27591 Amputate leg at thigh
Also known as: above-knee amputation, distal femoral amputation
Surgical amputation of the lower extremity through the distal femur or above-knee level with initial wound closure and prosthetic preparation.
In Plain Language
amputation of the leg above the knee
Clinical Context
Used for limb-threatening conditions requiring amputation with consideration for prosthetic fitting and functional rehabilitation.
RVU Breakdown
| Work RVU | 13.59 |
| Total RVU | 13.59 |
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 13.59, 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 27591?
CPT 27591 (Amputate leg at thigh) is a Surgery code. Surgical amputation of the lower extremity through the distal femur or above-knee level with initial wound closure and prosthetic preparation.
What is the wRVU value for CPT 27591?
The work RVU for CPT 27591 is 13.59. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27591 used?
Used for limb-threatening conditions requiring amputation with consideration for prosthetic fitting and functional rehabilitation.
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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.