I'm unsure why it should be any different than placing the D2PAK. Nonetheless...
Dawn proposes a simple solution (though I can't vouch for its success because I've never done it).
If it were me, I'd delete U29, place a TO263 then go to the toolbar within PCB Designer to "Logic > Assign RefDes", specify U29 in the options panel and left click on the new TO263 package.