CPT code 27027: Pelvic fasciotomy2026 Medicare rate & RVUs in Alaska
Surgical release of a pelvic or gluteal fascial compartment to relieve dangerous pressure, typically for acute compartment syndrome.
CMS doesn’t publish an office rate for 27027 in Alaska.
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 9 sections
What 27027 covers
This operation opens the fascia around a pressurized pelvic compartment to relieve pressure on muscle and nearby structures. A common setting is acute gluteal compartment syndrome after trauma or prolonged immobilization. An orthopedic or trauma surgeon typically performs the release in an operating room, often as urgent hospital-based surgery. The operative report should identify the affected compartment and explain the findings and clinical reason for decompression.
Report 27027 for decompression of a pelvic compartment, rather than a fasciotomy directed to the hip or thigh. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures occur in the same 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%. 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.
27027 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $1,001.78 |
How the 27027 rate is calculated
Each of 27027’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 · 27027
RVUs × geographic indexes × conversion factor
Work12.71
12.71 RVUs× 1.000 GPCI
Practice expense8.90
8.90 RVUs× 1.000 GPCI
Malpractice2.63
2.63 RVUs× 1.000 GPCI
Adjusted RVUs
24.2400
Conversion factor
$33.4009
Medicare rate
$809.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27027
27027 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27027
Pelvic fasciotomy
| 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 · 27027
Pelvic fasciotomy
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
27027 without 50 · national facility
$809.64
Pelvic fasciotomy
27027-50 · Bilateral: 150%
$1,214.46
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).
27027 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27025Fasciotomy
- Choose 27027 when the compartment released is pelvic, including a gluteal compartment. Choose 27025 for fasciotomy of the hip or thigh.
- 27057Buttock fasciotomy
- 27057 describes buttock fasciotomy with debridement. Use 27027 when the service is pelvic compartment decompression and the documented work supports that procedure.
- 27602Leg decompression
- 27602 is for fasciotomy involving all leg compartments. It is not the pelvic or gluteal compartment release described by 27027.
27027 billing questions
How is 27027 different from 27025?
Use 27027 for decompression of a pelvic compartment, such as the gluteal compartment. Code 27025 describes fasciotomy directed to the hip or thigh.
Does 27027 include debridement?
The defining service is pelvic compartment decompression. If the operation also includes buttock fasciotomy with debridement, compare the service with 27057 and report the code supported by the operative work.
What documentation supports 27027?
Document the affected pelvic compartment, the clinical findings prompting release, and the operative steps used to decompress it. The report should make clear that the work was not limited to a hip or thigh fasciotomy.
Can 27027 be reported bilaterally?
When the service is bilateral, CMS payment is 150% with modifier 50. The operative documentation should support treatment on both sides.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the global period.
When is an assistant-at-surgery payable?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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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