27428 Reconstruction knee
Also known as: complex knee reconstruction, comprehensive knee repair
Surgical reconstruction of the knee joint with more extensive procedures including multiple ligament repairs, osteochondral procedures, or complex soft tissue balancing.
In Plain Language
major rebuilding of the knee
Clinical Context
Used for severe multi-component knee injuries, complex dislocations, or failed prior reconstructions. Requires staged approach or extensive single surgery.
RVU Breakdown
| Work RVU | 15.19 |
| Total RVU | 15.19 |
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 15.19, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27428?
CPT 27428 (Reconstruction knee) is a Surgery code. Surgical reconstruction of the knee joint with more extensive procedures including multiple ligament repairs, osteochondral procedures, or complex soft tissue balancing.
What is the wRVU value for CPT 27428?
The work RVU for CPT 27428 is 15.19. This code is primarily used by Orthopedic Surgery, Knee Surgery, Traumatic Surgery. It has a 90-day global period.
When is CPT 27428 used?
Used for severe multi-component knee injuries, complex dislocations, or failed prior reconstructions. Requires staged approach or extensive single surgery.
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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.