No office rate
Both involve posterior leg compartment decompression. Choose 27893 when nonviable muscle and/or nerve is debrided as part of the release; 27601 is the alternative without that debridement.
On this page
CMS RVU26D · Effective 2026-10-01
27893 Leg fasciotomy Medicare reimbursement rates in Iowa
Reports posterior leg compartment release with removal of nonviable muscle or nerve, typically for acute compartment syndrome requiring operative decompression. Compare 27893 office and facility rates across CMS payment localities in Iowa.
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 27893 in Iowa?
Iowa 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
$531.07
1 of 1 localities have a supported rate.
Payment area: Iowa
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 27893: Posterior leg compartment decompression with debridement
Reports posterior leg compartment release with removal of nonviable muscle or nerve, typically for acute compartment syndrome requiring operative decompression.
This operation opens the deep fascia over the posterior compartment or compartments of the leg to relieve dangerous pressure and includes debridement of nonviable muscle and/or nerve. It is typically performed by an orthopedic or trauma surgeon in an operating room for acute compartment syndrome, such as after a severe leg injury or ischemic insult. The operative report should identify the posterior compartment work and document the devitalized tissue removed.
Choose this code when posterior compartment decompression includes that debridement; a posterior release without debridement is a different service. The preoperative day and 90 days of related postoperative care are included in the major-surgery global period. When other procedures are performed 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 requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 27893
- 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 RVU7.70 · 44%
- Practice expense (office) RVU8.25 · 47%
- Malpractice RVU1.64 · 9%
48
Medicare services in 2024 · #5374 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.
27893 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
27892 is for anterior and/or lateral compartment decompression with debridement. 27893 is for posterior compartment or compartments.
No office rate
27894 describes decompression of all leg compartments with debridement. Use 27893 for posterior compartment or compartments rather than all-compartment release.
Compare 27893 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
Iowa →
Office / nonfacility
Unavailable
Facility
$531.07
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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 27893 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,084
- Code
- 27893
- Physician work
- 7.70
- Practice expense
- 8.25
- Malpractice
- 1.64
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.70 | × 1.000 | 7.7000 |
| Practice expense | 8.25 | × 0.915 | 7.5488 |
| Malpractice | 1.64 | × 0.397 | 0.6511 |
| Total RVUs | 15.8998 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$531.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.7 | 1 |
| Practice expense | 8.25 | 0.915 |
| Malpractice | 1.64 | 0.397 |
(7.7 × 1 + 8.25 × 0.915 + 1.64 × 0.397) × $33.4009 = $531.07
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.
27893 billing questions
How does this differ from 27601?
Use 27893 for posterior leg compartment decompression that includes debridement of nonviable muscle and/or nerve. Code 27601 describes posterior compartment decompression without that debridement.
Is the debridement separately reported?
The code includes debridement of nonviable muscle and/or nerve as part of the posterior compartment decompression. Do not separately report that same debridement as though it were a separate service.
What documentation supports choosing 27893?
Document the posterior compartment or compartments released and the nonviable muscle and/or nerve debrided. The operative report should make clear that the service was more than a decompression without debridement.
How is bilateral surgery reported?
Report bilateral performance with modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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.
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
3,08728001,,Drainage of bursa of foot,A,,1.95,2.88,,0.47,,0.18,5.01,2.60,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136