27181 Treat slipped epiphysis
Also known as: SCFE valgus repair, slipped epiphysis realignment
Treatment of slipped capital femoral epiphysis with open reduction and internal fixation, including cases requiring valgus realignment for improved biomechanics.
In Plain Language
Hip angle correction; Growth plate angle repair
Clinical Context
Applied to slipped capital femoral epiphysis with significant varus deformity requiring correction to improve hip biomechanics and reduce arthritic progression.
RVU Breakdown
| Work RVU | 15.78 |
| Total RVU | 15.78 |
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 15.78, this code ranks in the 75th 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 27181?
CPT 27181 (Treat slipped epiphysis) is a Surgery code. Treatment of slipped capital femoral epiphysis with open reduction and internal fixation, including cases requiring valgus realignment for improved biomechanics.
What is the wRVU value for CPT 27181?
The work RVU for CPT 27181 is 15.78. This code is primarily used by Pediatric Orthopedic Surgery, Hip Surgery. It has a 90-day global period.
When is CPT 27181 used?
Applied to slipped capital femoral epiphysis with significant varus deformity requiring correction to improve hip biomechanics and reduce arthritic progression.
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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.