27499 Decompression of thigh/knee
Also known as: comprehensive fasciotomy, extensive tissue release
Surgical decompression of the thigh and knee with comprehensive management including extensive tissue release, debridement, and reconstruction as needed.
In Plain Language
major pressure relief in the thigh
Clinical Context
Used for severe compartment syndrome with extensive muscle damage or complex soft tissue involvement requiring comprehensive surgical approach.
RVU Breakdown
| Work RVU | 9.19 |
| Total RVU | 9.19 |
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 9.19, this code ranks in the 55th 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 27499?
CPT 27499 (Decompression of thigh/knee) is a Surgery code. Surgical decompression of the thigh and knee with comprehensive management including extensive tissue release, debridement, and reconstruction as needed.
What is the wRVU value for CPT 27499?
The work RVU for CPT 27499 is 9.19. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27499 used?
Used for severe compartment syndrome with extensive muscle damage or complex soft tissue involvement requiring comprehensive surgical approach.
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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.