27758 Treatment of tibia fracture
Also known as: complex open tibial fracture, open ORIF with reconstruction
Initial treatment of open tibial shaft fracture with extensive soft tissue damage (Grade III) and reconstruction.
In Plain Language
surgical repair of severe broken shin bone
Clinical Context
Performed for high-energy open fractures with Grade III soft tissue damage requiring extensive debridement and fixation.
RVU Breakdown
| Work RVU | 12.23 |
| Total RVU | 12.23 |
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 12.23, this code ranks in the 66th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27758?
CPT 27758 (Treatment of tibia fracture) is a Surgery code. Initial treatment of open tibial shaft fracture with extensive soft tissue damage (Grade III) and reconstruction.
What is the wRVU value for CPT 27758?
The work RVU for CPT 27758 is 12.23. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27758 used?
Performed for high-energy open fractures with Grade III soft tissue damage requiring extensive debridement and fixation.
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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.