27427 Reconstruction knee
Also known as: knee reconstruction, knee stabilization, multi-tissue repair
Surgical reconstruction of the knee joint including soft tissue repair, ligament reconstruction, capsular plication, or multiple tissue procedures to restore knee stability and function.
In Plain Language
rebuilding the knee
Clinical Context
Used for complex knee injuries, chronic instability, or failed prior knee surgery. May involve ligament, cartilage, and capsular reconstruction.
RVU Breakdown
| Work RVU | 9.55 |
| Total RVU | 9.55 |
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 9.55, this code ranks in the 57th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27427?
CPT 27427 (Reconstruction knee) is a Surgery code. Surgical reconstruction of the knee joint including soft tissue repair, ligament reconstruction, capsular plication, or multiple tissue procedures to restore knee stability and function.
What is the wRVU value for CPT 27427?
The work RVU for CPT 27427 is 9.55. This code is primarily used by Orthopedic Surgery, Knee Surgery, Sports Medicine. It has a 90-day global period.
When is CPT 27427 used?
Used for complex knee injuries, chronic instability, or failed prior knee surgery. May involve ligament, cartilage, and capsular reconstruction.
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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.