27454 Realignment of thigh bone
Also known as: femoral osteotomy, valgus osteotomy, varus osteotomy
Surgical osteotomy of the femur with realignment to correct angulation deformity, improve lower extremity alignment, or redistribute knee joint loading forces.
In Plain Language
cutting and realigning the thigh bone
Clinical Context
Used for genu varum or valgum, malalignment contributing to osteoarthritis, or to correct biomechanical abnormalities and preserve knee joint.
RVU Breakdown
| Work RVU | 18.69 |
| Total RVU | 18.69 |
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 18.69, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27454?
CPT 27454 (Realignment of thigh bone) is a Surgery code. Surgical osteotomy of the femur with realignment to correct angulation deformity, improve lower extremity alignment, or redistribute knee joint loading forces.
What is the wRVU value for CPT 27454?
The work RVU for CPT 27454 is 18.69. This code is primarily used by Orthopedic Surgery, Knee Surgery. It has a 90-day global period.
When is CPT 27454 used?
Used for genu varum or valgum, malalignment contributing to osteoarthritis, or to correct biomechanical abnormalities and preserve knee joint.
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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.