27638 Remove/graft leg bone lesion
Also known as: bone lesion removal with large graft, tumor resection with reconstruction
Surgical removal of bone lesion or tumor from the lower leg with substantial bone graft reconstruction involving larger defects.
In Plain Language
removal of large bone lesion with bone graft
Clinical Context
Performed for larger or more complex bone lesions requiring significant graft reconstruction. Higher work RVU reflects increased surgical complexity.
RVU Breakdown
| Work RVU | 10.72 |
| Total RVU | 10.72 |
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 10.72, this code ranks in the 61st percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27638?
CPT 27638 (Remove/graft leg bone lesion) is a Surgery code. Surgical removal of bone lesion or tumor from the lower leg with substantial bone graft reconstruction involving larger defects.
What is the wRVU value for CPT 27638?
The work RVU for CPT 27638 is 10.72. This code is primarily used by Orthopedic Surgery. It has a 90-day global period.
When is CPT 27638 used?
Performed for larger or more complex bone lesions requiring significant graft reconstruction. Higher work RVU reflects increased surgical complexity.
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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.