27709 Osteotomy tibia & fibula
Also known as: tibial-fibular osteotomy, biplane osteotomy
Simultaneous surgical osteotomy of both tibia and fibula for complex deformity correction and leg realignment.
In Plain Language
realignment of both leg bones
Clinical Context
Performed for complex varus/valgus deformities requiring correction at both bones. Increased work RVU vs. isolated procedures.
RVU Breakdown
| Work RVU | 17.04 |
| Total RVU | 17.04 |
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 17.04, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27709?
CPT 27709 (Osteotomy tibia & fibula) is a Surgery code. Simultaneous surgical osteotomy of both tibia and fibula for complex deformity correction and leg realignment.
What is the wRVU value for CPT 27709?
The work RVU for CPT 27709 is 17.04. This code is primarily used by Orthopedic Surgery. It has a 90-day global period.
When is CPT 27709 used?
Performed for complex varus/valgus deformities requiring correction at both bones. Increased work RVU vs. isolated procedures.
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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.