No office rate
Choose 27893 when debridement accompanies release of posterior leg compartment(s), rather than anterior and/or lateral compartments.
On this page
CMS RVU26D · Effective 2026-10-01
27892 Leg fasciotomy Medicare reimbursement rates in Guam
Reports anterior and/or lateral leg compartment release with removal of nonviable muscle or nerve, commonly during surgery for acute compartment syndrome. Compare 27892 office and facility rates across CMS payment localities in Guam.
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 27892 in Guam?
Guam 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
$523.22
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 27892: Leg compartment decompression with debridement
Reports anterior and/or lateral leg compartment release with removal of nonviable muscle or nerve, commonly during surgery for acute compartment syndrome.
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.
CMS billing rules for 27892
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.74 · 50%
- Practice expense (office) RVU6.14 · 40%
- Malpractice RVU1.63 · 11%
127
Medicare services in 2024 · #4685 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.
27892 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
Choose 27894 when debridement accompanies release of all leg compartments; 27892 is for anterior and/or lateral compartments.
No office rate
27600 describes anterior and/or lateral leg compartment release without the debridement included in 27892.
Compare 27892 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$523.22
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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 27892 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
3,083
- Code
- 27892
- Physician work
- 7.74
- Practice expense
- 6.14
- Malpractice
- 1.63
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.74 | × 1.000 | 7.7400 |
| Practice expense | 6.14 | × 1.137 | 6.9812 |
| Malpractice | 1.63 | × 0.579 | 0.9438 |
| Total RVUs | 15.6650 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$523.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.74 | 1 |
| Practice expense | 6.14 | 1.137 |
| Malpractice | 1.63 | 0.579 |
(7.74 × 1 + 6.14 × 1.137 + 1.63 × 0.579) × $33.4009 = $523.22
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.
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 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.
3,08027886,,Amputation follow-up surgery,A,,9.77,5.89,NA,5.89,,2.36,18.02,18.02,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08127888,,Amputation of foot at ankle,A,,10.11,3.27,NA,3.27,,2.58,15.96,15.96,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08227889,,Ankle disarticulation,A,,10.59,5.00,NA,5.00,,2.30,17.89,17.89,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08327892,,Decompression of leg,A,,7.74,6.14,NA,6.14,,1.63,15.51,15.51,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08427893,,Decompression of leg,A,,7.70,8.25,NA,8.25,,1.64,17.59,17.59,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08527894,,Decompression of leg,A,,12.35,7.53,NA,7.53,,2.79,22.67,22.67,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,08627899,,Unlisted px leg/ankle,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014