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

In Puerto Rico, Medicare pays $376.67 for 27600 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $376.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

27600 rates by state

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

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.

Payment rules and modifiers for 27600

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

What modifiers do to the payment

When to use modifier 50

Codes related to 27600

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 27600 has changed in Puerto Rico

Price 27600 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates