27457 Realignment of knee
Also known as: complex tibial osteotomy, rotational osteotomy
Surgical osteotomy of the knee or tibia with increased complexity, possibly including rotation correction or combination with other realignment procedures.
In Plain Language
cutting and realigning shin bone with rotation
Clinical Context
Used for complex alignment problems, rotational deformity, combined varus/valgus and rotational corrections, or revision osteotomy.
RVU Breakdown
| Work RVU | 13.68 |
| Total RVU | 13.68 |
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 13.68, this code ranks in the 69th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27457?
CPT 27457 (Realignment of knee) is a Surgery code. Surgical osteotomy of the knee or tibia with increased complexity, possibly including rotation correction or combination with other realignment procedures.
What is the wRVU value for CPT 27457?
The work RVU for CPT 27457 is 13.68. This code is primarily used by Orthopedic Surgery, Knee Surgery. It has a 90-day global period.
When is CPT 27457 used?
Used for complex alignment problems, rotational deformity, combined varus/valgus and rotational corrections, or revision osteotomy.
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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.