27498 Decompression of thigh/knee
Also known as: limited fasciotomy, selective decompression
Surgical decompression of the thigh and knee with limited fasciotomy and secondary procedures including nerve decompression or selective tissue release.
In Plain Language
releasing pressure with limited incisions
Clinical Context
Used for localized compartment syndrome or to address specific neural compression in addition to compartment decompression.
RVU Breakdown
| Work RVU | 8.44 |
| Total RVU | 8.44 |
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 8.44, this code ranks in the 52nd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27498?
CPT 27498 (Decompression of thigh/knee) is a Surgery code. Surgical decompression of the thigh and knee with limited fasciotomy and secondary procedures including nerve decompression or selective tissue release.
What is the wRVU value for CPT 27498?
The work RVU for CPT 27498 is 8.44. This code is primarily used by Orthopedic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 27498 used?
Used for localized compartment syndrome or to address specific neural compression in addition to compartment decompression.
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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.