Choose 27892 when the operative report supports its narrower anterior and/or lateral compartment release pattern, rather than release across anterior, lateral, and posterior regions.
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CMS RVU26D · Effective 2026-10-01
27894 Leg fasciotomy Medicare reimbursement rates in Colorado
Reports surgical decompression of the leg when fasciotomy releases the anterior, lateral, and posterior compartment regions, such as for acute compartment syndrome. Compare 27894 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 27894 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$757.84
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27894: Three-compartment leg fasciotomy
Reports surgical decompression of the leg when fasciotomy releases the anterior, lateral, and posterior compartment regions, such as for acute compartment syndrome.
This operation releases fascia in the leg to relieve pressure across the anterior, lateral, and posterior compartment regions. It is commonly performed by an orthopedic or trauma surgeon for acute compartment syndrome, including after a tibial injury, crush injury, or reperfusion. The procedure may be done in a hospital operating room when urgent surgical decompression is needed.
Choose this code when the operative report supports release of all three named compartment regions; select a sibling code when the documented release is limited to a different compartment pattern. Record the affected side and the compartments actually released, rather than relying on incision count alone. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 27894
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.35 · 54%
- Practice expense (office) RVU7.53 · 33%
- Malpractice RVU2.79 · 12%
188
Medicare services in 2024 · #4371 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.
27894 compared with similar codes
Office rates for Colorado, from the same CMS release.
Choose 27893 for the posterior compartment pattern described by that sibling code; use 27894 when anterior and lateral regions are also released.
Unlisted px leg/ankle
Use 27899 only when the leg or ankle procedure is not represented by a specific listed code, rather than when the documented release matches 27894.
Compare 27894 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$757.84
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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 27894 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,085
- Code
- 27894
- Physician work
- 12.35
- Practice expense
- 7.53
- Malpractice
- 2.79
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.35 | × 1.012 | 12.4982 |
| Practice expense | 7.53 | × 1.064 | 8.0119 |
| Malpractice | 2.79 | × 0.781 | 2.1790 |
| Total RVUs | 22.6891 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$757.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.35 | 1.012 |
| Practice expense | 7.53 | 1.064 |
| Malpractice | 2.79 | 0.781 |
(12.35 × 1.012 + 7.53 × 1.064 + 2.79 × 0.781) × $33.4009 = $757.84
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.
27894 billing questions
How does this differ from 27892 and 27893?
Use 27894 when the documented release involves anterior, lateral, and posterior compartment regions. Codes 27892 and 27893 describe narrower compartment patterns.
Does the number of incisions determine the code?
No. Base selection on the compartment regions actually decompressed and documented in the operative report, not the number of skin incisions.
How is bilateral leg decompression reported?
For bilateral procedures, report modifier 50; CMS pays this bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery 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 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.
