CPT code 27892: Leg fasciotomy, anterior/lateral with debridement2026 Medicare rate & RVUs in Delaware
Reports anterior and/or lateral leg compartment release with removal of nonviable muscle or nerve, commonly during surgery for acute compartment syndrome.
In Delaware, Medicare pays $511.38 for 27892 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 27892 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 27892 covers
This service releases pressure in the anterior and/or lateral leg compartment and includes debridement of nonviable muscle and/or nerve. It is typically performed by an orthopedic or trauma surgeon in a hospital operating room when compartment syndrome has caused tissue injury, such as after significant leg trauma or impaired circulation. The operative report should identify the compartment or compartments released and describe the nonviable tissue removed.
Report 27892 when the release includes the specified debridement; a release without that debridement is represented by a different code. The procedure has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple procedure reduction. For bilateral reporting with modifier 50, CMS pays 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Delaware compares for 27892
Across 109 of 109 payment localities, the facility rate for 27892 runs from $462.73 in Arkansas to $636.19 in Alaska. Delaware pays $511.38. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$511.38
- Los Angeles, CA · California$547.88+$36.50
- Washington, DC area · District of Columbia$574.66+$63.28
- Miami, FL · Florida$609.70+$98.32
- Chicago, IL · Illinois$591.39+$80.01
- Manhattan, NY · New York$599.72+$88.34
- Alaska · Alaska$636.19+$124.81
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $468.78 |
| ArkansasArkansas | — | $462.73 |
| ArizonaArizona | — | $503.85 |
| Bakersfield, CACalifornia | — | $521.36 |
| Chico, CACalifornia | — | $516.87 |
| El Centro, CACalifornia | — | $517.14 |
| Fresno, CACalifornia | — | $516.87 |
| Hanford, CACalifornia | — | $516.87 |
| Madera, CACalifornia | — | $516.87 |
| Merced, CACalifornia | — | $516.87 |
| Modesto, CACalifornia | — | $516.87 |
| Napa, CACalifornia | — | $572.76 |
| Oxnard, CACalifornia | — | $542.09 |
| Redding, CACalifornia | — | $516.87 |
| Rest of CaliforniaCalifornia | — | $516.87 |
| Riverside, CACalifornia | — | $534.39 |
| Sacramento, CACalifornia | — | $535.52 |
| Salinas, CACalifornia | — | $533.41 |
| San Diego, CACalifornia | — | $541.06 |
| Marin County, CACalifornia | — | $597.24 |
| San Francisco, CACalifornia | — | $595.39 |
| San Benito County, CACalifornia | — | $611.87 |
| Santa Clara County, CACalifornia | — | $604.30 |
| San Luis Obispo, CACalifornia | — | $525.69 |
| Santa Cruz, CACalifornia | — | $542.31 |
| Santa Maria, CACalifornia | — | $534.07 |
| Santa Rosa, CACalifornia | — | $547.30 |
| Stockton, CACalifornia | — | $516.87 |
| Vallejo, CACalifornia | — | $570.10 |
| Visalia, CACalifornia | — | $516.87 |
| Yuba City, CACalifornia | — | $516.87 |
| ColoradoColorado | — | $522.35 |
| ConnecticutConnecticut | — | $550.44 |
| Fort Lauderdale, FLFlorida | — | $564.70 |
| Rest of FloridaFlorida | — | $536.41 |
| Atlanta, GAGeorgia | — | $533.05 |
| Rest of GeorgiaGeorgia | — | $506.35 |
| Hawaii, Guam, HIHawaii | — | $523.22 |
| IowaIowa | — | $467.79 |
| IdahoIdaho | — | $472.95 |
| East St. Louis, ILIllinois | — | $556.85 |
| Rest of IllinoisIllinois | — | $530.86 |
| Suburban Chicago, ILIllinois | — | $567.43 |
| IndianaIndiana | — | $475.09 |
| KansasKansas | — | $471.36 |
| KentuckyKentucky | — | $490.66 |
| New Orleans, LALouisiana | — | $513.35 |
| Rest of LouisianaLouisiana | — | $492.18 |
| Metropolitan Boston, MAMassachusetts | — | $562.44 |
| Rest of MassachusettsMassachusetts | — | $522.00 |
| Baltimore area, MDMaryland | — | $550.06 |
| Rest of MarylandMaryland | — | $518.63 |
| Rest of MaineMaine | — | $481.06 |
| Southern Maine, MEMaine | — | $496.11 |
| Detroit, MIMichigan | — | $548.22 |
| Rest of MichiganMichigan | — | $507.23 |
| MinnesotaMinnesota | — | $485.67 |
| Metropolitan Kansas City, MOMissouri | — | $504.29 |
| Metropolitan St. Louis, MOMissouri | — | $508.31 |
| Rest of MissouriMissouri | — | $488.33 |
| MississippiMississippi | — | $475.33 |
| MontanaMontana | — | $517.94 |
| North CarolinaNorth Carolina | — | $484.65 |
| North DakotaNorth Dakota | — | $485.71 |
| NebraskaNebraska | — | $468.39 |
| New HampshireNew Hampshire | — | $519.65 |
| Northern New JerseyNew Jersey | — | $570.85 |
| Rest of New JerseyNew Jersey | — | $552.54 |
| New MexicoNew Mexico | — | $511.97 |
| NevadaNevada | — | $509.16 |
| NYC suburbs and Long Island, NYNew York | — | $620.01 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $560.60 |
| Queens, NYNew York | — | $595.98 |
| Rest of New YorkNew York | — | $491.62 |
| OhioOhio | — | $500.64 |
| OklahomaOklahoma | — | $483.96 |
| Portland, OROregon | — | $531.01 |
| Rest of OregonOregon | — | $501.06 |
| Metropolitan Philadelphia, PAPennsylvania | — | $541.62 |
| Rest of PennsylvaniaPennsylvania | — | $498.24 |
| Puerto RicoPuerto Rico | — | $519.49 |
| Rhode IslandRhode Island | — | $523.85 |
| South CarolinaSouth Carolina | — | $494.30 |
| South DakotaSouth Dakota | — | $481.90 |
| TennesseeTennessee | — | $474.18 |
| Austin, TXTexas | — | $524.25 |
| Beaumont, TXTexas | — | $495.73 |
| Brazoria, TXTexas | — | $506.29 |
| Dallas, TXTexas | — | $511.82 |
| Fort Worth, TXTexas | — | $510.48 |
| Galveston, TXTexas | — | $509.32 |
| Houston, TXTexas | — | $539.15 |
| Rest of TexasTexas | — | $502.31 |
| UtahUtah | — | $500.19 |
| VirginiaVirginia | — | $498.56 |
| Virgin Islands, VIUnited States Virgin Islands | — | $519.49 |
| VermontVermont | — | $489.10 |
| Rest of WashingtonWashington | — | $519.27 |
| King County, WAWashington | — | $567.56 |
| WisconsinWisconsin | — | $471.76 |
| West VirginiaWest Virginia | — | $514.65 |
| WyomingWyoming | — | $503.89 |
27892 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.
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 27892 rate is calculated
Each of 27892’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 · 27892
RVUs × geographic indexes × conversion factor
Work7.74
7.74 RVUs× 1.000 GPCI
Practice expense6.14
6.14 RVUs× 1.000 GPCI
Malpractice1.63
1.63 RVUs× 1.000 GPCI
Adjusted RVUs
15.5100
Conversion factor
$33.4009
Medicare rate
$518.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,083
- Code
- 27892
- Physician work
- 7.74
- Practice expense
- 6.14
- Malpractice
- 1.63
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.74 | × 1.005 | 7.7787 |
| Practice expense | 6.14 | × 0.988 | 6.0663 |
| Malpractice | 1.63 | × 0.899 | 1.4654 |
| Total RVUs | 15.3104 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$511.38
Facility: (7.74 × 1.005 + 6.14 × 0.988 + 1.63 × 0.899) × $33.4009 = $511.38
Payment rules and modifiers for 27892
27892 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27892
Leg fasciotomy, anterior/lateral with debridement
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 27892
Leg fasciotomy, anterior/lateral with debridement
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
27892 without 50 · national facility
$518.05
Leg fasciotomy, anterior/lateral with debridement
27892-50 · Bilateral: 150%
$777.08
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 27892 has changed in Delaware
27892 · 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 | $511.38 | RVU26D |
| 2026-07-01 | Not available in this setting | $511.38 | RVU26C |
| 2026-04-01 | Not available in this setting | $511.38 | RVU26B |
| 2026-01-01 | Not available in this setting | $511.38 | RVU26A |
| 2025-10-01 | Not available in this setting | $531.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $531.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $531.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $531.92 | RVU25A |
| 2024-10-01 | Not available in this setting | $537.48 | RVU24D |
| 2024-07-01 | Not available in this setting | $537.48 | RVU24C |
| 2024-04-01 | Not available in this setting | $537.48 | RVU24B |
| 2024-03-09 | Not available in this setting | $537.48 | RVU24AR |
| 2024-01-01 | Not available in this setting | $528.70 | RVU24A |
| 2023-10-01 | Not available in this setting | $544.37 | RVU23D |
| 2023-07-01 | Not available in this setting | $544.37 | RVU23C |
| 2023-04-01 | Not available in this setting | $544.37 | RVU23B |
| 2023-01-01 | Not available in this setting | $544.37 | RVU23A |
| 2022-10-01 | Not available in this setting | $553.86 | RVU22D |
| 2022-07-01 | Not available in this setting | $553.86 | RVU22C |
| 2022-04-01 | Not available in this setting | $553.86 | RVU22B |
| 2022-01-01 | Not available in this setting | $553.86 | RVU22A |
| 2021-10-01 | Not available in this setting | $554.08 | RVU21D |
| 2021-07-01 | Not available in this setting | $554.08 | RVU21C |
| 2021-04-01 | Not available in this setting | $554.08 | RVU21B |
| 2021-01-01 | Not available in this setting | $554.08 | RVU21A |
| 2020-10-01 | Not available in this setting | $581.32 | RVU20D |
| 2020-07-01 | Not available in this setting | $581.32 | RVU20C |
| 2020-04-01 | Not available in this setting | $581.32 | RVU20B |
| 2020-01-01 | Not available in this setting | $581.32 | RVU20A |
| 2019-10-01 | Not available in this setting | $583.82 | RVU19D |
| 2019-07-01 | Not available in this setting | $583.82 | RVU19C |
| 2019-04-01 | Not available in this setting | $583.82 | RVU19B |
| 2019-01-01 | Not available in this setting | $583.82 | RVU19A |
| 2018-10-01 | Not available in this setting | $593.01 | RVU18D |
| 2018-07-01 | Not available in this setting | $593.01 | RVU18C |
| 2018-04-01 | Not available in this setting | $593.01 | RVU18B |
| 2018-01-01 | Not available in this setting | $593.01 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $588.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $588.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $588.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $588.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $585.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $585.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $585.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $585.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $582.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $582.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $579.19 | RVU15B |
| 2015-01-01 | Not available in this setting | $579.19 | RVU15A |
| 2014-10-01 | Not available in this setting | $574.52 | RVU14D |
| 2014-07-01 | Not available in this setting | $574.52 | RVU14C |
| 2014-04-01 | Not available in this setting | $574.52 | RVU14B |
| 2014-01-01 | Not available in this setting | $574.52 | RVU14A |
| 2013-10-01 | Not available in this setting | $555.38 | RVU13D |
| 2013-07-01 | Not available in this setting | $555.38 | RVU13C |
| 2013-04-01 | Not available in this setting | $555.38 | RVU13B |
| 2013-01-01 | Not available in this setting | $555.38 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
27892 billing questions
How does 27892 differ from a leg fasciotomy without debridement?
Use 27892 when the anterior and/or lateral compartment release includes debridement of nonviable muscle or nerve. A release without that debridement is represented by a different code.
Is debridement separately reported with 27892?
Debridement of nonviable muscle and/or nerve is included in 27892. The operative documentation should establish that the tissue was nonviable and was removed.
How do 27892, 27893, and 27894 differ?
They distinguish which leg compartments are released when debridement is performed: 27892 covers anterior and/or lateral compartments, 27893 posterior compartments, and 27894 all compartments.
How is bilateral 27892 reported for Medicare?
Report bilateral surgery with modifier 50; CMS pays the bilateral procedure at 150%.
What documentation supports medical necessity for an assistant at surgery?
The record must document why an assistant was medically necessary for this operation. CMS assistant-at-surgery payment is limited to cases with that documentation.
What postoperative care is included in the global period?
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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