20827 Replantation thumb complete
Also known as: thumb replantation, thumb reattachment
Replantation of a completely amputated thumb at a specific level with vascular and nerve anastomosis.
In Plain Language
sewing thumb back on after amputation; microsurgical thumb reattachment
Clinical Context
Performed for complete thumb amputation; restores critical thumb opposition and grasping function.
RVU Breakdown
| Work RVU | 26.79 |
| Total RVU | 26.79 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 26.79, this code ranks in the 90th percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 20827?
CPT 20827 (Replantation thumb complete) is a Surgery code. Replantation of a completely amputated thumb at a specific level with vascular and nerve anastomosis.
What is the wRVU value for CPT 20827?
The work RVU for CPT 20827 is 26.79. This code is primarily used by Hand Surgery, Microsurgery. It has a 90-day global period.
When is CPT 20827 used?
Performed for complete thumb amputation; restores critical thumb opposition and grasping function.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.