27429 Reconstruction knee
Also known as: major knee reconstruction, extensive knee repair
Surgical reconstruction of the knee joint with the most extensive procedures including multiple ligament reconstructions, cartilage repair, bone procedures, and complex tissue balancing.
In Plain Language
extensive rebuilding of the knee
Clinical Context
Used for complex multi-component injuries, severe knee dislocations, or revision surgery for failed complex reconstruction. High surgical complexity.
RVU Breakdown
| Work RVU | 17.10 |
| Total RVU | 17.10 |
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 17.10, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27429?
CPT 27429 (Reconstruction knee) is a Surgery code. Surgical reconstruction of the knee joint with the most extensive procedures including multiple ligament reconstructions, cartilage repair, bone procedures, and complex tissue balancing.
What is the wRVU value for CPT 27429?
The work RVU for CPT 27429 is 17.10. This code is primarily used by Orthopedic Surgery, Knee Surgery, Traumatic Surgery. It has a 90-day global period.
When is CPT 27429 used?
Used for complex multi-component injuries, severe knee dislocations, or revision surgery for failed complex reconstruction. High surgical complexity.
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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.