CPT code 27602: Leg decompression, all compartments2026 Medicare rate & RVUs in Mississippi
Reports fasciotomy releasing all lower-leg compartments, typically as urgent surgical treatment for acute compartment syndrome after trauma or impaired perfusion.
In Mississippi, Medicare pays $409.91 for 27602 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27602 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 27602 covers
This operation opens the fascial compartments of the lower leg to relieve dangerously elevated pressure; the surgeon may remove nonviable tissue during the procedure. Orthopedic and trauma surgeons commonly perform it urgently for acute compartment syndrome, such as after a severe fracture, crush injury, or restoration of blood flow. The release covers all lower-leg compartments, rather than only the anterior and lateral compartments or only the posterior compartment.
Report 27602 when the operative work decompresses all compartments. The operative report should identify the compartments released and describe the indication and any debridement performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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 Mississippi compares for 27602
Across 109 of 109 payment localities, the facility rate for 27602 runs from $395.09 in Nebraska to $551.19 in Alaska. Mississippi pays $409.91. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$409.91
- Los Angeles, CA · California$456.40+$46.49
- Washington, DC area · District of Columbia$487.27+$77.36
- Miami, FL · Florida$545.10+$135.19
- Chicago, IL · Illinois$527.63+$117.72
- Manhattan, NY · New York$517.49+$107.58
- Alaska · Alaska$551.19+$141.28
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $400.82 |
| ArkansasArkansas | — | $395.59 |
| ArizonaArizona | — | $430.93 |
| Bakersfield, CACalifornia | — | $436.33 |
| Chico, CACalifornia | — | $431.24 |
| El Centro, CACalifornia | — | $431.55 |
| Fresno, CACalifornia | — | $431.24 |
| Hanford, CACalifornia | — | $431.24 |
| Madera, CACalifornia | — | $431.24 |
| Merced, CACalifornia | — | $431.24 |
| Modesto, CACalifornia | — | $431.24 |
| Napa, CACalifornia | — | $469.29 |
| Oxnard, CACalifornia | — | $450.39 |
| Redding, CACalifornia | — | $431.24 |
| Rest of CaliforniaCalifornia | — | $431.24 |
| Riverside, CACalifornia | — | $451.40 |
| Sacramento, CACalifornia | — | $444.56 |
| Salinas, CACalifornia | — | $442.78 |
| San Diego, CACalifornia | — | $447.59 |
| Marin County, CACalifornia | — | $486.01 |
| San Francisco, CACalifornia | — | $483.87 |
| San Benito County, CACalifornia | — | $498.71 |
| Santa Clara County, CACalifornia | — | $489.98 |
| San Luis Obispo, CACalifornia | — | $436.68 |
| Santa Cruz, CACalifornia | — | $447.32 |
| Santa Maria, CACalifornia | — | $442.90 |
| Santa Rosa, CACalifornia | — | $451.26 |
| Stockton, CACalifornia | — | $431.24 |
| Vallejo, CACalifornia | — | $466.22 |
| Visalia, CACalifornia | — | $431.24 |
| Yuba City, CACalifornia | — | $431.24 |
| ColoradoColorado | — | $441.30 |
| ConnecticutConnecticut | — | $471.92 |
| DelawareDelaware | — | $437.31 |
| Fort Lauderdale, FLFlorida | — | $496.28 |
| Rest of FloridaFlorida | — | $469.91 |
| Atlanta, GAGeorgia | — | $459.31 |
| Rest of GeorgiaGeorgia | — | $442.28 |
| Hawaii, Guam, HIHawaii | — | $434.80 |
| IowaIowa | — | $395.27 |
| IdahoIdaho | — | $400.68 |
| East St. Louis, ILIllinois | — | $497.44 |
| Rest of IllinoisIllinois | — | $468.24 |
| Suburban Chicago, ILIllinois | — | $497.57 |
| IndianaIndiana | — | $402.38 |
| KansasKansas | — | $400.60 |
| KentuckyKentucky | — | $424.51 |
| New Orleans, LALouisiana | — | $444.97 |
| Rest of LouisianaLouisiana | — | $426.70 |
| Metropolitan Boston, MAMassachusetts | — | $471.98 |
| Rest of MassachusettsMassachusetts | — | $441.93 |
| Baltimore area, MDMaryland | — | $472.09 |
| Rest of MarylandMaryland | — | $442.81 |
| Rest of MaineMaine | — | $410.03 |
| Southern Maine, MEMaine | — | $419.59 |
| Detroit, MIMichigan | — | $482.54 |
| Rest of MichiganMichigan | — | $440.99 |
| MinnesotaMinnesota | — | $403.36 |
| Metropolitan Kansas City, MOMissouri | — | $434.73 |
| Metropolitan St. Louis, MOMissouri | — | $437.95 |
| Rest of MissouriMissouri | — | $424.80 |
| MontanaMontana | — | $443.77 |
| North CarolinaNorth Carolina | — | $412.75 |
| North DakotaNorth Dakota | — | $406.60 |
| NebraskaNebraska | — | $395.09 |
| New HampshireNew Hampshire | — | $441.24 |
| Northern New JerseyNew Jersey | — | $484.46 |
| Rest of New JerseyNew Jersey | — | $471.82 |
| New MexicoNew Mexico | — | $446.01 |
| NevadaNevada | — | $433.54 |
| NYC suburbs and Long Island, NYNew York | — | $537.93 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $480.56 |
| Queens, NYNew York | — | $510.98 |
| Rest of New YorkNew York | — | $418.92 |
| OhioOhio | — | $433.39 |
| OklahomaOklahoma | — | $416.35 |
| Portland, OROregon | — | $445.95 |
| Rest of OregonOregon | — | $424.74 |
| Metropolitan Philadelphia, PAPennsylvania | — | $465.79 |
| Rest of PennsylvaniaPennsylvania | — | $430.06 |
| Puerto RicoPuerto Rico | — | $444.35 |
| Rhode IslandRhode Island | — | $446.13 |
| South CarolinaSouth Carolina | — | $424.86 |
| South DakotaSouth Dakota | — | $402.20 |
| TennesseeTennessee | — | $403.30 |
| Austin, TXTexas | — | $444.59 |
| Beaumont, TXTexas | — | $428.05 |
| Brazoria, TXTexas | — | $430.98 |
| Dallas, TXTexas | — | $436.77 |
| Fort Worth, TXTexas | — | $436.32 |
| Galveston, TXTexas | — | $434.25 |
| Houston, TXTexas | — | $468.66 |
| Rest of TexasTexas | — | $431.35 |
| UtahUtah | — | $429.90 |
| VirginiaVirginia | — | $423.28 |
| Virgin Islands, VIUnited States Virgin Islands | — | $444.35 |
| VermontVermont | — | $411.61 |
| Rest of WashingtonWashington | — | $438.91 |
| King County, WAWashington | — | $473.87 |
| WisconsinWisconsin | — | $395.13 |
| West VirginiaWest Virginia | — | $454.38 |
| WyomingWyoming | — | $427.57 |
27602 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 27602 rate is calculated
Each of 27602’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 · 27602
RVUs × geographic indexes × conversion factor
Work7.62
7.62 RVUs× 1.000 GPCI
Practice expense3.79
3.79 RVUs× 1.000 GPCI
Malpractice1.88
1.88 RVUs× 1.000 GPCI
Adjusted RVUs
13.2900
Conversion factor
$33.4009
Medicare rate
$443.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,964
- Code
- 27602
- Physician work
- 7.62
- Practice expense
- 3.79
- Malpractice
- 1.88
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.62 | × 1.000 | 7.6200 |
| Practice expense | 3.79 | × 0.861 | 3.2632 |
| Malpractice | 1.88 | × 0.739 | 1.3893 |
| Total RVUs | 12.2725 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$409.91
Facility: (7.62 × 1 + 3.79 × 0.861 + 1.88 × 0.739) × $33.4009 = $409.91
Payment rules and modifiers for 27602
27602 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27602
Leg decompression, all compartments
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27602
Leg decompression, all 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27602 without 50 · national facility
$443.90
Leg decompression, all compartments
27602-50 · Bilateral: 150%
$665.85
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 27602 has changed in Mississippi
27602 · 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 | $409.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $409.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $409.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $409.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $427.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $427.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $427.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $427.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $438.32 | RVU24D |
| 2024-07-01 | Not available in this setting | $438.32 | RVU24C |
| 2024-04-01 | Not available in this setting | $438.32 | RVU24B |
| 2024-03-09 | Not available in this setting | $438.32 | RVU24AR |
| 2024-01-01 | Not available in this setting | $431.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $441.19 | RVU23D |
| 2023-07-01 | Not available in this setting | $441.19 | RVU23C |
| 2023-04-01 | Not available in this setting | $441.19 | RVU23B |
| 2023-01-01 | Not available in this setting | $441.19 | RVU23A |
| 2022-10-01 | Not available in this setting | $447.38 | RVU22D |
| 2022-07-01 | Not available in this setting | $447.38 | RVU22C |
| 2022-04-01 | Not available in this setting | $447.38 | RVU22B |
| 2022-01-01 | Not available in this setting | $447.38 | RVU22A |
| 2021-10-01 | Not available in this setting | $448.98 | RVU21D |
| 2021-07-01 | Not available in this setting | $448.98 | RVU21C |
| 2021-04-01 | Not available in this setting | $448.98 | RVU21B |
| 2021-01-01 | Not available in this setting | $448.98 | RVU21A |
| 2020-10-01 | Not available in this setting | $452.54 | RVU20D |
| 2020-07-01 | Not available in this setting | $452.54 | RVU20C |
| 2020-04-01 | Not available in this setting | $452.54 | RVU20B |
| 2020-01-01 | Not available in this setting | $452.54 | RVU20A |
| 2019-10-01 | Not available in this setting | $443.17 | RVU19D |
| 2019-07-01 | Not available in this setting | $443.17 | RVU19C |
| 2019-04-01 | Not available in this setting | $443.17 | RVU19B |
| 2019-01-01 | Not available in this setting | $443.17 | RVU19A |
| 2018-10-01 | Not available in this setting | $444.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $444.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $444.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $444.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $452.95 | RVU17D |
| 2017-07-01 | Not available in this setting | $452.95 | RVU17C |
| 2017-04-01 | Not available in this setting | $452.95 | RVU17B |
| 2017-01-01 | Not available in this setting | $452.95 | RVU17A |
| 2016-10-01 | Not available in this setting | $464.41 | RVU16D |
| 2016-07-01 | Not available in this setting | $464.41 | RVU16C |
| 2016-04-01 | Not available in this setting | $464.41 | RVU16B |
| 2016-01-01 | Not available in this setting | $464.41 | RVU16A |
| 2015-10-01 | Not available in this setting | $464.67 | RVU15D |
| 2015-07-01 | Not available in this setting | $464.67 | RVU15C |
| 2015-04-01 | Not available in this setting | $462.35 | RVU15B |
| 2015-01-01 | Not available in this setting | $462.35 | RVU15A |
| 2014-10-01 | Not available in this setting | $472.51 | RVU14D |
| 2014-07-01 | Not available in this setting | $472.51 | RVU14C |
| 2014-04-01 | Not available in this setting | $472.51 | RVU14B |
| 2014-01-01 | Not available in this setting | $472.51 | RVU14A |
| 2013-10-01 | Not available in this setting | $471.10 | RVU13D |
| 2013-07-01 | Not available in this setting | $471.10 | RVU13C |
| 2013-04-01 | Not available in this setting | $471.10 | RVU13B |
| 2013-01-01 | Not available in this setting | $471.10 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
27602 billing questions
How does 27602 differ from 27600 and 27601?
27602 is for release of all lower-leg compartments. 27600 describes release of the anterior and/or lateral compartments, while 27601 describes release of the posterior compartment.
Can debridement be part of 27602?
Yes. The all-compartment decompression may include debridement of nonviable tissue when performed as part of the operation.
What documentation supports reporting 27602?
Document the acute condition prompting decompression, the compartments released, and any debridement performed. The operative details should support release of all compartments rather than a more limited release.
How is 27602 reported when both legs are treated?
CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support decompression of all compartments in each treated leg.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
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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