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CMS RVU26D · Effective 2026-10-01

24495 Forearm fasciotomy Medicare reimbursement rates in Rhode Island

Surgical release of forearm fascia to relieve compartment pressure, reported when the surgeon performs decompression rather than evaluation or pressure monitoring alone. Compare 24495 office and facility rates across CMS payment localities in Rhode Island.

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 24495 in Rhode Island?

Rhode Island 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

$924.39

1 of 1 localities have a supported rate.

Payment area: Rhode Island

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 24495 in your payment locality →

Orthopedic surgery

About 24495: Forearm decompression fasciotomy

Surgical release of forearm fascia to relieve compartment pressure, reported when the surgeon performs decompression rather than evaluation or pressure monitoring alone.

The surgeon releases constraining fascia in the forearm to relieve elevated pressure within the compartment. This operation is typically performed by an orthopedic or hand surgeon in a hospital or ambulatory surgical setting when forearm compartment decompression is needed, such as for compartment syndrome. The operative report should identify the affected side, the compartments addressed, the findings, and the release performed.

Report the code for the decompression procedure actually performed, not for pressure measurement or observation alone. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral procedures reported with modifier 50, CMS pays 150%. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

CMS billing rules for 24495

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 RVU8.20 · 30%
  • Practice expense (office) RVU17.20 · 63%
  • Malpractice RVU1.74 · 6%

35

Medicare services in 2024 · #5565 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.

24495 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

25020

Forearm fasciotomy

One compartment

No office rate

This code describes forearm decompression. Code 25020 describes fasciotomy of forearm and/or wrist flexor and extensor compartments; select based on the procedure performed and documented.

25023

Forearm decompression

One space with debridement

No office rate

Code 25023 describes forearm and/or wrist fasciotomy with debridement of nonviable muscle and/or nerve. Use it when that additional work is performed and documented.

27600

Leg decompression

Anterior and/or lateral compartments

No office rate

Code 27600 concerns fasciotomy for compartment decompression in the leg. This code is for forearm decompression.

Compare 24495 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 24495 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

2,324

Code
24495
Physician work
8.20
Practice expense
17.20
Malpractice
1.74

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Facility calculation for 24495 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work8.20× 1.0198.3558
Practice expense17.20× 1.03317.7676
Malpractice1.74× 0.8921.5521
Total RVUs27.6755
Conversion factor× 33.4009

Facility rate, Rhode Island$924.39

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
Work8.21.019
Practice expense17.21.033
Malpractice1.740.892

(8.2 × 1.019 + 17.2 × 1.033 + 1.74 × 0.892) × $33.4009 = $924.39

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.

24495 billing questions

How is this different from a forearm fasciotomy code?

Choose based on the specific operation documented and the applicable code descriptor. This code represents forearm decompression; do not substitute a code describing a different extent of fasciotomy or added debridement.

Can pressure measurement be reported as this procedure?

No. The surgeon must perform a surgical release of forearm fascia; measurement or monitoring alone does not support this code.

What documentation supports the service?

Document the indication, affected side, compartments addressed, operative findings, and the decompression performed. If an assistant is reported, the record must support medical necessity.

How is bilateral decompression reported?

When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documented medical necessity. 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 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 24495PPRRVU2026_Oct_nonQPP.csv, line 2,324 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet