CPT code 27600: Leg decompression, anterior and/or lateral compartments2026 Medicare rate & RVUs in Nebraska

Reports surgical release of the lower leg’s anterior and/or lateral compartment, typically to relieve pressure from compartment syndrome.

CMS RVU26DEffective Oct 1, 2026One payment locality511 Medicare services in 2024

In Nebraska, Medicare pays $339.74 for 27600 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$339.74Hospital or facility

Check a contract rate as a % of Medicare · 27600 nationwide

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 27600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 27600 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 27600 covers

This operation releases the anterior and/or lateral compartment of the lower leg to relieve pressure on muscle, nerves, and blood flow. Orthopedic or trauma surgeons commonly perform it for acute compartment syndrome, such as pressure developing after a fracture or other injury. The procedure is generally performed in an operating room, often in a hospital facility.

Select this code when the operative report supports release of the anterior and/or lateral compartment, rather than the posterior compartment alone or two or more compartments. Document the indication, side, and compartments released; the extent of release distinguishes this service from 27601 and 27602. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is 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.

How Nebraska compares for 27600

Across 109 of 109 payment localities, the facility rate for 27600 runs from $336.45 in Arkansas to $464.67 in Alaska. Nebraska pays $339.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

27600 in Nebraska vs other payment areas
  1. Nebraska · this page$339.74
  2. Los Angeles, CA · California$395.49+$55.75
  3. Washington, DC area · District of Columbia$415.64+$75.90
  4. Miami, FL · Florida$443.75+$104.01
  5. Chicago, IL · Illinois$430.60+$90.86
  6. Manhattan, NY · New York$434.66+$94.92
  7. Alaska · Alaska$464.67+$124.93

Other areas in Nebraska first, then benchmark localities. Bars start at $0.

Every other payment area

27600 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$340.75
ArkansasArkansas—$336.45
ArizonaArizona—$365.60
Bakersfield, CACalifornia—$376.87
Chico, CACalifornia—$373.50
El Centro, CACalifornia—$373.70
Fresno, CACalifornia—$373.50
Hanford, CACalifornia—$373.50

27600 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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27600 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 27600 in every payment locality

How the 27600 rate is calculated

Each of 27600’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 · 27600

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.88

5.88 RVUs× 1.000 GPCI

Practice expense4.15

4.15 RVUs× 1.000 GPCI

Malpractice1.22

1.22 RVUs× 1.000 GPCI

Adjusted RVUs

11.2500

Conversion factor

$33.4009

Medicare rate

$375.76

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,962

Code
27600
Physician work
5.88
Practice expense
4.15
Malpractice
1.22

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 27600 in Nebraska
ComponentRVULocality factorAdjusted
Physician work5.88× 1.0005.8800
Practice expense4.15× 0.9233.8305
Malpractice1.22× 0.3780.4612
Total RVUs10.1716
Conversion factor× 33.4009

Facility rate, Nebraska$339.74

Facility: (5.88 × 1 + 4.15 × 0.923 + 1.22 × 0.378) × $33.4009 = $339.74

Open 27600 in the RVU calculator

Payment rules and modifiers for 27600

27600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 27600

Leg decompression, anterior and/or lateral compartments

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 27600

Leg decompression, anterior and/or lateral compartments

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

27600 without 50 · national facility

$375.76

Leg decompression, anterior and/or lateral compartments

27600-50 · Bilateral: 150%

$563.64

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

How 27600 has changed in Nebraska

27600 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$339.74RVU26D
2026-07-01Not available in this setting$339.74RVU26C
2026-04-01Not available in this setting$339.74RVU26B
2026-01-01Not available in this setting$339.74RVU26A
2025-10-01Not available in this setting$353.18RVU25D
2025-07-01Not available in this setting$353.18RVU25C
2025-04-01Not available in this setting$353.18RVU25B
2025-01-01Not available in this setting$353.18RVU25A
2024-10-01Not available in this setting$359.48RVU24D
2024-07-01Not available in this setting$359.48RVU24C
2024-04-01Not available in this setting$359.48RVU24B
2024-03-09Not available in this setting$359.48RVU24AR
2024-01-01Not available in this setting$353.62RVU24A
2023-10-01Not available in this setting$363.88RVU23D
2023-07-01Not available in this setting$363.88RVU23C
2023-04-01Not available in this setting$363.88RVU23B
2023-01-01Not available in this setting$363.88RVU23A
2022-10-01Not available in this setting$367.78RVU22D
2022-07-01Not available in this setting$367.78RVU22C
2022-04-01Not available in this setting$367.78RVU22B
2022-01-01Not available in this setting$367.78RVU22A
2021-10-01Not available in this setting$367.35RVU21D
2021-07-01Not available in this setting$367.35RVU21C
2021-04-01Not available in this setting$367.35RVU21B
2021-01-01Not available in this setting$367.35RVU21A
2020-10-01Not available in this setting$375.67RVU20D
2020-07-01Not available in this setting$375.67RVU20C
2020-04-01Not available in this setting$375.67RVU20B
2020-01-01Not available in this setting$375.67RVU20A
2019-10-01Not available in this setting$376.16RVU19D
2019-07-01Not available in this setting$376.16RVU19C
2019-04-01Not available in this setting$376.16RVU19B
2019-01-01Not available in this setting$376.16RVU19A
2018-10-01Not available in this setting$375.19RVU18D
2018-07-01Not available in this setting$375.19RVU18C
2018-04-01Not available in this setting$375.19RVU18B
2018-01-01Not available in this setting$375.19RVU18AR1
2017-10-01Not available in this setting$377.98RVU17D
2017-07-01Not available in this setting$377.98RVU17C
2017-04-01Not available in this setting$377.98RVU17B
2017-01-01Not available in this setting$377.98RVU17A
2016-10-01Not available in this setting$381.97RVU16D
2016-07-01Not available in this setting$381.97RVU16C
2016-04-01Not available in this setting$381.97RVU16B
2016-01-01Not available in this setting$381.97RVU16A
2015-10-01Not available in this setting$385.24RVU15D
2015-07-01Not available in this setting$385.24RVU15C
2015-04-01Not available in this setting$383.33RVU15B
2015-01-01Not available in this setting$383.33RVU15A
2014-10-01Not available in this setting$381.43RVU14D
2014-07-01Not available in this setting$381.43RVU14C
2014-04-01Not available in this setting$381.43RVU14B
2014-01-01Not available in this setting$381.43RVU14A
2013-10-01Not available in this setting$377.78RVU13D
2013-07-01Not available in this setting$377.78RVU13C
2013-04-01Not available in this setting$377.78RVU13B
2013-01-01Not available in this setting$377.78RVU13AR

Price 27600 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Nebraska

27600 billing questions

How do I choose between 27600, 27601, and 27602?

Use 27600 for release of the anterior and/or lateral compartment, 27601 for the posterior compartment, and 27602 when two or more compartments are released. Base the choice on the compartments documented in the operative report.

What operative documentation supports 27600?

The report should identify the indication, side, and compartments released. It should support anterior and/or lateral compartment decompression rather than a different compartment pattern.

What does the 90-day global period include?

It includes the day-before preoperative visit and related postoperative care for 90 days. Medicare treats those services as part of the global surgical period.

Can an assistant surgeon be paid for 27600?

CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

How is bilateral 27600 reported for Medicare?

When the procedure is bilateral, report modifier 50; CMS pays the bilateral procedure at 150%.

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 27600PPRRVU2026_Oct_nonQPP.csv, line 2,962 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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