27442 Revision of knee joint
Also known as: tibial component revision, proximal tibial revision
Surgical revision of the knee joint with tibial prosthetic component replacement or adjustment to address tibial component-related problems such as loosening or wear.
In Plain Language
replacing the shin bone part of a knee implant
Clinical Context
Used for tibial component loosening, wear, malposition, or polyethylene insert degradation. Common knee revision indication.
RVU Breakdown
| Work RVU | 12.06 |
| Total RVU | 12.06 |
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 12.06, this code ranks in the 65th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27442?
CPT 27442 (Revision of knee joint) is a Surgery code. Surgical revision of the knee joint with tibial prosthetic component replacement or adjustment to address tibial component-related problems such as loosening or wear.
What is the wRVU value for CPT 27442?
The work RVU for CPT 27442 is 12.06. This code is primarily used by Orthopedic Surgery, Joint Replacement, Knee Surgery. It has a 90-day global period.
When is CPT 27442 used?
Used for tibial component loosening, wear, malposition, or polyethylene insert degradation. Common knee revision indication.
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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.