CPT 29584: Multilayer Compression Bandage to Arm
Medicare pays $78 and commercial payers pay $138 on average nationally for this procedure.
CPT code 29584 describes application of a multilayer compression bandage to the upper and lower arm extending to the fingers to manage venous stasis ulcers and venous insufficiency, providing graduated compression to control venous blood flow, reduce edema, and create a stable wound-healing environment; service type: wound care with multilayer compression therapy; typical site of service: outpatient clinic or wound care center, including outpatient physical therapy or physician office settings where comprehensive dressing and compression systems are applied.
For related coverage guidance, see recent payer policy updates: Implants for Joint Pain, Orthopedic Applications of Stem Cell Therapy, Bone Lengthening (Distraction Osteogenesis).
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National Reimbursement Benchmarks
Medicare’s mean rate of $77.9 sits slightly below BUCA’s average commercial mean of $137.8, indicating that BUCA reimbursements are materially higher than Medicare for CPT 29584 on a national basis. The gap of $59.9 between those means highlights the difference in payer positioning, with commercial BUCA rates aligning closer to higher-tier commercial payers while Medicare remains near the mid-range.
Dispersion measured as the interquartile spread (P75 minus P25) varies notably: Blue Cross Blue Shield shows one of the widest spreads at $89.3 (P75 $235.1 minus P25 $145.8), followed by UnitedHealth Group at $93.3 (P75 $137.6 minus P25 $43.3). Aetna’s spread is $54.5, Cigna’s is $88.8, and BUCA’s is $85.1. Medicare’s IQR is tight at $10 (P75 $81 minus P25 $71), indicating the least variability among listed payers.