27691 Revise lower leg tendon
Also known as: complex tendon revision, major tendon revision
Surgical revision of lower leg tendon with complex reconstruction including transfer, lengthening, or multiple tenodesis.
In Plain Language
major redo of leg tendon surgery
Clinical Context
Highest complexity tendon revision involving major reconstruction. Used for severe sequelae or failed complex repairs.
RVU Breakdown
| Work RVU | 10.23 |
| Total RVU | 10.23 |
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 10.23, this code ranks in the 60th 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 27691?
CPT 27691 (Revise lower leg tendon) is a Surgery code. Surgical revision of lower leg tendon with complex reconstruction including transfer, lengthening, or multiple tenodesis.
What is the wRVU value for CPT 27691?
The work RVU for CPT 27691 is 10.23. This code is primarily used by Orthopedic Surgery, Podiatric Surgery. It has a 90-day global period.
When is CPT 27691 used?
Highest complexity tendon revision involving major reconstruction. Used for severe sequelae or failed complex repairs.
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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.