CPT code 29584: Compression application, upper arm through hand2026 Medicare rate & RVUs in Alaska

Reports application of a multilayer compression system extending from the upper arm through the hand, commonly for upper-extremity edema or lymphedema.

CMS RVU26DEffective Oct 1, 2026One payment locality4.2K Medicare services in 2024

In Alaska, Medicare pays $84.09 for 29584 in the office and $19.00 when it’s performed in a hospital or facility.

$84.09Office (non-facility)
$19.00Hospital or facility
+12.9%vs the national office rate ($74.48)

Check a contract rate as a % of Medicare · 29584 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 29584 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 29584 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 29584 covers

This service applies a multilayer compression system to an upper extremity from the upper arm through the forearm and hand. It is used to manage conditions such as lymphedema or edema requiring compression. A physician or other qualified clinician may perform the application in an office or facility setting; the code is distinguished by including the hand as well as the arm and forearm.

Select the code based on the anatomic extent treated and document the clinical indication, treated areas, and application of the compression system. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For treatment of both arms, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Alaska compares for 29584

Across 109 of 109 payment localities, the office rate for 29584 runs from $65.47 in Arkansas to $103.33 in San Benito County, CA. Alaska pays $84.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

29584 in Alaska vs other payment areas
  1. Alaska · this page$84.09
  2. Los Angeles, CA · California$86.33+$2.24
  3. Washington, DC area · District of Columbia$86.31+$2.22
  4. Miami, FL · Florida$77.57−$6.52
  5. Chicago, IL · Illinois$75.31−$8.78
  6. Manhattan, NY · New York$85.58+$1.49
  7. Alabama · Alabama$66.49−$17.60

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

Every other payment area

29584 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$65.47$12.96
ArizonaArizona$72.49$13.26
Bakersfield, CACalifornia$80.60$13.61
Chico, CACalifornia$80.55$13.56
El Centro, CACalifornia$80.55$13.56
Fresno, CACalifornia$80.55$13.56
Hanford, CACalifornia$80.55$13.56
Madera, CACalifornia$80.55$13.56

29584 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.

$65.47

$91.94

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

View every state and territory as a table
29584 office rate range by state
State / territoryOffice rate rangeLocalities
AK$84.091
AL$66.491
AR$65.471
AZ$72.491
CA$80.55–$103.3329
CO$78.571
CT$79.621
DC$86.311
DE$73.751
FL$71.89–$77.573
GA$67.77–$75.592
GU$82.951
HI$82.951
IA$68.951
ID$69.281
IL$69.21–$76.524
IN$69.731
KS$68.291
KY$67.491
LA$67.25–$70.822
MA$77.93–$87.092
MD$75.32–$86.313
ME$69.33–$73.802
MI$69.06–$72.522
MN$76.071
MO$65.81–$71.473
MS$65.671
MT$74.481
NC$70.161
ND$74.291
NE$69.441
NH$77.021
NJ$80.75–$85.272
NM$69.341
NV$74.491
NY$71.25–$87.375
OH$69.021
OK$67.691
OR$74.13–$81.552
PA$69.32–$77.332
PR$75.171
RI$76.741
SC$69.661
SD$74.261
TN$68.621
TX$68.81–$78.118
UT$70.681
VA$73.32–$86.312
VI$75.171
VT$73.691
WA$77.88–$89.242
WI$71.621
WV$66.401
WY$74.401

See 29584 in every payment locality

How the 29584 rate is calculated

Each of 29584’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 · 29584

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.34

0.34 RVUs× 1.000 GPCI

Practice expense1.88

1.88 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.2300

Conversion factor

$33.4009

Medicare rate

$74.48

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

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,305

Code
29584
Physician work
0.34
Practice expense
1.88
Malpractice
0.01

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Office calculation for 29584 in Alaska
ComponentRVULocality factorAdjusted
Physician work0.34× 1.5000.5100
Practice expense1.88× 1.0652.0022
Malpractice0.01× 0.5510.0055
Total RVUs2.5177
Conversion factor× 33.4009

Office rate, Alaska$84.09

Office: (0.34 × 1.5 + 1.88 × 1.065 + 0.01 × 0.551) × $33.4009 = $84.09

Facility: (0.34 × 1.5 + 0.05 × 1.065 + 0.01 × 0.551) × $33.4009 = $19.00

Open 29584 in the RVU calculator

Payment rules and modifiers for 29584

The CMS indicators that decide how 29584 is paid alongside other services.

CMS payment indicators · 29584

Compression application, upper arm through hand

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

29584 without 50 · national office

$74.48

Compression application, upper arm through hand

29584-50 · Bilateral: 150%

$111.72

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

How 29584 has changed in Alaska

29584 · Office / nonfacility

$84.09

Effective 2026-10-01

The base rate is $2.32 lower than on 2025-10-01, moving from $86.41 to $84.09 (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

    $86.41changed to$84.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.35 changed to 0.34
    • Practice expense RVU 1.98 changed to 1.88
    • Practice expense GPCI 1.081 changed to 1.065
    • Malpractice GPCI 0.592 changed to 0.551

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $91.08changed to$86.41

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.04 changed to 1.98

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $89.59changed to$91.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $95.90changed to$89.59

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.09 changed to 2.04
    • Practice expense GPCI 1.100 changed to 1.081
    • Malpractice GPCI 0.603 changed to 0.592
  5. January 1, 2023

    RVU23A

    $99.63changed to$95.90

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.10 changed to 2.09
    • Practice expense GPCI 1.118 changed to 1.100
    • Malpractice GPCI 0.614 changed to 0.603

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.24changed to$99.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.12 changed to 2.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $100.29changed to$101.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.01 changed to 2.12
    • Malpractice GPCI 0.661 changed to 0.614

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $96.87changed to$100.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.93 changed to 2.01
    • Practice expense GPCI 1.117 changed to 1.118
    • Malpractice GPCI 0.708 changed to 0.661

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $95.15changed to$96.87

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.89 changed to 1.93

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $84.55changed to$95.15

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.64 changed to 1.89
    • Practice expense GPCI 1.112 changed to 1.117
    • Malpractice GPCI 0.710 changed to 0.708

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $83.66changed to$84.55

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.63 changed to 1.64
    • Practice expense GPCI 1.107 changed to 1.112
    • Malpractice GPCI 0.712 changed to 0.710

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $84.47changed to$83.66

    • 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

    $84.05changed to$84.47

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $82.13changed to$84.05

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.62 changed to 1.63
    • Malpractice RVU 0.01 changed to 0.03
    • Practice expense GPCI 1.087 changed to 1.107
    • Malpractice GPCI 0.687 changed to 0.712

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $82.71changed to$82.13

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.78 changed to 1.62
    • Practice expense GPCI 1.067 changed to 1.087
    • Malpractice GPCI 0.661 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $82.71

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$84.09$19.00RVU26D
2026-07-01$84.09$19.00RVU26C
2026-04-01$84.09$19.00RVU26B
2026-01-01$84.09$19.00RVU26A
2025-10-01$86.41$21.02RVU25D
2025-07-01$86.41$21.02RVU25C
2025-04-01$86.41$21.02RVU25B
2025-01-01$86.41$21.02RVU25A
2024-10-01$91.08$21.27RVU24D
2024-07-01$91.08$21.27RVU24C
2024-04-01$91.08$21.27RVU24B
2024-03-09$91.08$21.27RVU24AR
2024-01-01$89.59$20.92RVU24A
2023-10-01$95.90$22.10RVU23D
2023-07-01$95.90$22.10RVU23C
2023-04-01$95.90$22.10RVU23B
2023-01-01$95.90$22.10RVU23A
2022-10-01$99.63$22.25RVU22D
2022-07-01$99.63$22.25RVU22C
2022-04-01$99.63$22.25RVU22B
2022-01-01$99.63$22.25RVU22A
2021-10-01$101.24$22.43RVU21D
2021-07-01$101.24$22.43RVU21C
2021-04-01$101.24$22.43RVU21B
2021-01-01$101.24$22.43RVU21A
2020-10-01$100.29$23.62RVU20D
2020-07-01$100.29$23.62RVU20C
2020-04-01$100.29$23.62RVU20B
2020-01-01$100.29$23.62RVU20A
2019-10-01$96.87$23.60RVU19D
2019-07-01$96.87$23.60RVU19C
2019-04-01$96.87$23.60RVU19B
2019-01-01$96.87$23.60RVU19A
2018-10-01$95.15$23.58RVU18D
2018-07-01$95.15$23.58RVU18C
2018-04-01$95.15$23.58RVU18B
2018-01-01$95.15$23.58RVU18AR1
2017-10-01$84.55$22.69RVU17D
2017-07-01$84.55$22.69RVU17C
2017-04-01$84.55$22.69RVU17B
2017-01-01$84.55$22.69RVU17A
2016-10-01$83.66$22.62RVU16D
2016-07-01$83.66$22.62RVU16C
2016-04-01$83.66$22.62RVU16B
2016-01-01$83.66$22.62RVU16A
2015-10-01$84.47$23.21RVU15D
2015-07-01$84.47$23.21RVU15C
2015-04-01$84.05$23.10RVU15B
2015-01-01$84.05$23.10RVU15A
2014-10-01$82.13$22.56RVU14D
2014-07-01$82.13$22.56RVU14C
2014-04-01$82.13$22.56RVU14B
2014-01-01$82.13$22.56RVU14A
2013-10-01$82.71$21.35RVU13D
2013-07-01$82.71$21.35RVU13C
2013-04-01$82.71$21.35RVU13B
2013-01-01$82.71$21.35RVU13AR

Price 29584 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

29584 billing questions

How does 29584 differ from 29583?

29584 includes compression extending through the hand. Use 29583 when the treated area is the upper arm and forearm without the hand.

Is 29584 appropriate for compression of a leg?

No. This code describes upper-extremity compression through the hand; codes 29581 and 29582 describe specified lower-extremity areas.

How is treatment of both arms reported?

CMS identifies this as a bilateral procedure: report modifier 50 for bilateral treatment, which is paid at 150%.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care.

Can 29584 be paid with another procedure performed in the same session?

The standard multiple-procedure reduction applies: the highest-valued procedure is paid in full, and other procedures are paid at 50%.

Can an assistant or co-surgeon be reported?

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 29584PPRRVU2026_Oct_nonQPP.csv, line 3,305 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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