27458 Osteot femur imed lngth device
Also known as: femoral osteotomy with limb lengthening, internal limb lengthening
Surgical osteotomy of the femur with limb lengthening using internal lengthening devices or techniques (such as internal fixation with motorized devices) for length discrepancy correction.
In Plain Language
cutting the thigh bone and lengthening the leg
Clinical Context
Used for limb length discrepancy, growth disturbances, or to achieve desired limb length. Requires internal lengthening device and extended treatment period.
RVU Breakdown
| Work RVU | 26.65 |
| Total RVU | 26.65 |
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 26.65, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27458?
CPT 27458 (Osteot femur imed lngth device) is a Surgery code. Surgical osteotomy of the femur with limb lengthening using internal lengthening devices or techniques (such as internal fixation with motorized devices) for length discrepancy correction.
What is the wRVU value for CPT 27458?
The work RVU for CPT 27458 is 26.65. This code is primarily used by Orthopedic Surgery, Pediatric Orthopedics. It has a 90-day global period.
When is CPT 27458 used?
Used for limb length discrepancy, growth disturbances, or to achieve desired limb length. Requires internal lengthening device and extended treatment period.
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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.