Billing code 29580: Unna bootMedicare rate & RVUs in Nevada

Report this service when a clinician applies an Unna boot compression dressing to the lower leg, commonly for venous stasis ulcer or edema care.

CMS RVU26DEffective Oct 1, 20261 payment locality137K Medicare services in 2024

Medicare pays $62.78 for 29580 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$62.78Office (non-facility)
$22.99Hospital or facility

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 29580 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What 29580 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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.

29580 in Nevada**

29580 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$62.78$22.99

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

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense1.28

1.28 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.8900

Conversion factor

$33.4009

Medicare rate

$63.13

Every GPCI starts 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

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)1Not paid (statutory restriction).
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

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).

When to use modifier 50

29580 compared with similar codes

Compare codes · National

4 codes, side by side

  • 29580

    Unna boot0.54 wRVU

    $63.13

  • 29581

    Compression wrap0.59 wRVU

    $83.50+$20.37

  • 29540

    Ankle/foot strapping0.38 wRVU

    $28.06−$35.07

  • 29515

    Splint application0.71 wRVU

    $82.50+$19.37

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
RVUs for 29580PPRRVU2026_Oct_nonQPP.csv, line 3,303 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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