No office rate
27025 is the open hip or buttock fasciotomy without debridement. Choose 27057 when the operation also includes debridement.
On this page
CMS RVU26D · Effective 2026-10-01
27057 Buttock fasciotomy Medicare reimbursement rates in Vermont
Open buttock fasciotomy with debridement releases restricted fascia and removes devitalized tissue, typically during surgery for compromised buttock muscle. Compare 27057 office and facility rates across CMS payment localities in Vermont.
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 27057 in Vermont?
Vermont 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
$866.56
1 of 1 localities have a supported rate.
Payment area: Vermont
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 27057: Buttock fasciotomy with debridement
Open buttock fasciotomy with debridement releases restricted fascia and removes devitalized tissue, typically during surgery for compromised buttock muscle.
The surgeon opens the fascia of the buttock to relieve pressure and debrides nonviable tissue as part of the same operation. This service may be performed for a buttock compartment process with threatened or damaged muscle, commonly in a hospital operating room. The operative report should make clear that the surgeon performed both the fascial release and debridement, and describe the tissue treated.
Report this code when the buttock fasciotomy includes debridement; a release without debridement is represented by a different code. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other 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 surgery, 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 27057
- 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 RVU14.54 · 53%
- Practice expense (office) RVU9.94 · 36%
- Malpractice RVU3.09 · 11%
27
Medicare services in 2024 · #5732 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.
27057 compared with similar codes
Office rates for Vermont, from the same CMS release.
$332.61
27040 is a soft-tissue biopsy service for diagnostic sampling; 27057 is a therapeutic fascial release with debridement.
No office rate
27060 removes the ischial bursa. It does not describe buttock fasciotomy with debridement.
Compare 27057 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
Vermont →
Office / nonfacility
Unavailable
Facility
$866.56
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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 27057 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
2,730
- Code
- 27057
- Physician work
- 14.54
- Practice expense
- 9.94
- Malpractice
- 3.09
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.54 | × 1.000 | 14.5400 |
| Practice expense | 9.94 | × 0.990 | 9.8406 |
| Malpractice | 3.09 | × 0.506 | 1.5635 |
| Total RVUs | 25.9441 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$866.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.54 | 1 |
| Practice expense | 9.94 | 0.99 |
| Malpractice | 3.09 | 0.506 |
(14.54 × 1 + 9.94 × 0.99 + 3.09 × 0.506) × $33.4009 = $866.56
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.
27057 billing questions
How does this differ from 27025?
Use 27057 when the open buttock fasciotomy includes debridement. Code 27025 represents the fasciotomy without that debridement.
What documentation supports reporting 27057?
The operative note should describe the buttock fascial release and the debridement performed, including the tissue treated and the reason for the procedure.
Can the surgeon report debridement separately?
Debridement is included in this code’s service description. The operative documentation should support the combined fasciotomy and debridement rather than treating the included work as a separate service.
How is bilateral surgery reported?
Report modifier 50 for a bilateral procedure; CMS pays bilateral procedures at 150% under the supplied rule.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted 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.
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.
2,72727050,,Biopsy of sacroiliac joint,A,,4.62,6.35,NA,6.35,,1.00,11.97,11.97,0,090,0.10,0.69,0.21,2,1,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72827052,,Biopsy of hip joint,A,,7.23,7.90,NA,7.90,,1.53,16.66,16.66,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,72927054,,Removal of hip joint lining,A,,8.98,8.61,NA,8.61,,1.91,19.50,19.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73027057,,Buttock fasciotomy w/dbrdmt,A,,14.54,9.94,NA,9.94,,3.09,27.57,27.57,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73127059,,Resect hip/pelv tum 5 cm/>,A,,28.62,14.36,NA,14.36,,6.23,49.21,49.21,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73227060,,Removal of ischial bursa,A,,5.72,6.55,NA,6.55,,1.22,13.49,13.49,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,73327062,,Remove femur lesion/bursa,A,,5.61,6.23,NA,6.23,,1.12,12.96,12.96,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817