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27428 Reconstruction knee

Surgery Global 90d

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 RVU15.19
Total RVU15.19

Est. Medicare Payment

$507.35

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

Orthopedic SurgeryKnee SurgeryTraumatic Surgery

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.