27497 Decompression of thigh/knee
Also known as: multi-compartment fasciotomy, extensive decompression
Surgical decompression of the thigh and knee including multiple compartment fasciotomy or extensive soft tissue release for management of compartment syndrome.
In Plain Language
releasing pressure in multiple parts of the thigh
Clinical Context
Used for acute compartment syndrome affecting multiple compartments of thigh or knee region. Requires aggressive fasciotomy.
RVU Breakdown
| Work RVU | 7.60 |
| Total RVU | 7.60 |
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 7.60, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27497?
CPT 27497 (Decompression of thigh/knee) is a Surgery code. Surgical decompression of the thigh and knee including multiple compartment fasciotomy or extensive soft tissue release for management of compartment syndrome.
What is the wRVU value for CPT 27497?
The work RVU for CPT 27497 is 7.60. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27497 used?
Used for acute compartment syndrome affecting multiple compartments of thigh or knee region. Requires aggressive fasciotomy.
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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.