No office rate
27000 is a percutaneous adductor tendon release. Choose 27025 when the procedure releases fascia in the hip or thigh for decompression.
On this page
CMS RVU26D · Effective 2026-10-01
27025 Fasciotomy Medicare reimbursement rates in Kentucky
Hip or thigh fasciotomy releases fascia to decompress the involved area, commonly for acute pressure-related injury such as thigh compartment syndrome. Compare 27025 office and facility rates across CMS payment localities in Kentucky.
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 27025 in Kentucky?
Kentucky 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
$830.43
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 27025: Hip or thigh fasciotomy
Hip or thigh fasciotomy releases fascia to decompress the involved area, commonly for acute pressure-related injury such as thigh compartment syndrome.
This operation releases fascia in the hip or thigh to relieve pressure on underlying muscle and other tissues. It is commonly performed by an orthopedic or trauma surgeon in an operating room when swelling or injury creates a need for surgical decompression. The operative report should identify the treated site and the fascial release performed; for example, it may describe the thigh compartment or compartments opened.
Report 27025 for the hip or thigh fasciotomy itself, not for an adductor or hip-flexor tendon release. Document the clinical indication, operative site, and extent of the release, including laterality for a bilateral procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one 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 and co-surgeon payment require supporting documentation of medical necessity or other support, respectively; team surgery is not permitted.
CMS billing rules for 27025
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.57 · 48%
- Practice expense (office) RVU11.10 · 42%
- Malpractice RVU2.65 · 10%
857
Medicare services in 2024 · #3085 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.
27025 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
27001 describes open adductor tenotomy, not fascial decompression. The operative target is tendon for 27001 and fascia for 27025.
No office rate
27027 addresses decompression of the pelvic compartment. Use 27025 for a fasciotomy whose operative site is the hip or thigh.
Compare 27025 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$830.43
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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 27025 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
2,714
- Code
- 27025
- Physician work
- 12.57
- Practice expense
- 11.10
- Malpractice
- 2.65
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.57 | × 1.000 | 12.5700 |
| Practice expense | 11.10 | × 0.889 | 9.8679 |
| Malpractice | 2.65 | × 0.915 | 2.4247 |
| Total RVUs | 24.8626 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$830.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.57 | 1 |
| Practice expense | 11.1 | 0.889 |
| Malpractice | 2.65 | 0.915 |
(12.57 × 1 + 11.1 × 0.889 + 2.65 × 0.915) × $33.4009 = $830.43
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.
27025 billing questions
How is 27025 different from an adductor tenotomy?
27025 releases fascia in the hip or thigh to decompress tissue. Codes such as 27000 and 27001 describe release of an adductor tendon, by a percutaneous or open approach.
When should 27027 be considered instead?
Use 27027 when the operative target is the pelvic compartment and the service is pelvic compartment decompression. Code 27025 describes a hip or thigh fasciotomy.
What documentation supports reporting 27025?
The operative report should establish the indication for decompression and identify the hip or thigh site and fascia released. For bilateral reporting, document the procedure on both sides.
Is related postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 27025 paid?
CMS pays a bilateral procedure reported with modifier 50 at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and team surgery 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.
2,71127003,,Tnot adductr subq opn neurct,A,,7.61,7.87,NA,7.87,,1.63,17.11,17.11,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71227005,,Tenotomy hip flexor open,A,,9.82,8.35,NA,8.35,,2.01,20.18,20.18,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71327006,,Tenotomy abductor&/xtnsr hip,A,,9.86,8.20,NA,8.20,,1.48,19.54,19.54,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71427025,,Fasciotomy hip/thigh any typ,A,,12.57,11.10,NA,11.10,,2.65,26.32,26.32,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71527027,,Dcmprn fasct pel compartment,A,,12.71,8.90,NA,8.90,,2.63,24.24,24.24,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71627030,,Arthrotomy hip w/drainage,A,,13.31,9.64,NA,9.64,,2.82,25.77,25.77,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,71727033,,Arthrt hip expl/rmv loose/fb,A,,13.76,10.08,NA,10.08,,2.91,26.75,26.75,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631