Find policies, billing codes, payers, states, and providers
CPT 29584: Multilayer Compression Bandage for Arm Venous Ulcers
CPT code 29584 identifies multilayer compression bandaging applied to the upper and lower arm down to the fingers to treat venous stasis ulcers and venous insufficiency. This targeted compression therapy is important nationally because venous insufficiency and chronic venous ulcers contribute to morbidity, prolonged healing times, and ongoing outpatient wound-care utilization. Proper bandaging can reduce edema and create an optimal wound-healing environment, affecting utilization patterns and outpatient care planning.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent, typical sites of service, common billing modifiers, and associated clinical services such as manual lymphatic techniques. The publication summarizes coding context, payer coverage considerations, and how CPT code 29584 interacts with related wound-care services used in physical and occupational therapy and sports medicine settings.
This resource is designed to help billing managers, clinicians, and policy analysts understand the clinical context of CPT code 29584, its place in outpatient wound-care workflows, and the billing landscape across major national payers. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 29584 policy alerts
Get alerted when payer policies referencing 29584 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 29584 describes application of a multilayer compression bandage to the upper and lower arm extending down to the fingers for treatment of venous stasis ulcers and venous insufficiency. The procedure controls blood flow in the affected extremity and reduces swelling, providing a stable environment for wound healing.
Service Type: Compression therapy / Wound care bandaging
Typical Site of Service: Outpatient clinic, wound care center, or ambulatory setting (upper extremity)
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.