$77.24
29581 applies to the lower leg, including ankle and foot; 29584 is for the upper extremity through the hand.
On this page
CMS RVU26D · Effective 2026-10-01
29584 Compression application Medicare reimbursement rates in Kansas
Reports application of a multilayer compression system extending from the upper arm through the hand, commonly for upper-extremity edema or lymphedema. Compare 29584 office and facility rates across CMS payment localities in Kansas.
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.
What does Medicare pay for 29584 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$68.29
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$13.03
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Compression therapy
About 29584: Multilayer compression of arm and hand
Reports application of a multilayer compression system extending from the upper arm through the hand, commonly for upper-extremity edema or lymphedema.
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.
CMS billing rules for 29584
- 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 RVU0.34 · 15%
- Practice expense (office) RVU1.88 · 84%
- Malpractice RVU0.01 · 0%
4.2K
Medicare services in 2024 · #1977 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.
29584 compared with similar codes
Office rates for Kansas, from the same CMS release.
$57.86
29580 is for Unna boot strapping, a different compression approach. 29584 is for a multilayer system applied to the upper arm, forearm, and hand.
Compare 29584 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
$68.29
Facility
$13.03
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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 29584 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,305
- Code
- 29584
- Physician work
- 0.34
- Practice expense
- 1.88
- Malpractice
- 0.01
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.34 | × 1.000 | 0.3400 |
| Practice expense | 1.88 | × 0.904 | 1.6995 |
| Malpractice | 0.01 | × 0.504 | 0.0050 |
| Total RVUs | 2.0446 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$68.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.34 | 1 |
| Practice expense | 1.88 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.34 × 1 + 1.88 × 0.904 + 0.01 × 0.504) × $33.4009 = $68.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.34 | 1 |
| Practice expense | 0.05 | 0.904 |
| Malpractice | 0.01 | 0.504 |
(0.34 × 1 + 0.05 × 0.904 + 0.01 × 0.504) × $33.4009 = $13.03
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.
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 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.
3,30229550,,Strapping of toes,A,,0.24,0.32,,0.03,,0.02,0.58,0.29,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30329580,,Strapping unna boot,A,,0.54,1.28,,0.09,,0.07,1.89,0.70,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30429581,,Appl multlayer cmprn sys leg,A,,0.59,1.90,,0.09,,0.01,2.50,0.69,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30529584,,Appl mltlay cmprn sys up arm,A,,0.34,1.88,,0.05,,0.01,2.23,0.40,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30629700,,Rmvl/bivlv gauntlet boot/cst,A,,0.56,1.42,,0.25,,0.09,2.07,0.90,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30729705,,Rmvl/bivlv full arm/leg cast,A,,0.74,1.21,,0.35,,0.13,2.08,1.22,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,30829710,,Rmvl/bivlv sho/hip spica,A,,1.31,2.51,,0.59,,0.27,4.09,2.17,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958