No office rate
Choose 27600 for decompression limited to anterior and/or lateral compartments. This code is for posterior compartment release.
On this page
CMS RVU26D · Effective 2026-10-01
27601 Leg fasciotomy Medicare reimbursement rates in Wyoming
Surgical release of the lower leg’s posterior compartment is reported to relieve pathologic pressure, commonly in acute compartment syndrome after trauma. Compare 27601 office and facility rates across CMS payment localities in Wyoming.
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 27601 in Wyoming?
Wyoming 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
$408.45
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 27601: Posterior lower-leg compartment fasciotomy
Surgical release of the lower leg’s posterior compartment is reported to relieve pathologic pressure, commonly in acute compartment syndrome after trauma.
This operation releases the fascia surrounding the posterior compartment or compartments of the lower leg to relieve dangerous tissue pressure. Orthopedic and trauma surgeons commonly perform it urgently for compartment syndrome after injuries such as fractures or crush trauma. The operative note should identify the leg, the compartments released, and the findings that prompted decompression.
Report this code when the documented release is limited to the posterior compartment or compartments; release that also includes anterior or lateral compartments follows a different code in the family. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 27601
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.90 · 47%
- Practice expense (office) RVU5.50 · 44%
- Malpractice RVU1.12 · 9%
387
Medicare services in 2024 · #3764 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.
27601 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Choose 27602 when the operative release includes posterior compartments plus anterior and/or lateral compartments. Use this code when release is confined to posterior compartments.
No office rate
Both involve posterior compartment release, but 27893 includes debridement of nonviable muscle and/or nerve. Select based on the work documented in the operative report.
$536.78
27603 is for draining a lower-leg lesion. This code describes compartment release to relieve pressure, not drainage of a localized lesion.
Compare 27601 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$408.45
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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 27601 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
2,963
- Code
- 27601
- Physician work
- 5.90
- Practice expense
- 5.50
- Malpractice
- 1.12
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.90 | × 1.000 | 5.9000 |
| Practice expense | 5.50 | × 1.000 | 5.5000 |
| Malpractice | 1.12 | × 0.740 | 0.8288 |
| Total RVUs | 12.2288 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$408.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.9 | 1 |
| Practice expense | 5.5 | 1 |
| Malpractice | 1.12 | 0.74 |
(5.9 × 1 + 5.5 × 1 + 1.12 × 0.74) × $33.4009 = $408.45
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.
27601 billing questions
How is this code distinguished from 27600?
This code is for release of posterior compartment or compartments. Code 27600 is for release of anterior and/or lateral compartments only.
When is 27602 more appropriate?
Use 27602 when the documented decompression includes posterior compartments as well as anterior and/or lateral compartments. This code describes posterior compartment release without those additional compartments.
What should the operative report document?
The report should identify the treated leg and the compartments released, and explain the clinical findings or pressure problem prompting the operation.
How is bilateral surgery reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150% under the stated fee schedule rule.
Is an assistant surgeon payable?
CMS applies a statutory restriction, so an assistant at surgery is not paid for this code. Co-surgeons and team surgery are also not permitted.
Are related postoperative visits included?
Yes. 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.
2,96027598,,Amputate lower leg at knee,A,,10.94,5.71,NA,5.71,,2.67,19.32,19.32,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96127599,,Unlisted px femur/knee,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96227600,,Decompression of lower leg,A,,5.88,4.15,NA,4.15,,1.22,11.25,11.25,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96327601,,Decompression of lower leg,A,,5.90,5.50,NA,5.50,,1.12,12.52,12.52,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96427602,,Decompression of lower leg,A,,7.62,3.79,NA,3.79,,1.88,13.29,13.29,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96527603,,Drain lower leg lesion,A,,5.10,10.29,,5.10,,0.92,16.31,11.12,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,96627604,,Drain lower leg bursa,A,,4.48,9.00,,4.18,,0.82,14.30,9.48,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,