No office rate
Both codes describe thigh/knee decompression services. Use the full descriptors and operative documentation to identify which specific service was performed.
On this page
CMS RVU26D · Effective 2026-10-01
27498 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$609.39
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Orthopedic surgery
About 27498: Thigh or knee compartment decompression
Reports operative decompression of the thigh or knee by releasing constricting fascia, such as for compartment pressure requiring surgical relief.
A surgeon releases constricting fascia in the thigh or around the knee to relieve pressure within the affected area. This type of operation may be performed for acute compartment syndrome, including after trauma or another operation, in a hospital or other surgical facility. The operative report should identify the treated anatomy, the decompression performed, and the clinical reason for relieving pressure.
Report 27498 when the documented thigh or knee procedure matches this code’s specific service, rather than selecting a neighboring code from the brief descriptor alone. The record should make the treated site and operative work clear enough to distinguish this service from other compartment-decompression options. Medicare treats it as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 27498
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.44 · 45%
- Practice expense (office) RVU8.48 · 45%
- Malpractice RVU1.79 · 10%
80
Medicare services in 2024 · #5048 by national volume
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.
27498 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
This is another code in the thigh/knee decompression family. The operative details, not the shared short descriptor, determine the appropriate family member.
No office rate
27498 is a listed thigh/knee decompression code; 27499 is the unlisted femur or knee option when no listed procedure code fits.
No office rate
27602 concerns decompression of leg compartments. 27498 concerns the thigh or knee region.
The same code, a different location
How does Wyoming** compare?
27498 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 27498
Office
Unavailable
Facility
$563.58
No comparable office rate is available.
Arkansas
Arkansas · 27498
Office
Unavailable
Facility
$556.00
No comparable office rate is available.
Arizona
Arizona · 27498
Office
Unavailable
Facility
$607.54
No comparable office rate is available.
Bakersfield
California · 27498
Office
Unavailable
Facility
$634.10
No comparable office rate is available.
Chico
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
El Centro
California · 27498
Office
Unavailable
Facility
$629.47
No comparable office rate is available.
Fresno
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Hanford-Corcoran
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Madera
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Merced
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Modesto
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Napa
California · 27498
Office
Unavailable
Facility
$703.35
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 27498
Office
Unavailable
Facility
$661.83
No comparable office rate is available.
Redding
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Rest Of California
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 27498
Office
Unavailable
Facility
$648.41
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 27498
Office
Unavailable
Facility
$653.51
No comparable office rate is available.
Salinas
California · 27498
Office
Unavailable
Facility
$650.96
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 27498
Office
Unavailable
Facility
$661.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 27498
Office
Unavailable
Facility
$735.49
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 27498
Office
Unavailable
Facility
$733.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 27498
Office
Unavailable
Facility
$753.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 27498
Office
Unavailable
Facility
$745.08
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 27498
Office
Unavailable
Facility
$641.35
No comparable office rate is available.
Santa Cruz-Watsonville
California · 27498
Office
Unavailable
Facility
$664.01
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 27498
Office
Unavailable
Facility
$652.10
No comparable office rate is available.
Santa Rosa-Petaluma
California · 27498
Office
Unavailable
Facility
$670.23
No comparable office rate is available.
Stockton
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Vallejo
California · 27498
Office
Unavailable
Facility
$700.42
No comparable office rate is available.
Visalia
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Yuba City
California · 27498
Office
Unavailable
Facility
$629.17
No comparable office rate is available.
Colorado
Colorado · 27498
Office
Unavailable
Facility
$633.35
No comparable office rate is available.
Connecticut
Connecticut · 27498
Office
Unavailable
Facility
$664.93
No comparable office rate is available.
Delaware
Delaware · 27498
Office
Unavailable
Facility
$616.90
No comparable office rate is available.
Fort Lauderdale
Florida · 27498
Office
Unavailable
Facility
$676.92
No comparable office rate is available.
Rest Of Florida
Florida · 27498
Office
Unavailable
Facility
$642.54
No comparable office rate is available.
Atlanta
Georgia · 27498
Office
Unavailable
Facility
$642.33
No comparable office rate is available.
Rest Of Georgia
Georgia · 27498
Office
Unavailable
Facility
$605.82
No comparable office rate is available.
Hawaii, Guam
Hawaii · 27498
Office
Unavailable
Facility
$638.56
No comparable office rate is available.
Iowa
Iowa · 27498
Office
Unavailable
Facility
$564.80
No comparable office rate is available.
Idaho
Idaho · 27498
Office
Unavailable
Facility
$570.76
No comparable office rate is available.
East St. Louis
Illinois · 27498
Office
Unavailable
Facility
$662.90
No comparable office rate is available.
Rest Of Illinois
Illinois · 27498
Office
Unavailable
Facility
$633.95
No comparable office rate is available.
Suburban Chicago
Illinois · 27498
Office
Unavailable
Facility
$680.71
No comparable office rate is available.
Indiana
Indiana · 27498
Office
Unavailable
Facility
$573.52
No comparable office rate is available.
Kansas
Kansas · 27498
Office
Unavailable
Facility
$568.09
No comparable office rate is available.
Kentucky
Kentucky · 27498
Office
Unavailable
Facility
$588.41
No comparable office rate is available.
New Orleans
Louisiana · 27498
Office
Unavailable
Facility
$616.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 27498
Office
Unavailable
Facility
$589.85
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 27498
Office
Unavailable
Facility
$684.86
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 27498
Office
Unavailable
Facility
$632.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 27498
Office
Unavailable
Facility
$664.29
No comparable office rate is available.
Rest Of Maryland
Maryland · 27498
Office
Unavailable
Facility
$626.25
No comparable office rate is available.
Rest Of Maine
Maine · 27498
Office
Unavailable
Facility
$579.67
No comparable office rate is available.
Southern Maine
Maine · 27498
Office
Unavailable
Facility
$600.32
No comparable office rate is available.
Detroit
Michigan · 27498
Office
Unavailable
Facility
$656.03
No comparable office rate is available.
Rest Of Michigan
Michigan · 27498
Office
Unavailable
Facility
$608.00
No comparable office rate is available.
Minnesota
Minnesota · 27498
Office
Unavailable
Facility
$591.05
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 27498
Office
Unavailable
Facility
$606.28
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 27498
Office
Unavailable
Facility
$611.45
No comparable office rate is available.
Rest Of Missouri
Missouri · 27498
Office
Unavailable
Facility
$584.29
No comparable office rate is available.
Mississippi
Mississippi · 27498
Office
Unavailable
Facility
$569.96
No comparable office rate is available.
Montana**
Montana · 27498
Office
Unavailable
Facility
$624.81
No comparable office rate is available.
North Carolina
North Carolina · 27498
Office
Unavailable
Facility
$584.37
No comparable office rate is available.
North Dakota**
North Dakota · 27498
Office
Unavailable
Facility
$589.42
No comparable office rate is available.
Nebraska
Nebraska · 27498
Office
Unavailable
Facility
$565.93
No comparable office rate is available.
New Hampshire
New Hampshire · 27498
Office
Unavailable
Facility
$629.07
No comparable office rate is available.
Northern Nj
New Jersey · 27498
Office
Unavailable
Facility
$692.07
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 27498
Office
Unavailable
Facility
$668.06
No comparable office rate is available.
New Mexico
New Mexico · 27498
Office
Unavailable
Facility
$613.44
No comparable office rate is available.
Nevada**
Nevada · 27498
Office
Unavailable
Facility
$615.23
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 27498
Office
Unavailable
Facility
$747.74
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 27498
Office
Unavailable
Facility
$677.08
No comparable office rate is available.
Queens
New York · 27498
Office
Unavailable
Facility
$720.95
No comparable office rate is available.
Rest Of New York
New York · 27498
Office
Unavailable
Facility
$593.01
No comparable office rate is available.
Ohio
Ohio · 27498
Office
Unavailable
Facility
$600.77
No comparable office rate is available.
Oklahoma
Oklahoma · 27498
Office
Unavailable
Facility
$581.29
No comparable office rate is available.
Portland
Oregon · 27498
Office
Unavailable
Facility
$645.58
No comparable office rate is available.
Rest Of Oregon
Oregon · 27498
Office
Unavailable
Facility
$606.04
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 27498
Office
Unavailable
Facility
$653.16
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 27498
Office
Unavailable
Facility
$598.42
No comparable office rate is available.
Puerto Rico
Puerto Rico · 27498
Office
Unavailable
Facility
$627.15
No comparable office rate is available.
Rhode Island
Rhode Island · 27498
Office
Unavailable
Facility
$633.18
No comparable office rate is available.
South Carolina
South Carolina · 27498
Office
Unavailable
Facility
$594.44
No comparable office rate is available.
South Dakota**
South Dakota · 27498
Office
Unavailable
Facility
$585.23
No comparable office rate is available.
Tennessee
Tennessee · 27498
Office
Unavailable
Facility
$571.47
No comparable office rate is available.
Austin
Texas · 27498
Office
Unavailable
Facility
$635.11
No comparable office rate is available.
Beaumont
Texas · 27498
Office
Unavailable
Facility
$595.19
No comparable office rate is available.
Brazoria
Texas · 27498
Office
Unavailable
Facility
$611.48
No comparable office rate is available.
Dallas
Texas · 27498
Office
Unavailable
Facility
$617.85
No comparable office rate is available.
Fort Worth
Texas · 27498
Office
Unavailable
Facility
$615.79
No comparable office rate is available.
Galveston
Texas · 27498
Office
Unavailable
Facility
$614.92
No comparable office rate is available.
Houston
Texas · 27498
Office
Unavailable
Facility
$647.68
No comparable office rate is available.
Rest Of Texas
Texas · 27498
Office
Unavailable
Facility
$604.69
No comparable office rate is available.
Utah
Utah · 27498
Office
Unavailable
Facility
$601.84
No comparable office rate is available.
Virginia
Virginia · 27498
Office
Unavailable
Facility
$602.54
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 27498
Office
Unavailable
Facility
$627.15
No comparable office rate is available.
Vermont
Vermont · 27498
Office
Unavailable
Facility
$592.56
No comparable office rate is available.
Rest Of Washington
Washington · 27498
Office
Unavailable
Facility
$629.32
No comparable office rate is available.
Seattle (King Cnty)
Washington · 27498
Office
Unavailable
Facility
$692.38
No comparable office rate is available.
Wisconsin
Wisconsin · 27498
Office
Unavailable
Facility
$571.66
No comparable office rate is available.
West Virginia
West Virginia · 27498
Office
Unavailable
Facility
$613.59
No comparable office rate is available.
See how rates vary across the country
27498 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 27498 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$670.33
$609.39 × 110% = $670.33
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 27498 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,920
- Code
- 27498
- Physician work
- 8.44
- Practice expense
- 8.48
- Malpractice
- 1.79
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.44 | × 1.000 | 8.4400 |
| Practice expense | 8.48 | × 1.000 | 8.4800 |
| Malpractice | 1.79 | × 0.740 | 1.3246 |
| Total RVUs | 18.2446 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$609.39
Open 27498 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.44 | 1 |
| Practice expense | 8.48 | 1 |
| Malpractice | 1.79 | 0.74 |
(8.44 × 1 + 8.48 × 1 + 1.79 × 0.74) × $33.4009 = $609.39
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
27498 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $609.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $609.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $609.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $609.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $640.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $640.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $640.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $640.31 | RVU25A |
27498 billing questions
How should 27498 be distinguished from 27496 or 27497?
All are in the thigh/knee decompression family. Compare the specific service documented in the operative report with each code’s full descriptor; the short CMS label alone does not establish the distinction.
What documentation supports reporting 27498?
Document the thigh or knee anatomy treated, the operative decompression performed, and the clinical reason for relieving pressure. The operative details should support this code rather than another option in the decompression family.
Does the Medicare global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period.
How does Medicare handle bilateral reporting?
When the procedure is performed bilaterally and reported with modifier 50, Medicare pays it at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid, and co-surgeons are permitted. Team surgery is not permitted for this code.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,91727495,,Reinforce thigh,A,,16.13,11.45,NA,11.45,,3.43,31.01,31.01,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91827496,,Decompression of thigh/knee,A,,6.61,7.89,NA,7.89,,1.40,15.90,15.90,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,91927497,,Decompression of thigh/knee,A,,7.60,7.30,NA,7.30,,1.62,16.52,16.52,0,090,0.10,0.69,0.21,2,1,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92027498,,Decompression of thigh/knee,A,,8.44,8.48,NA,8.48,,1.79,18.71,18.71,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92127499,,Decompression of thigh/knee,A,,9.19,8.72,NA,8.72,,1.96,19.87,19.87,0,090,0.10,0.69,0.21,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92227500,,Treatment of thigh fracture,A,,6.14,9.75,,6.47,,1.31,17.20,13.92,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,92327501,,Treatment of thigh fracture,A,,6.29,8.87,,6.75,,1.32,16.48,14.36,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,