27645 Resection tibia tumor
Also known as: tibia tumor resection, tibial osteosarcoma resection
Comprehensive surgical resection of tibial tumor including margins with oncologic principles and potential reconstruction planning.
In Plain Language
removal of tumor from shin bone
Clinical Context
Performed for malignant bone tumors (osteosarcoma, Ewing sarcoma) with wide margin resection. Highest work RVU reflects complex oncologic procedure.
RVU Breakdown
| Work RVU | 26.53 |
| Total RVU | 26.53 |
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 26.53, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27645?
CPT 27645 (Resection tibia tumor) is a Surgery code. Comprehensive surgical resection of tibial tumor including margins with oncologic principles and potential reconstruction planning.
What is the wRVU value for CPT 27645?
The work RVU for CPT 27645 is 26.53. This code is primarily used by Orthopedic Oncology, Orthopedic Surgery. It has a 90-day global period.
When is CPT 27645 used?
Performed for malignant bone tumors (osteosarcoma, Ewing sarcoma) with wide margin resection. Highest work RVU reflects complex oncologic procedure.
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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.