CPT code 27601: Leg fasciotomy, posterior compartment2026 Medicare rate & RVUs in Montana
Surgical release of the lower leg’s posterior compartment is reported to relieve pathologic pressure, commonly in acute compartment syndrome after trauma.
In Montana, Medicare pays $418.10 for 27601 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27601 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 27601 covers
This operation releases the fascia surrounding the posterior compartment or compartments of the lower leg to relieve dangerous tissue pressure. Orthopedic and trauma surgeons commonly perform it urgently for compartment syndrome after injuries such as fractures or crush trauma. The operative note should identify the leg, the compartments released, and the findings that prompted decompression.
Report this code when the documented release is limited to the posterior compartment or compartments; release that also includes anterior or lateral compartments follows a different code in the family. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are 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 Montana compares for 27601
Across 109 of 109 payment localities, the facility rate for 27601 runs from $374.13 in Arkansas to $511.86 in Alaska. Montana pays $418.10. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$418.10
- Los Angeles, CA · California$447.31+$29.21
- Washington, DC area · District of Columbia$465.75+$47.65
- Miami, FL · Florida$482.91+$64.81
- Chicago, IL · Illinois$468.92+$50.82
- Manhattan, NY · New York$482.47+$64.37
- Alaska · Alaska$511.86+$93.76
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $378.98 |
| ArkansasArkansas | — | $374.13 |
| ArizonaArizona | — | $407.10 |
| Bakersfield, CACalifornia | — | $424.93 |
| Chico, CACalifornia | — | $421.81 |
| El Centro, CACalifornia | — | $421.99 |
| Fresno, CACalifornia | — | $421.81 |
| Hanford, CACalifornia | — | $421.81 |
| Madera, CACalifornia | — | $421.81 |
| Merced, CACalifornia | — | $421.81 |
| Modesto, CACalifornia | — | $421.81 |
| Napa, CACalifornia | — | $470.61 |
| Oxnard, CACalifornia | — | $443.03 |
| Redding, CACalifornia | — | $421.81 |
| Rest of CaliforniaCalifornia | — | $421.81 |
| Riverside, CACalifornia | — | $433.86 |
| Sacramento, CACalifornia | — | $437.86 |
| Salinas, CACalifornia | — | $436.14 |
| San Diego, CACalifornia | — | $442.96 |
| Marin County, CACalifornia | — | $491.98 |
| San Francisco, CACalifornia | — | $490.71 |
| San Benito County, CACalifornia | — | $503.70 |
| Santa Clara County, CACalifornia | — | $498.50 |
| San Luis Obispo, CACalifornia | — | $429.71 |
| Santa Cruz, CACalifornia | — | $444.46 |
| Santa Maria, CACalifornia | — | $436.83 |
| Santa Rosa, CACalifornia | — | $448.62 |
| Stockton, CACalifornia | — | $421.81 |
| Vallejo, CACalifornia | — | $468.77 |
| Visalia, CACalifornia | — | $421.81 |
| Yuba City, CACalifornia | — | $421.81 |
| ColoradoColorado | — | $424.11 |
| ConnecticutConnecticut | — | $444.12 |
| DelawareDelaware | — | $413.18 |
| Fort Lauderdale, FLFlorida | — | $450.79 |
| Rest of FloridaFlorida | — | $428.91 |
| Atlanta, GAGeorgia | — | $429.23 |
| Rest of GeorgiaGeorgia | — | $405.52 |
| Hawaii, Guam, HIHawaii | — | $427.60 |
| IowaIowa | — | $380.01 |
| IdahoIdaho | — | $383.77 |
| East St. Louis, ILIllinois | — | $441.42 |
| Rest of IllinoisIllinois | — | $423.26 |
| Suburban Chicago, ILIllinois | — | $453.40 |
| IndianaIndiana | — | $385.54 |
| KansasKansas | — | $381.99 |
| KentuckyKentucky | — | $394.61 |
| New Orleans, LALouisiana | — | $412.43 |
| Rest of LouisianaLouisiana | — | $395.48 |
| Metropolitan Boston, MAMassachusetts | — | $457.78 |
| Rest of MassachusettsMassachusetts | — | $423.47 |
| Baltimore area, MDMaryland | — | $443.61 |
| Rest of MarylandMaryland | — | $419.29 |
| Rest of MaineMaine | — | $389.34 |
| Southern Maine, MEMaine | — | $402.72 |
| Detroit, MIMichigan | — | $437.41 |
| Rest of MichiganMichigan | — | $407.02 |
| MinnesotaMinnesota | — | $397.17 |
| Metropolitan Kansas City, MOMissouri | — | $406.11 |
| Metropolitan St. Louis, MOMissouri | — | $409.44 |
| Rest of MissouriMissouri | — | $391.86 |
| MississippiMississippi | — | $382.88 |
| North CarolinaNorth Carolina | — | $392.37 |
| North DakotaNorth Dakota | — | $395.96 |
| NebraskaNebraska | — | $380.77 |
| New HampshireNew Hampshire | — | $421.04 |
| Northern New JerseyNew Jersey | — | $462.53 |
| Rest of New JerseyNew Jersey | — | $446.59 |
| New MexicoNew Mexico | — | $410.45 |
| NevadaNevada | — | $412.12 |
| NYC suburbs and Long Island, NYNew York | — | $497.57 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $452.36 |
| Queens, NYNew York | — | $480.76 |
| Rest of New YorkNew York | — | $397.88 |
| OhioOhio | — | $402.50 |
| OklahomaOklahoma | — | $390.18 |
| Portland, OROregon | — | $432.15 |
| Rest of OregonOregon | — | $406.33 |
| Metropolitan Philadelphia, PAPennsylvania | — | $436.48 |
| Rest of PennsylvaniaPennsylvania | — | $401.06 |
| Puerto RicoPuerto Rico | — | $419.64 |
| Rhode IslandRhode Island | — | $423.95 |
| South CarolinaSouth Carolina | — | $398.61 |
| South DakotaSouth Dakota | — | $393.34 |
| TennesseeTennessee | — | $384.14 |
| Austin, TXTexas | — | $424.96 |
| Beaumont, TXTexas | — | $398.99 |
| Brazoria, TXTexas | — | $409.87 |
| Dallas, TXTexas | — | $413.91 |
| Fort Worth, TXTexas | — | $412.56 |
| Galveston, TXTexas | — | $412.04 |
| Houston, TXTexas | — | $432.54 |
| Rest of TexasTexas | — | $405.18 |
| UtahUtah | — | $403.34 |
| VirginiaVirginia | — | $404.06 |
| Virgin Islands, VIUnited States Virgin Islands | — | $419.64 |
| VermontVermont | — | $397.86 |
| Rest of WashingtonWashington | — | $421.54 |
| King County, WAWashington | — | $462.89 |
| WisconsinWisconsin | — | $384.58 |
| West VirginiaWest Virginia | — | $410.24 |
| WyomingWyoming | — | $408.45 |
27601 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 27601 rate is calculated
Each of 27601’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 · 27601
RVUs × geographic indexes × conversion factor
Work5.90
5.90 RVUs× 1.000 GPCI
Practice expense5.50
5.50 RVUs× 1.000 GPCI
Malpractice1.12
1.12 RVUs× 1.000 GPCI
Adjusted RVUs
12.5200
Conversion factor
$33.4009
Medicare rate
$418.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,963
- Code
- 27601
- Physician work
- 5.90
- Practice expense
- 5.50
- Malpractice
- 1.12
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.90 | × 1.000 | 5.9000 |
| Practice expense | 5.50 | × 1.000 | 5.5000 |
| Malpractice | 1.12 | × 0.998 | 1.1178 |
| Total RVUs | 12.5178 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$418.10
Facility: (5.9 × 1 + 5.5 × 1 + 1.12 × 0.998) × $33.4009 = $418.10
Payment rules and modifiers for 27601
27601 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27601
Leg fasciotomy, posterior compartment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27601
Leg fasciotomy, posterior compartment
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27601 without 50 · national facility
$418.18
Leg fasciotomy, posterior compartment
27601-50 · Bilateral: 150%
$627.27
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).
How 27601 has changed in Montana
27601 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $418.10 | RVU26D |
| 2026-07-01 | Not available in this setting | $418.10 | RVU26C |
| 2026-04-01 | Not available in this setting | $418.10 | RVU26B |
| 2026-01-01 | Not available in this setting | $418.10 | RVU26A |
| 2025-10-01 | Not available in this setting | $431.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $431.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $431.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $431.98 | RVU25A |
| 2024-10-01 | Not available in this setting | $445.51 | RVU24D |
| 2024-07-01 | Not available in this setting | $445.51 | RVU24C |
| 2024-04-01 | Not available in this setting | $445.51 | RVU24B |
| 2024-03-09 | Not available in this setting | $445.51 | RVU24AR |
| 2024-01-01 | Not available in this setting | $438.24 | RVU24A |
| 2023-10-01 | Not available in this setting | $448.81 | RVU23D |
| 2023-07-01 | Not available in this setting | $448.81 | RVU23C |
| 2023-04-01 | Not available in this setting | $448.81 | RVU23B |
| 2023-01-01 | Not available in this setting | $448.81 | RVU23A |
| 2022-10-01 | Not available in this setting | $460.00 | RVU22D |
| 2022-07-01 | Not available in this setting | $460.00 | RVU22C |
| 2022-04-01 | Not available in this setting | $460.00 | RVU22B |
| 2022-01-01 | Not available in this setting | $460.00 | RVU22A |
| 2021-10-01 | Not available in this setting | $456.15 | RVU21D |
| 2021-07-01 | Not available in this setting | $456.15 | RVU21C |
| 2021-04-01 | Not available in this setting | $456.15 | RVU21B |
| 2021-01-01 | Not available in this setting | $456.15 | RVU21A |
| 2020-10-01 | Not available in this setting | $477.67 | RVU20D |
| 2020-07-01 | Not available in this setting | $477.67 | RVU20C |
| 2020-04-01 | Not available in this setting | $477.67 | RVU20B |
| 2020-01-01 | Not available in this setting | $477.67 | RVU20A |
| 2019-10-01 | Not available in this setting | $489.54 | RVU19D |
| 2019-07-01 | Not available in this setting | $489.54 | RVU19C |
| 2019-04-01 | Not available in this setting | $489.54 | RVU19B |
| 2019-01-01 | Not available in this setting | $489.54 | RVU19A |
| 2018-10-01 | Not available in this setting | $490.48 | RVU18D |
| 2018-07-01 | Not available in this setting | $490.48 | RVU18C |
| 2018-04-01 | Not available in this setting | $490.48 | RVU18B |
| 2018-01-01 | Not available in this setting | $490.48 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $479.59 | RVU17D |
| 2017-07-01 | Not available in this setting | $479.59 | RVU17C |
| 2017-04-01 | Not available in this setting | $479.59 | RVU17B |
| 2017-01-01 | Not available in this setting | $479.59 | RVU17A |
| 2016-10-01 | Not available in this setting | $467.34 | RVU16D |
| 2016-07-01 | Not available in this setting | $467.34 | RVU16C |
| 2016-04-01 | Not available in this setting | $467.34 | RVU16B |
| 2016-01-01 | Not available in this setting | $467.34 | RVU16A |
| 2015-10-01 | Not available in this setting | $473.94 | RVU15D |
| 2015-07-01 | Not available in this setting | $473.94 | RVU15C |
| 2015-04-01 | Not available in this setting | $471.58 | RVU15B |
| 2015-01-01 | Not available in this setting | $471.58 | RVU15A |
| 2014-10-01 | Not available in this setting | $459.95 | RVU14D |
| 2014-07-01 | Not available in this setting | $459.95 | RVU14C |
| 2014-04-01 | Not available in this setting | $459.95 | RVU14B |
| 2014-01-01 | Not available in this setting | $459.95 | RVU14A |
| 2013-10-01 | Not available in this setting | $455.60 | RVU13D |
| 2013-07-01 | Not available in this setting | $455.60 | RVU13C |
| 2013-04-01 | Not available in this setting | $455.60 | RVU13B |
| 2013-01-01 | Not available in this setting | $455.60 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
27601 billing questions
How is this code distinguished from 27600?
This code is for release of posterior compartment or compartments. Code 27600 is for release of anterior and/or lateral compartments only.
When is 27602 more appropriate?
Use 27602 when the documented decompression includes posterior compartments as well as anterior and/or lateral compartments. This code describes posterior compartment release without those additional compartments.
What should the operative report document?
The report should identify the treated leg and the compartments released, and explain the clinical findings or pressure problem prompting the operation.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Is an assistant surgeon payable?
CMS applies a statutory restriction, so an assistant at surgery is not paid for this code. Co-surgeons and team surgery are also not permitted.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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