.81$25.76RVU25B
2025-01-01$83.81$25.76RVU25A
2024-10-01$87.23$26.51RVU24D
2024-07-01$87.23$26.51RVU24C
2024-04-01$87.23$26.51RVU24B
2024-03-09$87.23$26.51RVU24AR
2024-01-01$85.81$26.08RVU24A
2023-10-01$90.15$26.95RVU23D
2023-07-01$90.15$26.95RVU23C
2023-04-01$90.15$26.95RVU23B
2023-01-01$90.15$26.95RVU23A
2022-10-01$92.27$28.10RVU22D
2022-07-01$92.27$28.10RVU22C
2022-04-01$92.27$28.10RVU22B
2022-01-01$92.27$28.10RVU22A
2021-10-01$92.69$28.33RVU21D
2021-07-01$92.69$28.33RVU21C
2021-04-01$92.69$28.33RVU21B
2021-01-01$92.69$28.33RVU21A
2020-10-01$91.66$29.30RVU20D
2020-07-01$91.66$29.30RVU20C
2020-04-01$91.66$29.30RVU20B
2020-01-01$91.66$29.30RVU20A
2019-10-01$88.78$29.26RVU19D
2019-07-01$88.78$29.26RVU19C
2019-04-01$88.78$29.26RVU19B
2019-01-01$88.78$29.26RVU19A
2018-10-01$86.90$29.23RVU18D
2018-07-01$86.90$29.23RVU18C
2018-04-01$86.90$29.23RVU18B
2018-01-01$86.90$29.23RVU18AR1
2017-10-01$63.27$13.43RVU17D
2017-07-01$63.27$13.43RVU17C
2017-04-01$63.27$13.43RVU17B
2017-01-01$63.27$13.43RVU17A
2016-10-01$62.45$12.99RVU16D
2016-07-01$62.45$12.99RVU16C
2016-04-01$62.45$12.99RVU16B
2016-01-01$62.45$12.99RVU16A
2015-10-01$63.63$13.99RVU15D
2015-07-01$63.63$13.99RVU15C
2015-04-01$63.32$13.92RVU15B
2015-01-01$63.32$13.92RVU15A
2014-10-01$63.10$13.22RVU14D
2014-07-01$63.10$13.22RVU14C
2014-04-01$63.10$13.22RVU14B
2014-01-01$63.10$13.22RVU14A
2013-10-01$66.04$13.14RVU13D
2013-07-01$66.04$13.14RVU13C
2013-04-01$66.04$13.14RVU13B
2013-01-01$66.04$13.14RVU13AR

Price 29581 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

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
RVUs for 29581PPRRVU2026_Oct_nonQPP.csv, line 3,304 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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