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

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 Hawaii, Guam, HI, Medicare pays $82.95 for 29584 in the office and $13.45 when it’s performed in a hospital or facility.

$82.95Office (non-facility)
$13.45Hospital or facility
+11.4%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 Hawaii, Guam, HI
  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 Hawaii, Guam, HI 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. Hawaii, Guam, HI pays $82.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

29584 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$82.95
  2. Los Angeles, CA · California$86.33+$3.38
  3. Washington, DC area · District of Columbia$86.31+$3.36
  4. Miami, FL · Florida$77.57−$5.38
  5. Chicago, IL · Illinois$75.31−$7.64
  6. Manhattan, NY · New York$85.58+$2.63
  7. Alaska · Alaska$84.09+$1.14

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

Every other payment area

29584 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$66.49$13.01
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

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 Hawaii, Guam, HI 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

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 29584 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.34× 1.0000.3400
Practice expense1.88× 1.1372.1376
Malpractice0.01× 0.5790.0058
Total RVUs2.4833
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$82.95

Office: (0.34 × 1 + 1.88 × 1.137 + 0.01 × 0.579) × $33.4009 = $82.95

Facility: (0.34 × 1 + 0.05 × 1.137 + 0.01 × 0.579) × $33.4009 = $13.45

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 Hawaii, Guam, HI

29584 · Office / nonfacility

$82.95

Effective 2026-10-01

The base rate is $2.14 lower than on 2025-10-01, moving from $85.09 to $82.95 (2.5%).

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

    $85.09changed to$82.95

    • 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 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $89.86changed to$85.09

    • 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

    $88.40changed to$89.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $93.27changed to$88.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.09 changed to 2.04
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561
  5. January 1, 2023

    RVU23A

    $95.53changed to$93.27

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.10 changed to 2.09
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $97.12changed to$95.53

    • 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

    $95.93changed to$97.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.01 changed to 2.12
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $92.56changed to$95.93

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.93 changed to 2.01
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $90.81changed to$92.56

    • 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

    $80.73changed to$90.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.64 changed to 1.89
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $80.61changed to$80.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.63 changed to 1.64
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $81.34changed to$80.61

    • 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

    $80.94changed to$81.34

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $80.00changed to$80.94

    • 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
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $82.03changed to$80.00

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.78 changed to 1.62
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$82.03

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$82.95$13.45RVU26D
2026-07-01$82.95$13.45RVU26C
2026-04-01$82.95$13.45RVU26B
2026-01-01$82.95$13.45RVU26A
2025-10-01$85.09$15.59RVU25D
2025-07-01$85.09$15.59RVU25C
2025-04-01$85.09$15.59RVU25B
2025-01-01$85.09$15.59RVU25A
2024-10-01$89.86$15.66RVU24D
2024-07-01$89.86$15.66RVU24C
2024-04-01$89.86$15.66RVU24B
2024-03-09$89.86$15.66RVU24AR
2024-01-01$88.40$15.41RVU24A
2023-10-01$93.27$16.38RVU23D
2023-07-01$93.27$16.38RVU23C
2023-04-01$93.27$16.38RVU23B
2023-01-01$93.27$16.38RVU23A
2022-10-01$95.53$16.42RVU22D
2022-07-01$95.53$16.42RVU22C
2022-04-01$95.53$16.42RVU22B
2022-01-01$95.53$16.42RVU22A
2021-10-01$97.12$16.56RVU21D
2021-07-01$97.12$16.56RVU21C
2021-04-01$97.12$16.56RVU21B
2021-01-01$97.12$16.56RVU21A
2020-10-01$95.93$17.48RVU20D
2020-07-01$95.93$17.48RVU20C
2020-04-01$95.93$17.48RVU20B
2020-01-01$95.93$17.48RVU20A
2019-10-01$92.56$17.39RVU19D
2019-07-01$92.56$17.39RVU19C
2019-04-01$92.56$17.39RVU19B
2019-01-01$92.56$17.39RVU19A
2018-10-01$90.81$17.37RVU18D
2018-07-01$90.81$17.37RVU18C
2018-04-01$90.81$17.37RVU18B
2018-01-01$90.81$17.37RVU18AR1
2017-10-01$80.73$16.53RVU17D
2017-07-01$80.73$16.53RVU17C
2017-04-01$80.73$16.53RVU17B
2017-01-01$80.73$16.53RVU17A
2016-10-01$80.61$16.53RVU16D
2016-07-01$80.61$16.53RVU16C
2016-04-01$80.61$16.53RVU16B
2016-01-01$80.61$16.53RVU16A
2015-10-01$81.34$17.04RVU15D
2015-07-01$81.34$17.04RVU15C
2015-04-01$80.94$16.95RVU15B
2015-01-01$80.94$16.95RVU15A
2014-10-01$80.00$16.53RVU14D
2014-07-01$80.00$16.53RVU14C
2014-04-01$80.00$16.53RVU14B
2014-01-01$80.00$16.53RVU14A
2013-10-01$82.03$15.68RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 29584 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

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 Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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