27177 Treat slipped epiphysis
Also known as: SCFE repair with fixation, femoral epiphysis repair
Treatment of slipped capital femoral epiphysis via open reduction with internal fixation, involving more extensive surgical dissection and realignment than simple pinning.
In Plain Language
Major hip slip repair; Growth plate surgical repair
Clinical Context
Applied to chronic or severely displaced slipped capital femoral epiphysis requiring greater manipulation and more robust fixation than percutaneous pinning alone.
RVU Breakdown
| Work RVU | 15.69 |
| Total RVU | 15.69 |
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 15.69, this code ranks in the 74th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27177?
CPT 27177 (Treat slipped epiphysis) is a Surgery code. Treatment of slipped capital femoral epiphysis via open reduction with internal fixation, involving more extensive surgical dissection and realignment than simple pinning.
What is the wRVU value for CPT 27177?
The work RVU for CPT 27177 is 15.69. This code is primarily used by Pediatric Orthopedic Surgery, Hip Surgery. It has a 90-day global period.
When is CPT 27177 used?
Applied to chronic or severely displaced slipped capital femoral epiphysis requiring greater manipulation and more robust fixation than percutaneous pinning alone.
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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.