FeeBase
Log inGet started
Menu

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

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 Houston, TX, Medicare pays $83.34 for 29581 in the office and $23.31 when it’s performed in a hospital or facility.

$83.34Office (non-facility)
$23.31Hospital or facility
−0.2%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $83.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

29581 in Houston, TX vs other payment areas
  1. Houston, TX · this page$83.34
  2. Austin, TX · Texas$87.18+$3.84
  3. Beaumont, TX · Texas$77.77−$5.57
  4. Brazoria, TX · Texas$83.02−$0.32
  5. Dallas, TX · Texas$83.38+$0.04
  6. Fort Worth, TX · Texas$82.75−$0.59
  7. Galveston, TX · Texas$83.16−$0.18

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

Every other payment area

29581 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$80.23$22.86
Los Angeles, CACalifornia$95.81$24.29
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

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 29581 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0080.5947
Practice expense1.90× 0.9931.8867
Malpractice0.01× 1.3760.0138
Total RVUs2.4952
Conversion factor× 33.4009

Office rate, Houston, TX$83.34

Office: (0.59 × 1.008 + 1.9 × 0.993 + 0.01 × 1.376) × $33.4009 = $83.34

Facility: (0.59 × 1.008 + 0.09 × 0.993 + 0.01 × 1.376) × $33.4009 = $23.31

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, Houston, TX
Used instead
29580Unna boot, zinc oxide compression wrapUnna boot strapping is a different compression approach for lower-leg treatment.$63.85
Same family
29584Compression application, upper arm through handA related multilayer compression service is for the upper arm rather than the leg.$74.26

How 29581 has changed in Houston, TX

29581 · Office / nonfacility

$83.34

Effective 2026-10-01

The base rate is $1.68 lower than on 2025-10-01, moving from $85.02 to $83.34 (2.0%).

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

    $85.02changed to$83.34

    • 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 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $88.50changed to$85.02

    • 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

    $87.05changed to$88.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $92.12changed to$87.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.06 changed to 2.03
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $94.70changed to$92.12

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $95.12changed to$94.70

    • 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

    $93.56changed to$95.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.92 changed to 2.03
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $90.20changed to$93.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.85 changed to 1.92
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $88.28changed to$90.20

    • 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

    $64.17changed to$88.28

    • 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 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $63.13changed to$64.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.49 changed to 1.51
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $64.05changed to$63.13

    • 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

    $63.73changed to$64.05

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $62.65changed to$63.73

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $64.46changed to$62.65

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.63 changed to 1.48
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $64.46

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$83.34$23.31RVU26D
2026-07-01$83.34$23.31RVU26C
2026-04-01$83.34$23.31RVU26B
2026-01-01$83.34$23.31RVU26A
2025-10-01$85.02$25.98RVU25D
2025-07-01$85.02$25.98RVU25C
2025-04-01$85.02$25.98RVU25B
2025-01-01$85.02$25.98RVU25A
2024-10-01$88.50$26.73RVU24D
2024-07-01$88.50$26.73RVU24C
2024-04-01$88.50$26.73RVU24B
2024-03-09$88.50$26.73RVU24AR
2024-01-01$87.05$26.29RVU24A
2023-10-01$92.12$27.39RVU23D
2023-07-01$92.12$27.39RVU23C
2023-04-01$92.12$27.39RVU23B
2023-01-01$92.12$27.39RVU23A
2022-10-01$94.70$28.46RVU22D
2022-07-01$94.70$28.46RVU22C
2022-04-01$94.70$28.46RVU22B
2022-01-01$94.70$28.46RVU22A
2021-10-01$95.12$28.70RVU21D
2021-07-01$95.12$28.70RVU21C
2021-04-01$95.12$28.70RVU21B
2021-01-01$95.12$28.70RVU21A
2020-10-01$93.56$29.51RVU20D
2020-07-01$93.56$29.51RVU20C
2020-04-01$93.56$29.51RVU20B
2020-01-01$93.56$29.51RVU20A
2019-10-01$90.20$29.30RVU19D
2019-07-01$90.20$29.30RVU19C
2019-04-01$90.20$29.30RVU19B
2019-01-01$90.20$29.30RVU19A
2018-10-01$88.28$29.26RVU18D
2018-07-01$88.28$29.26RVU18C
2018-04-01$88.28$29.26RVU18B
2018-01-01$88.28$29.26RVU18AR1
2017-10-01$64.17$13.47RVU17D
2017-07-01$64.17$13.47RVU17C
2017-04-01$64.17$13.47RVU17B
2017-01-01$64.17$13.47RVU17A
2016-10-01$63.13$13.06RVU16D
2016-07-01$63.13$13.06RVU16C
2016-04-01$63.13$13.06RVU16B
2016-01-01$63.13$13.06RVU16A
2015-10-01$64.05$13.80RVU15D
2015-07-01$64.05$13.80RVU15C
2015-04-01$63.73$13.73RVU15B
2015-01-01$63.73$13.73RVU15A
2014-10-01$62.65$13.01RVU14D
2014-07-01$62.65$13.01RVU14C
2014-04-01$62.65$13.01RVU14B
2014-01-01$62.65$13.01RVU14A
2013-10-01$64.46$12.65RVU13D
2013-07-01$64.46$12.65RVU13C
2013-04-01$64.46$12.65RVU13B
2013-01-01$64.46$12.65RVU13AR

Price 29581 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 29581 pays in Houston, TX?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 29581 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist