Billing code 27656: Fascia repairMedicare rate & RVUs in Oregon
Surgical repair of a defect in lower-leg fascia, such as a symptomatic muscle herniation through the fascial layer.
Medicare pays $524.26–$568.72 for 27656 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 8 sections
What 27656 covers
This service repairs a gap in the lower-leg fascia, the connective tissue covering the muscles. A familiar clinical situation is a symptomatic muscle herniation that protrudes through a fascial defect. An orthopedic surgeon or another surgeon treating lower-leg soft-tissue conditions may perform the repair in an operating room or ambulatory surgery setting. The operative report should identify the defect’s location and describe the fascial repair performed.
Report this code for the fascia repair itself, not for repair of an Achilles, flexor, or extensor tendon. CMS assigns a 90-day global period: the day-before preoperative visit and related postoperative care during the 90 days are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
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.
Where 27656 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $568.72 | $334.57 |
| Rest Of Oregon | $524.26 | $314.34 |
How the 27656 rate is calculated
Each of 27656’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 27656
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.59Practice expense 10.72Malpractice 0.61
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 27656
27656 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27656
Fascia repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 27656
Fascia repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
27656 without 50 · national office
$531.74
Fascia repair
27656-50 · Bilateral: 150%
$797.61
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
27656 compared with similar codes
Compare codes
27656 vs 27658 vs 27664 vs 27650: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 27658Tendon repair
- This code concerns repair of a lower-leg flexor tendon. Choose the fascia repair code when the repaired structure is the fascial layer rather than the tendon.
- 27664Tendon repair
- This code concerns repair of a lower-leg extensor tendon. A fascial defect repair is distinct from repair of an injured extensor tendon.
- 27650Achilles repair
- This code is for primary repair of a ruptured Achilles tendon. It does not describe repair of the surrounding lower-leg fascia.
27656 billing questions
How is this different from a lower-leg tendon repair code?
This service repairs the fascia surrounding the lower-leg muscles. Use a tendon repair code when the operative service repairs a flexor, extensor, or Achilles tendon.
What documentation supports reporting this service?
Document the lower-leg fascial defect, its location, and the repair performed. If muscle herniation prompted surgery, describe that finding and its relationship to the defect.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90 days are included in the global period.
How is bilateral repair paid?
CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is at 150%.
Can an assistant surgeon be reported?
CMS indicates that assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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