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CMS RVU26D · Effective 2026-10-01

29581 in Delaware

Office / nonfacility

$82.81

Base rate per service

Facility setting

$23.08

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound care

About 29581: Below-knee multilayer leg compression application

Report this service when a clinician applies a multilayer compression system to treat conditions such as venous edema or a lower-leg ulcer.

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.

CMS billing rules for 29581

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.59 · 24%
  • Practice expense (office) RVU1.90 · 76%
  • Malpractice RVU0.01 · 0%

173.7K

Medicare services in 2024 · #409 by national volume

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.

29581 compared with similar codes

Office rates for Delaware, from the same CMS release.

29580

Unna boot

Zinc oxide compression wrap

$62.47

Choose 29581 for a multilayer compression system applied to the lower leg, ankle, and foot. 29580 describes Unna boot strapping.

29584

Compression application

Upper arm through hand

$73.75

29581 treats the leg; 29584 is the related multilayer compression service for an upper-arm site.

The same code, a different location

How does Delaware compare?

29581 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $82.81

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $95.81

    $13.00 higher than Delaware

  3. Dc + Md/Va Suburbs

    $95.90

    $13.09 higher than Delaware

  4. Miami

    $86.61

    $3.80 higher than Delaware

  5. Chicago

    $84.39

    $1.58 higher than Delaware

  6. Manhattan

    $95.24

    $12.43 higher than Delaware

  7. Alaska*

    $97.33

    $14.52 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 29581 ranges from $74.39 in Arkansas to $113.57 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 29581

    Office

    $75.42

    Facility

    $22.53

    $7.39 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 29581

    Office

    $74.39

    Facility

    $22.46

    $8.42 lower than Delaware for the office setting.

  • Arizona

    Arizona · 29581

    Office

    $81.49

    Facility

    $22.91

    $1.32 lower than Delaware for the office setting.

  • Bakersfield

    California · 29581

    Office

    $89.84

    Facility

    $23.58

    $7.03 higher than Delaware for the office setting.

  • Chico

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • El Centro

    California · 29581

    Office

    $89.78

    Facility

    $23.52

    $6.97 higher than Delaware for the office setting.

  • Fresno

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Madera

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Merced

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Modesto

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Napa

    California · 29581

    Office

    $104.76

    Facility

    $25.08

    $21.95 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 29581

    Office

    $95.48

    Facility

    $24.02

    $12.67 higher than Delaware for the office setting.

  • Redding

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Rest Of California

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 29581

    Office

    $89.90

    Facility

    $23.64

    $7.09 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 29581

    Office

    $94.40

    Facility

    $24.09

    $11.59 higher than Delaware for the office setting.

  • Salinas

    California · 29581

    Office

    $94.05

    Facility

    $23.98

    $11.24 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 29581

    Office

    $96.38

    Facility

    $24.07

    $13.57 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 29581

    Office

    $111.21

    Facility

    $25.97

    $28.40 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 29581

    Office

    $111.20

    Facility

    $25.96

    $28.39 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 29581

    Office

    $113.57

    Facility

    $26.39

    $30.76 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 29581

    Office

    $113.52

    Facility

    $26.34

    $30.71 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 29581

    Office

    $92.50

    Facility

    $23.64

    $9.69 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 29581

    Office

    $97.41

    Facility

    $23.95

    $14.60 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 29581

    Office

    $94.43

    Facility

    $23.94

    $11.62 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 29581

    Office

    $98.41

    Facility

    $24.17

    $15.60 higher than Delaware for the office setting.

  • Stockton

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Vallejo

    California · 29581

    Office

    $104.74

    Facility

    $25.06

    $21.93 higher than Delaware for the office setting.

  • Visalia

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Yuba City

    California · 29581

    Office

    $89.77

    Facility

    $23.52

    $6.96 higher than Delaware for the office setting.

  • Colorado

    Colorado · 29581

    Office

    $87.73

    Facility

    $23.40

    $4.92 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 29581

    Office

    $88.85

    Facility

    $23.74

    $6.04 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 29581

    Office

    $84.60

    Facility

    $23.36

    $1.79 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 29581

    Office

    $80.88

    Facility

    $23.08

    $1.93 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 29581

    Office

    $84.64

    Facility

    $23.22

    $1.83 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 29581

    Office

    $76.71

    Facility

    $22.79

    $6.10 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 29581

    Office

    $92.06

    Facility

    $23.32

    $9.25 higher than Delaware for the office setting.

  • Iowa

    Iowa · 29581

    Office

    $77.91

    Facility

    $22.59

    $4.90 lower than Delaware for the office setting.

  • Idaho

    Idaho · 29581

    Office

    $78.25

    Facility

    $22.63

    $4.56 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 29581

    Office

    $78.76

    Facility

    $23.14

    $4.05 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 29581

    Office

    $78.17

    Facility

    $22.97

    $4.64 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 29581

    Office

    $85.61

    Facility

    $23.52

    $2.80 higher than Delaware for the office setting.

  • Indiana

    Indiana · 29581

    Office

    $78.70

    Facility

    $22.66

    $4.11 lower than Delaware for the office setting.

  • Kansas

    Kansas · 29581

    Office

    $77.24

    Facility

    $22.59

    $5.57 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 29581

    Office

    $76.43

    Facility

    $22.68

    $6.38 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 29581

    Office

    $79.80

    Facility

    $22.91

    $3.01 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 29581

    Office

    $76.19

    Facility

    $22.69

    $6.62 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 29581

    Office

    $96.59

    Facility

    $24.40

    $13.78 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 29581

    Office

    $87.11

    Facility

    $23.45

    $4.30 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 29581

    Office

    $88.53

    Facility

    $23.66

    $5.72 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 29581

    Office

    $84.43

    Facility

    $23.25

    $1.62 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 29581

    Office

    $78.30

    Facility

    $22.68

    $4.51 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 29581

    Office

    $82.81

    Facility

    $22.90

    The same base rate than Delaware for the office setting.

  • Detroit

    Michigan · 29581

    Office

    $81.51

    Facility

    $23.17

    $1.30 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 29581

    Office

    $78.02

    Facility

    $22.83

    $4.79 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 29581

    Office

    $85.11

    Facility

    $22.90

    $2.30 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 29581

    Office

    $79.62

    Facility

    $22.86

    $3.19 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 29581

    Office

    $80.46

    Facility

    $22.90

    $2.35 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 29581

    Office

    $74.74

    Facility

    $22.62

    $8.07 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 29581

    Office

    $74.59

    Facility

    $22.54

    $8.22 lower than Delaware for the office setting.

  • Montana**

    Montana · 29581

    Office

    $83.50

    Facility

    $23.05

    $0.69 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 29581

    Office

    $79.13

    Facility

    $22.72

    $3.68 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 29581

    Office

    $83.30

    Facility

    $22.85

    $0.49 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 29581

    Office

    $78.41

    Facility

    $22.61

    $4.40 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 29581

    Office

    $86.06

    Facility

    $23.13

    $3.25 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 29581

    Office

    $94.92

    Facility

    $24.79

    $12.11 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 29581

    Office

    $90.16

    Facility

    $24.14

    $7.35 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 29581

    Office

    $78.30

    Facility

    $22.86

    $4.51 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 29581

    Office

    $83.51

    Facility

    $22.99

    $0.70 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 29581

    Office

    $97.04

    Facility

    $25.16

    $14.23 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 29581

    Office

    $90.49

    Facility

    $24.29

    $7.68 higher than Delaware for the office setting.

  • Queens

    New York · 29581

    Office

    $96.46

    Facility

    $25.00

    $13.65 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 29581

    Office

    $80.23

    Facility

    $22.80

    $2.58 lower than Delaware for the office setting.

  • Ohio

    Ohio · 29581

    Office

    $77.98

    Facility

    $22.79

    $4.83 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 29581

    Office

    $76.64

    Facility

    $22.65

    $6.17 lower than Delaware for the office setting.

  • Portland

    Oregon · 29581

    Office

    $90.78

    Facility

    $23.61

    $7.97 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 29581

    Office

    $83.15

    Facility

    $22.94

    $0.34 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 29581

    Office

    $86.52

    Facility

    $23.59

    $3.71 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 29581

    Office

    $78.28

    Facility

    $22.78

    $4.53 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 29581

    Office

    $84.20

    Facility

    $23.07

    $1.39 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 29581

    Office

    $85.93

    Facility

    $23.48

    $3.12 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 29581

    Office

    $78.63

    Facility

    $22.77

    $4.18 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 29581

    Office

    $83.28

    Facility

    $22.82

    $0.47 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 29581

    Office

    $77.57

    Facility

    $22.62

    $5.24 lower than Delaware for the office setting.

  • Austin

    Texas · 29581

    Office

    $87.18

    Facility

    $23.22

    $4.37 higher than Delaware for the office setting.

  • Beaumont

    Texas · 29581

    Office

    $77.77

    Facility

    $22.75

    $5.04 lower than Delaware for the office setting.

  • Brazoria

    Texas · 29581

    Office

    $83.02

    Facility

    $23.10

    $0.21 higher than Delaware for the office setting.

  • Dallas

    Texas · 29581

    Office

    $83.38

    Facility

    $23.16

    $0.57 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 29581

    Office

    $82.75

    Facility

    $23.14

    $0.06 lower than Delaware for the office setting.

  • Galveston

    Texas · 29581

    Office

    $83.16

    Facility

    $23.13

    $0.35 higher than Delaware for the office setting.

  • Houston

    Texas · 29581

    Office

    $83.34

    Facility

    $23.31

    $0.53 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 29581

    Office

    $80.23

    Facility

    $22.86

    $2.58 lower than Delaware for the office setting.

  • Utah

    Utah · 29581

    Office

    $79.66

    Facility

    $22.83

    $3.15 lower than Delaware for the office setting.

  • Virginia

    Virginia · 29581

    Office

    $82.33

    Facility

    $22.90

    $0.48 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 29581

    Office

    $84.20

    Facility

    $23.07

    $1.39 higher than Delaware for the office setting.

  • Vermont

    Vermont · 29581

    Office

    $82.70

    Facility

    $22.85

    $0.11 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 29581

    Office

    $87.04

    Facility

    $23.38

    $4.23 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 29581

    Office

    $98.83

    Facility

    $24.65

    $16.02 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 29581

    Office

    $80.61

    Facility

    $22.69

    $2.20 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 29581

    Office

    $75.33

    Facility

    $22.80

    $7.48 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 29581

    Office

    $83.42

    Facility

    $22.96

    $0.61 higher than Delaware for the office setting.

See how rates vary across the country

29581 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 29581 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 29581 in Delaware, the physician’s office rate is $82.81 and the facility-setting rate is $23.08: a difference of $59.73.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 29581 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$91.09

$82.81 × 110% = $91.09

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 29581 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,304

Code
29581
Physician work
0.59
Practice expense
1.90
Malpractice
0.01

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 29581 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0050.5929
Practice expense1.90× 0.9881.8772
Malpractice0.01× 0.8990.0090
Total RVUs2.4791
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$82.81

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 29581 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.591.005
Practice expense1.90.988
Malpractice0.010.899

(0.59 × 1.005 + 1.9 × 0.988 + 0.01 × 0.899) × $33.4009 = $82.81

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.591.005
Practice expense0.090.988
Malpractice0.010.899

(0.59 × 1.005 + 0.09 × 0.988 + 0.01 × 0.899) × $33.4009 = $23.08

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

29581 · Office / nonfacility

$82.81

Effective 2026-10-01

The base rate is $1.25 lower than on 2025-10-01, moving from $84.06 to $82.81 (1.5%).

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

    $84.06changed to$82.81

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $84.06

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$82.81$23.08RVU26D
2026-07-01$82.81$23.08RVU26C
2026-04-01$82.81$23.08RVU26B
2026-01-01$82.81$23.08RVU26A
2025-10-01$84.06$25.67RVU25D
2025-07-01$84.06$25.67RVU25C
2025-04-01$84.06$25.67RVU25B
2025-01-01$84.06$25.67RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 29581PPRRVU2026_Oct_nonQPP.csv, line 3,304 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet