CPT code 27656: Fascia repair, lower leg2026 Medicare rate & RVUs in Alabama
Surgical repair of a defect in lower-leg fascia, such as a symptomatic muscle herniation through the fascial layer.
In Alabama, Medicare pays $478.14 for 27656 in the office and $293.73 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 27656 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 10 sections
What 27656 covers
This service repairs a gap in the lower-leg fascia, the connective tissue covering the muscles. A familiar clinical situation is a symptomatic muscle herniation that protrudes through a fascial defect. An orthopedic surgeon or another surgeon treating lower-leg soft-tissue conditions may perform the repair in an operating room or ambulatory surgery setting. The operative report should identify the defect’s location and describe the fascial repair performed.
Report this code for the fascia repair itself, not for repair of an Achilles, flexor, or extensor tendon. CMS assigns a 90-day global period: the day-before preoperative visit and related postoperative care during the 90 days are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; 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 Alabama compares for 27656
Across 109 of 109 payment localities, the office rate for 27656 runs from $471.37 in Arkansas to $697.41 in San Benito County, CA. Alabama pays $478.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$478.14
- Los Angeles, CA · California$596.71+$118.57
- Washington, DC area · District of Columbia$606.06+$127.92
- Miami, FL · Florida$577.58+$99.44
- Chicago, IL · Illinois$560.99+$82.85
- Manhattan, NY · New York$611.50+$133.36
- Alaska · Alaska$622.52+$144.38
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $471.37 | $290.33 |
| ArizonaArizona | $517.71 | $313.48 |
| Bakersfield, CACalifornia | $561.06 | $330.07 |
| Chico, CACalifornia | $559.27 | $328.28 |
| El Centro, CACalifornia | $559.37 | $328.38 |
| Fresno, CACalifornia | $559.27 | $328.28 |
| Hanford, CACalifornia | $559.27 | $328.28 |
| Madera, CACalifornia | $559.27 | $328.28 |
| Merced, CACalifornia | $559.27 | $328.28 |
| Modesto, CACalifornia | $559.27 | $328.28 |
| Napa, CACalifornia | $645.24 | $367.46 |
| Oxnard, CACalifornia | $593.52 | $344.40 |
| Redding, CACalifornia | $559.27 | $328.28 |
| Rest of CaliforniaCalifornia | $559.27 | $328.28 |
| Riverside, CACalifornia | $565.88 | $334.89 |
| Sacramento, CACalifornia | $586.17 | $341.06 |
| Salinas, CACalifornia | $583.97 | $339.70 |
| San Diego, CACalifornia | $597.19 | $345.12 |
| Marin County, CACalifornia | $682.09 | $384.92 |
| San Francisco, CACalifornia | $681.40 | $384.22 |
| San Benito County, CACalifornia | $697.41 | $393.50 |
| Santa Clara County, CACalifornia | $694.58 | $390.67 |
| San Luis Obispo, CACalifornia | $574.66 | $334.61 |
| Santa Cruz, CACalifornia | $602.49 | $346.42 |
| Santa Maria, CACalifornia | $586.02 | $340.27 |
| Santa Rosa, CACalifornia | $608.52 | $349.71 |
| Stockton, CACalifornia | $559.27 | $328.28 |
| Vallejo, CACalifornia | $644.24 | $366.46 |
| Visalia, CACalifornia | $559.27 | $328.28 |
| Yuba City, CACalifornia | $559.27 | $328.28 |
| ColoradoColorado | $552.04 | $327.79 |
| ConnecticutConnecticut | $566.66 | $339.67 |
| DelawareDelaware | $526.15 | $317.92 |
| Fort Lauderdale, FLFlorida | $552.86 | $339.36 |
| Rest of FloridaFlorida | $526.24 | $324.75 |
| Atlanta, GAGeorgia | $542.03 | $327.89 |
| Rest of GeorgiaGeorgia | $496.98 | $308.99 |
| Hawaii, Guam, HIHawaii | $572.22 | $332.58 |
| IowaIowa | $489.02 | $296.18 |
| IdahoIdaho | $492.36 | $298.46 |
| East St. Louis, ILIllinois | $523.76 | $329.86 |
| Rest of IllinoisIllinois | $512.06 | $319.64 |
| Suburban Chicago, ILIllinois | $558.21 | $341.76 |
| IndianaIndiana | $495.13 | $299.76 |
| KansasKansas | $487.26 | $296.74 |
| KentuckyKentucky | $490.27 | $302.90 |
| New Orleans, LALouisiana | $513.39 | $315.06 |
| Rest of LouisianaLouisiana | $489.71 | $303.19 |
| Metropolitan Boston, MAMassachusetts | $605.25 | $353.60 |
| Rest of MassachusettsMassachusetts | $549.04 | $327.11 |
| Baltimore area, MDMaryland | $565.16 | $339.02 |
| Rest of MarylandMaryland | $535.90 | $322.61 |
| Rest of MaineMaine | $495.40 | $301.50 |
| Southern Maine, MEMaine | $521.00 | $312.14 |
| Detroit, MIMichigan | $533.19 | $329.80 |
| Rest of MichiganMichigan | $503.22 | $310.80 |
| MinnesotaMinnesota | $527.78 | $310.91 |
| Metropolitan Kansas City, MOMissouri | $509.43 | $311.53 |
| Metropolitan St. Louis, MOMissouri | $514.60 | $313.95 |
| Rest of MissouriMissouri | $481.80 | $300.13 |
| MississippiMississippi | $476.65 | $295.19 |
| MontanaMontana | $531.70 | $320.94 |
| North CarolinaNorth Carolina | $500.40 | $303.76 |
| North DakotaNorth Dakota | $519.64 | $308.88 |
| NebraskaNebraska | $491.50 | $296.97 |
| New HampshireNew Hampshire | $543.88 | $324.48 |
| Northern New JerseyNew Jersey | $600.08 | $355.59 |
| Rest of New JerseyNew Jersey | $572.79 | $342.64 |
| New MexicoNew Mexico | $506.12 | $312.85 |
| NevadaNevada | $528.70 | $317.73 |
| NYC suburbs and Long Island, NYNew York | $626.69 | $376.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $576.94 | $346.15 |
| Queens, NYNew York | $615.73 | $366.61 |
| Rest of New YorkNew York | $507.79 | $307.57 |
| OhioOhio | $500.75 | $308.33 |
| OklahomaOklahoma | $488.89 | $300.68 |
| Portland, OROregon | $568.72 | $334.57 |
| Rest of OregonOregon | $524.26 | $314.34 |
| Metropolitan Philadelphia, PAPennsylvania | $553.11 | $333.71 |
| Rest of PennsylvaniaPennsylvania | $501.26 | $307.78 |
| Puerto RicoPuerto Rico | $535.38 | $322.30 |
| Rhode IslandRhode Island | $544.27 | $326.56 |
| South CarolinaSouth Carolina | $501.47 | $306.73 |
| South DakotaSouth Dakota | $518.21 | $307.45 |
| TennesseeTennessee | $489.73 | $298.15 |
| Austin, TXTexas | $550.49 | $327.51 |
| Beaumont, TXTexas | $498.07 | $306.28 |
| Brazoria, TXTexas | $525.26 | $316.40 |
| Dallas, TXTexas | $528.80 | $318.88 |
| Fort Worth, TXTexas | $525.48 | $317.67 |
| Galveston, TXTexas | $526.96 | $317.67 |
| Houston, TXTexas | $538.12 | $328.84 |
| Rest of TexasTexas | $511.51 | $311.49 |
| UtahUtah | $508.18 | $310.07 |
| VirginiaVirginia | $519.67 | $312.49 |
| Virgin Islands, VIUnited States Virgin Islands | $535.38 | $322.30 |
| VermontVermont | $518.10 | $309.44 |
| Rest of WashingtonWashington | $547.84 | $325.91 |
| King County, WAWashington | $616.96 | $358.36 |
| WisconsinWisconsin | $502.60 | $300.70 |
| West VirginiaWest Virginia | $493.62 | $310.47 |
| WyomingWyoming | $526.44 | $315.69 |
27656 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.
$471.37
$628.34
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $622.52 | 1 |
| AL | $478.14 | 1 |
| AR | $471.37 | 1 |
| AZ | $517.71 | 1 |
| CA | $559.27–$697.41 | 29 |
| CO | $552.04 | 1 |
| CT | $566.66 | 1 |
| DC | $606.06 | 1 |
| DE | $526.15 | 1 |
| FL | $526.24–$577.58 | 3 |
| GA | $496.98–$542.03 | 2 |
| GU | $572.22 | 1 |
| HI | $572.22 | 1 |
| IA | $489.02 | 1 |
| ID | $492.36 | 1 |
| IL | $512.06–$560.99 | 4 |
| IN | $495.13 | 1 |
| KS | $487.26 | 1 |
| KY | $490.27 | 1 |
| LA | $489.71–$513.39 | 2 |
| MA | $549.04–$605.25 | 2 |
| MD | $535.90–$606.06 | 3 |
| ME | $495.40–$521.00 | 2 |
| MI | $503.22–$533.19 | 2 |
| MN | $527.78 | 1 |
| MO | $481.80–$514.60 | 3 |
| MS | $476.65 | 1 |
| MT | $531.70 | 1 |
| NC | $500.40 | 1 |
| ND | $519.64 | 1 |
| NE | $491.50 | 1 |
| NH | $543.88 | 1 |
| NJ | $572.79–$600.08 | 2 |
| NM | $506.12 | 1 |
| NV | $528.70 | 1 |
| NY | $507.79–$626.69 | 5 |
| OH | $500.75 | 1 |
| OK | $488.89 | 1 |
| OR | $524.26–$568.72 | 2 |
| PA | $501.26–$553.11 | 2 |
| PR | $535.38 | 1 |
| RI | $544.27 | 1 |
| SC | $501.47 | 1 |
| SD | $518.21 | 1 |
| TN | $489.73 | 1 |
| TX | $498.07–$550.49 | 8 |
| UT | $508.18 | 1 |
| VA | $519.67–$606.06 | 2 |
| VI | $535.38 | 1 |
| VT | $518.10 | 1 |
| WA | $547.84–$616.96 | 2 |
| WI | $502.60 | 1 |
| WV | $493.62 | 1 |
| WY | $526.44 | 1 |
How the 27656 rate is calculated
Each of 27656’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 · 27656
RVUs × geographic indexes × conversion factor
Work4.59
4.59 RVUs× 1.000 GPCI
Practice expense10.72
10.72 RVUs× 1.000 GPCI
Malpractice0.61
0.61 RVUs× 1.000 GPCI
Adjusted RVUs
15.9200
Conversion factor
$33.4009
Medicare rate
$531.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,996
- Code
- 27656
- Physician work
- 4.59
- Practice expense
- 10.72
- Malpractice
- 0.61
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.59 | × 1.000 | 4.5900 |
| Practice expense | 10.72 | × 0.875 | 9.3800 |
| Malpractice | 0.61 | × 0.566 | 0.3453 |
| Total RVUs | 14.3153 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$478.14
Office: (4.59 × 1 + 10.72 × 0.875 + 0.61 × 0.566) × $33.4009 = $478.14
Facility: (4.59 × 1 + 4.41 × 0.875 + 0.61 × 0.566) × $33.4009 = $293.73
Payment rules and modifiers for 27656
27656 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27656
Fascia repair, lower leg
| 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) | 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 · 27656
Fascia repair, lower leg
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
27656 without 50 · national office
$531.74
Fascia repair, lower leg
27656-50 · Bilateral: 150%
$797.61
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 27656 has changed in Alabama
27656 · Office / nonfacility
$478.14
Effective 2026-10-01
The base rate is $22.76 higher than on 2025-10-01, moving from $455.38 to $478.14 (5.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$455.38changed to$478.14
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.71 changed to 4.59
- Practice expense RVU 10.39 changed to 10.72
- Malpractice RVU 0.59 changed to 0.61
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$474.60changed to$455.38
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 10.57 changed to 10.39
- Malpractice RVU 0.63 changed to 0.59
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$466.85changed to$474.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$497.42changed to$466.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.80 changed to 10.57
- Malpractice RVU 0.65 changed to 0.63
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$523.05changed to$497.42
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.97 changed to 10.80
- Malpractice RVU 0.72 changed to 0.65
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$534.16changed to$523.05
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 11.23 changed to 10.97
- Malpractice RVU 0.68 changed to 0.72
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$598.35changed to$534.16
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 12.62 changed to 11.23
- Malpractice RVU 0.92 changed to 0.68
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$589.95changed to$598.35
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 12.57 changed to 12.62
- Malpractice RVU 0.96 changed to 0.92
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
July 1, 2019
RVU19C
$589.59changed to$589.95
- Malpractice RVU 0.94 changed to 0.96
Held through RVU19D.
January 1, 2019
RVU19A
$590.26changed to$589.59
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 12.60 changed to 12.57
- Malpractice RVU 0.96 changed to 0.94
Held through RVU19B.
April 1, 2018
RVU18B
No ratechanged to$590.26
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $478.14 | $293.73 | RVU26D |
| 2026-07-01 | $478.14 | $293.73 | RVU26C |
| 2026-04-01 | $478.14 | $293.73 | RVU26B |
| 2026-01-01 | $478.14 | $293.73 | RVU26A |
| 2025-10-01 | $455.38 | $305.84 | RVU25D |
| 2025-07-01 | $455.38 | $305.84 | RVU25C |
| 2025-04-01 | $455.38 | $305.84 | RVU25B |
| 2025-01-01 | $455.38 | $305.84 | RVU25A |
| 2024-10-01 | $474.60 | $314.63 | RVU24D |
| 2024-07-01 | $474.60 | $314.63 | RVU24C |
| 2024-04-01 | $474.60 | $314.63 | RVU24B |
| 2024-03-09 | $474.60 | $314.63 | RVU24AR |
| 2024-01-01 | $466.85 | $309.50 | RVU24A |
| 2023-10-01 | $497.42 | $326.34 | RVU23D |
| 2023-07-01 | $497.42 | $326.34 | RVU23C |
| 2023-04-01 | $497.42 | $326.34 | RVU23B |
| 2023-01-01 | $497.42 | $326.34 | RVU23A |
| 2022-10-01 | $523.05 | $340.52 | RVU22D |
| 2022-07-01 | $523.05 | $340.52 | RVU22C |
| 2022-04-01 | $523.05 | $340.52 | RVU22B |
| 2022-01-01 | $523.05 | $340.52 | RVU22A |
| 2021-10-01 | $534.16 | $341.43 | RVU21D |
| 2021-07-01 | $534.16 | $341.43 | RVU21C |
| 2021-04-01 | $534.16 | $341.43 | RVU21B |
| 2021-01-01 | $534.16 | $341.43 | RVU21A |
| 2020-10-01 | $598.35 | $379.22 | RVU20D |
| 2020-07-01 | $598.35 | $379.22 | RVU20C |
| 2020-04-01 | $598.35 | $379.22 | RVU20B |
| 2020-01-01 | $598.35 | $379.22 | RVU20A |
| 2019-10-01 | $589.95 | $371.20 | RVU19D |
| 2019-07-01 | $589.95 | $371.20 | RVU19C |
| 2019-04-01 | $589.59 | $370.84 | RVU19B |
| 2019-01-01 | $589.59 | $370.84 | RVU19A |
| 2018-10-01 | $590.26 | $370.79 | RVU18D |
| 2018-07-01 | $590.26 | $370.79 | RVU18C |
| 2018-04-01 | $590.26 | $370.79 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
27656 billing questions
How is this different from a lower-leg tendon repair code?
This service repairs the fascia surrounding the lower-leg muscles. Use a tendon repair code when the operative service repairs a flexor, extensor, or Achilles tendon.
What documentation supports reporting this service?
Document the lower-leg fascial defect, its location, and the repair performed. If muscle herniation prompted surgery, describe that finding and its relationship to the defect.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90 days are included in the global period.
How is bilateral repair paid?
CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is at 150%.
Can an assistant surgeon be reported?
CMS indicates that assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
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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