How To Use CPT Code 29584

CPT 29584 describes the application of a multi-layer compression system to the upper arm, forearm, hand, and fingers to treat venous stasis ulcers and venous insufficiency. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 29584?

CPT 29584 can be used to describe the application of a multi-layer compression system to the upper arm, forearm, hand, and fingers. This code is used when a healthcare provider applies a layered bandage to control blood flow in the extremity and reduce swelling, providing a stable environment for wound healing.

2. Official Description

The official description of CPT code 29584 is: ‘Application of multi-layer compression system; upper arm, forearm, hand, and fingers.’

3. Procedure

1. The healthcare provider ensures that the upper arm and forearm are clean and dry.
2. A cotton bandage is applied in a spiral fashion to the upper arm and forearm, down to the wrist.
3. A second layer using a crepe bandage is applied in a spiral fashion.
4. A third layer using a compression bandage is applied with some stretch, also in a spiral fashion.
5. The fit and pressure of the bandage are assessed as it is applied.
6. The bandage is changed once or twice a week.

4. Qualifying circumstances

CPT 29584 is used for patients with venous stasis ulcers and venous insufficiency. These conditions involve the failure of the blood veins immediately below the skin. The application of a multi-layer compression system helps control blood flow and reduce swelling in the affected extremity, promoting wound healing.

5. When to use CPT code 29584

CPT code 29584 should be used when a healthcare provider applies a multi-layer compression system to the upper arm, forearm, hand, and fingers. It is important to note that CPT code 29584 should not be reported in conjunction with certain other codes for the same extremity.

6. Documentation requirements

To support a claim for CPT 29584, the healthcare provider must document the following information:

• Patient’s diagnosis of venous stasis ulcers or venous insufficiency
• Details of the multi-layer compression system applied, including the type of bandages used
• Date of the application and any subsequent changes to the bandage

7. Billing guidelines

When billing for CPT 29584, ensure that the application of the multi-layer compression system is performed to the upper arm, forearm, hand, and fingers. It is important to follow the guidelines and not report CPT 29584 in conjunction with certain other codes for the same extremity.

8. Historical information

CPT 29584 was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider applies a multi-layer compression system to the upper arm, forearm, hand, and fingers of a patient with venous stasis ulcers.
2. A nurse applies a layered bandage to control blood flow and reduce swelling in the extremity of a patient with venous insufficiency.
3. A wound care specialist applies a multi-layer compression system to the upper arm, forearm, hand, and fingers of a patient to promote wound healing.
4. A physical therapist applies a layered bandage to the upper arm, forearm, hand, and fingers of a patient recovering from venous stasis ulcers.
5. A nurse practitioner applies a multi-layer compression system to the upper arm, forearm, hand, and fingers of a patient with venous insufficiency to improve blood flow and reduce swelling.
6. A healthcare provider applies a layered bandage to the upper arm, forearm, hand, and fingers of a patient with venous stasis ulcers to facilitate wound healing.
7. A wound care nurse applies a multi-layer compression system to the upper arm, forearm, hand, and fingers of a patient with venous insufficiency to alleviate symptoms and promote healing.
8. A physician applies a layered bandage to the upper arm, forearm, hand, and fingers of a patient with venous stasis ulcers to improve blood circulation and reduce swelling.
9. A healthcare provider applies a multi-layer compression system to the upper arm, forearm, hand, and fingers of a patient with venous insufficiency to manage symptoms and promote wound healing.
10. A wound care specialist applies a layered bandage to the upper arm, forearm, hand, and fingers of a patient with venous stasis ulcers to facilitate the healing process.