27178 Treat slipped epiphysis
Also known as: SCFE derotation, epiphysis derotation repair
Treatment of slipped capital femoral epiphysis with open reduction and internal fixation, including possible derotation or decompression for management of femoral retroversion.
In Plain Language
Hip rotation correction; Hip bone twisting repair
Clinical Context
Indicated for chronic slipped capital femoral epiphysis with significant femoral retroversion or in cases with persistent symptoms requiring corrective osteotomy.
RVU Breakdown
| Work RVU | 12.60 |
| Total RVU | 12.60 |
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 12.60, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27178?
CPT 27178 (Treat slipped epiphysis) is a Surgery code. Treatment of slipped capital femoral epiphysis with open reduction and internal fixation, including possible derotation or decompression for management of femoral retroversion.
What is the wRVU value for CPT 27178?
The work RVU for CPT 27178 is 12.60. This code is primarily used by Pediatric Orthopedic Surgery, Hip Surgery. It has a 90-day global period.
When is CPT 27178 used?
Indicated for chronic slipped capital femoral epiphysis with significant femoral retroversion or in cases with persistent symptoms requiring corrective osteotomy.
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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.