On this page

CMS RVU26D · Effective 2026-10-01

27602 Leg decompression Medicare reimbursement rates in Florida

Reports fasciotomy releasing all lower-leg compartments, typically as urgent surgical treatment for acute compartment syndrome after trauma or impaired perfusion. Compare 27602 office and facility rates across CMS payment localities in Florida.

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 27602 in Florida?

Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$469.91–$545.10

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $75.19 per service.

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.

Find 27602 in your payment locality →

Where 27602 pays more and less in Florida

Orthopedic surgery

About 27602: All-compartment lower leg fasciotomy

Reports fasciotomy releasing all lower-leg compartments, typically as urgent surgical treatment for acute compartment syndrome after trauma or impaired perfusion.

This operation opens the fascial compartments of the lower leg to relieve dangerously elevated pressure; the surgeon may remove nonviable tissue during the procedure. Orthopedic and trauma surgeons commonly perform it urgently for acute compartment syndrome, such as after a severe fracture, crush injury, or restoration of blood flow. The release covers all lower-leg compartments, rather than only the anterior and lateral compartments or only the posterior compartment.

Report 27602 when the operative work decompresses all compartments. The operative report should identify the compartments released and describe the indication and any debridement performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.

CMS billing rules for 27602

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 paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU7.62 · 57%
  • Practice expense (office) RVU3.79 · 29%
  • Malpractice RVU1.88 · 14%

1.8K

Medicare services in 2024 · #2527 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.

27602 compared with similar codes

Office rates for Florida, from the same CMS release.

27600

Leg decompression

Anterior and/or lateral compartments

No office rate

Choose 27600 when the operative release is limited to the anterior and/or lateral compartments, not all lower-leg compartments.

27601

Leg fasciotomy

Posterior compartment

No office rate

Choose 27601 when the release is limited to the posterior compartment; 27602 describes decompression of all compartments.

27603

Deep drainage

Leg or ankle abscess/hematoma

$545.10–$605.84

27603 is for drainage of a lower-leg lesion. It does not describe the pressure-relieving all-compartment release reported with 27602.

Compare 27602 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.

3 of 3 payment localities

Office and facility base rates · shared scale starting at $0

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

27602 billing questions

How does 27602 differ from 27600 and 27601?

27602 is for release of all lower-leg compartments. 27600 describes release of the anterior and/or lateral compartments, while 27601 describes release of the posterior compartment.

Can debridement be part of 27602?

Yes. The all-compartment decompression may include debridement of nonviable tissue when performed as part of the operation.

What documentation supports reporting 27602?

Document the acute condition prompting decompression, the compartments released, and any debridement performed. The operative details should support release of all compartments rather than a more limited release.

How is 27602 reported when both legs are treated?

CMS lists bilateral reporting with modifier 50, paid at 150%. The operative documentation should support decompression of all compartments in each treated leg.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.

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.

RVUs for 27602PPRRVU2026_Oct_nonQPP.csv, line 2,964 (RVU26D)