Billing code 29580: Unna bootMedicare rate & RVUs
Report this service when a clinician applies an Unna boot compression dressing to the lower leg, commonly for venous stasis ulcer or edema care.
Medicare pays $63.13 for 29580 nationally in the office and $23.38 in a hospital or facility. Local office rates run $55.97–$82.92.
Medicare rate · 29580
Unna boot
Swap in your local Medicare rate.
- Work RVUs
- 0.54
- Total RVUs
- 1.89
- Global days
- 000
National rate · 2026
$63.13
Office setting, before claim adjustments.
See every locality for 29580 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 29580 covers
A clinician applies a zinc oxide-impregnated dressing and compression wrap to the lower leg, commonly as part of care for venous stasis ulcers or related edema. The service is seen in wound-care clinics, vascular practices, podiatry offices, and outpatient settings. The wrap supports compression treatment; it is distinct from immobilizing the leg in a splint or applying a different multilayer compression system.
Report 29580 for the Unna boot application, with documentation identifying the treated leg, the condition prompting compression, and the dressing and wrap applied. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral service, modifier 50 is paid at 150%. An assistant at surgery is not paid; 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.
Where 29580 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$55.97 to $82.92
109 of 109 payment localities
29580 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$55.97
$74.69
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $73.88 | 1 |
| AL | $56.77 | 1 |
| AR | $55.97 | 1 |
| AZ | $61.47 | 1 |
| CA | $66.45–$82.92 | 29 |
| CO | $65.57 | 1 |
| CT | $67.27 | 1 |
| DC | $71.98 | 1 |
| DE | $62.47 | 1 |
| FL | $62.42–$68.46 | 3 |
| GA | $58.96–$64.34 | 2 |
| GU | $68.00 | 1 |
| HI | $68.00 | 1 |
| IA | $58.08 | 1 |
| ID | $58.48 | 1 |
| IL | $60.72–$66.50 | 4 |
| IN | $58.80 | 1 |
| KS | $57.86 | 1 |
| KY | $58.18 | 1 |
| LA | $58.11–$60.92 | 2 |
| MA | $65.21–$71.90 | 2 |
| MD | $63.63–$71.98 | 3 |
| ME | $58.82–$61.88 | 2 |
| MI | $59.71–$63.24 | 2 |
| MN | $62.72 | 1 |
| MO | $57.17–$61.08 | 3 |
| MS | $56.57 | 1 |
| MT | $63.12 | 1 |
| NC | $59.42 | 1 |
| ND | $61.74 | 1 |
| NE | $58.38 | 1 |
| NH | $64.59 | 1 |
| NJ | $68.01–$71.26 | 2 |
| NM | $60.05 | 1 |
| NV | $62.78 | 1 |
| NY | $60.30–$74.37 | 5 |
| OH | $59.43 | 1 |
| OK | $58.03 | 1 |
| OR | $62.26–$67.56 | 2 |
| PA | $59.49–$65.66 | 2 |
| PR | $63.56 | 1 |
| RI | $64.63 | 1 |
| SC | $59.53 | 1 |
| SD | $61.58 | 1 |
| TN | $58.15 | 1 |
| TX | $59.11–$65.38 | 8 |
| UT | $60.32 | 1 |
| VA | $61.71–$71.98 | 2 |
| VI | $63.56 | 1 |
| VT | $61.55 | 1 |
| WA | $65.07–$73.31 | 2 |
| WI | $59.71 | 1 |
| WV | $58.53 | 1 |
| WY | $62.52 | 1 |
How the 29580 rate is calculated
Each of 29580’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 · 29580
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.54Practice expense 1.28Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 29580
The CMS indicators that decide how 29580 is paid alongside other services.
CMS payment indicators · 29580
Unna boot
| 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) | 1 | Not paid (statutory restriction). |
| 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
29580 without 50 · national office
$63.13
Unna boot
29580-50 · Bilateral: 150%
$94.70
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).
29580 compared with similar codes
Compare codes
29580 vs 29581 vs 29540 vs 29515: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 29581Compression wrap
- Choose 29580 for an Unna boot dressing. Choose 29581 when the clinician applies a multilayer compression system instead.
- 29540Ankle/foot strapping
- 29540 describes strapping directed to the ankle or foot; 29580 is for application of an Unna boot to the lower leg.
- 29515Splint application
- 29515 is for applying a short-leg splint to immobilize the lower leg. It is not the compression dressing service represented by 29580.
29580 billing questions
How is 29580 different from 29581?
Use 29580 for an Unna boot dressing. Code 29581 describes application of a multilayer compression system, a different compression method.
What documentation supports 29580?
Record the treated leg, the condition requiring compression, and that an Unna boot dressing was applied. Document laterality when only one leg is treated.
Can 29580 be reported for both legs?
For bilateral service, CMS pays the service with modifier 50 at 150%. Document the application on both legs.
Is same-day evaluation and management included?
The 0-day global period includes same-day preoperative and postoperative care. The application itself remains reportable when performed.
How does a splint differ from an Unna boot?
An Unna boot provides compression through a zinc oxide dressing and wrap. A lower-leg splint, such as 29515, is used for immobilization.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. 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
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