Billing code 27025: FasciotomyMedicare rate & RVUs in Washington
Hip or thigh fasciotomy releases fascia to decompress the involved area, commonly for acute pressure-related injury such as thigh compartment syndrome.
CMS doesn’t publish an office rate for 27025 in Washington.
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 9 sections
What 27025 covers
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.
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 27025 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $883.07 |
| Seattle (King Cnty) | Unavailable | $968.07 |
How the 27025 rate is calculated
Each of 27025’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 · 27025
RVUs × geographic indexes × conversion factor
Work12.57
12.57 RVUs× 1.000 GPCI
Practice expense11.10
11.10 RVUs× 1.000 GPCI
Malpractice2.65
2.65 RVUs× 1.000 GPCI
Adjusted RVUs
26.3200
Conversion factor
$33.4009
Medicare rate
$879.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 27025
27025 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 27025
Fasciotomy
| 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 27025
Fasciotomy
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
27025 without 50 · national facility
$879.11
Fasciotomy
27025-50 · Bilateral: 150%
$1,318.67
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).
27025 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 27000Hip tenotomy
- 27000 is a percutaneous adductor tendon release. Choose 27025 when the procedure releases fascia in the hip or thigh for decompression.
- 27001Adductor tenotomy
- 27001 describes open adductor tenotomy, not fascial decompression. The operative target is tendon for 27001 and fascia for 27025.
- 27027Pelvic fasciotomy
- 27027 addresses decompression of the pelvic compartment. Use 27025 for a fasciotomy whose operative site is the hip or thigh.
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 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
Fee sheets
Put 27025 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →