CPT code 29584: Compression application, upper arm through hand2026 Medicare rate & RVUs in Guam
Reports application of a multilayer compression system extending from the upper arm through the hand, commonly for upper-extremity edema or lymphedema.
Medicare pays $82.95 for 29584 in the office in Guam (Hawaii, Guam, HI). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
29584 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | $82.95 | $13.45 |
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
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.
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
| 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
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).
29584 compared with similar codes
Compare codes · National
29584 vs 29581 vs 29580: Medicare rates
How to choose
- 29581Compression wrapBelow knee, including foot
- 29581 applies to the lower leg, including ankle and foot; 29584 is for the upper extremity through the hand.
- 29580Unna bootZinc oxide compression wrap
- 29580 is for Unna boot strapping, a different compression approach. 29584 is for a multilayer system applied to the upper arm, forearm, and hand.
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
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