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CMS RVU26D · Effective 2026-10-01

27305 Thigh fasciotomy Medicare reimbursement rates in Nevada

Reports surgical release of fascia in one thigh compartment, commonly to treat chronic exertional compartment syndrome. Compare 27305 office and facility rates across CMS payment localities in Nevada.

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 27305 in Nevada?

Nevada 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

$457.52

1 of 1 localities have a supported rate.

Payment area: Nevada**

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.

Find 27305 in your payment locality →

Orthopedic surgery

About 27305: Thigh compartment fasciotomy

Reports surgical release of fascia in one thigh compartment, commonly to treat chronic exertional compartment syndrome.

This operation releases the fascia over one compartment of the thigh to relieve pressure, commonly for chronic exertional compartment syndrome. An orthopedic surgeon typically performs it in an operating room, with the operative report identifying the treated thigh compartment and the clinical reason for release. The procedure addresses fascia, not division of an adductor or hamstring tendon.

Report 27305 for the single-compartment thigh release, supported by documentation of the site, extent, and operative work. 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 the same session, the highest-valued procedure is paid in full and others at 50%. For bilateral procedures reported with modifier 50, payment is at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 27305

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 RVU6.03 · 43%
  • Practice expense (office) RVU6.62 · 48%
  • Malpractice RVU1.25 · 9%

1.3K

Medicare services in 2024 · #2768 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.

27305 compared with similar codes

Office rates for Nevada, from the same CMS release.

27306

Hamstring tenotomy

Single tendon, percutaneous

No office rate

27306 is percutaneous release of a single adductor or hamstring tendon. Choose 27305 for fascial release of a thigh compartment.

27307

Hamstring tenotomy

Multiple tendons, percutaneous

No office rate

27307 is percutaneous release of multiple adductor or hamstring tendons; it is not the code for thigh-compartment fascial release.

27600

Leg decompression

Anterior and/or lateral compartments

No office rate

27600 describes fasciotomy in the leg's anterior and/or lateral compartments. Use 27305 when the treated compartment is in the thigh.

27602

Leg decompression

All compartments

No office rate

27602 describes release of all compartments of the leg, not a single thigh compartment.

Compare 27305 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

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

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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 27305 in Nevada**.

PPRRVU2026_Oct_nonQPP.csv

2,830

Code
27305
Physician work
6.03
Practice expense
6.62
Malpractice
1.25

GPCI2026.csv

73

Locality
Nevada**
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 27305 in Nevada**
ComponentRVULocality factorAdjusted
Physician work6.03× 1.0006.0300
Practice expense6.62× 1.0016.6266
Malpractice1.25× 0.8331.0413
Total RVUs13.6979
Conversion factor× 33.4009

Facility rate, Nevada**$457.52

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work6.031
Practice expense6.621.001
Malpractice1.250.833

(6.03 × 1 + 6.62 × 1.001 + 1.25 × 0.833) × $33.4009 = $457.52

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.

27305 billing questions

How is 27305 different from 27306 or 27307?

27305 describes release of thigh fascia for a compartment problem. Codes 27306 and 27307 describe percutaneous release of one or multiple adductor or hamstring tendons.

What documentation supports 27305?

Document the side and thigh compartment treated, the indication for pressure release, and the fascial work performed. The operative report should support that the service was a single-compartment thigh release.

How is bilateral 27305 reported?

When the procedure is performed on both thighs, report modifier 50. CMS pays bilateral procedures with modifier 50 at 150%.

Does 27305 have a surgical global period?

Yes. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.

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 27305PPRRVU2026_Oct_nonQPP.csv, line 2,830 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)