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27358 Remove femur lesion/fixation

Surgery

Also known as: femoral lesion excision with fixation, femur lesion ORIF

Removal of femoral lesion with internal fixation without bone graft.

In Plain Language

Thighbone lesion removal with plate; Femur defect fixation

Clinical Context

Applied to femoral lesions where internal fixation provides structural support without requiring bone graft.

RVU Breakdown

Work RVU4.61
Total RVU4.61

Est. Medicare Payment

$153.97

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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 4.61, this code ranks in the 32nd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Orthopedic Surgery

Frequently Asked Questions

What is CPT code 27358?

CPT 27358 (Remove femur lesion/fixation) is a Surgery code. Removal of femoral lesion with internal fixation without bone graft.

What is the wRVU value for CPT 27358?

The work RVU for CPT 27358 is 4.61. This code is primarily used by Orthopedic Surgery.

When is CPT 27358 used?

Applied to femoral lesions where internal fixation provides structural support without requiring bone graft.

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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.