27759 Treatment of tibia fracture
Also known as: open tibia with flap, tibial fracture with tissue transfer, tibia fracture ORIF
Treatment of open tibial fracture with major soft tissue loss requiring free flap or rotational muscle transfer.
In Plain Language
severe broken shin bone with muscle transfer
Clinical Context
Performed for massive soft tissue injury and bone loss requiring reconstructive surgery in same setting. Highest complexity.
RVU Breakdown
| Work RVU | 14.09 |
| Total RVU | 14.09 |
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 14.09, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27759?
CPT 27759 (Treatment of tibia fracture) is a Surgery code. Treatment of open tibial fracture with major soft tissue loss requiring free flap or rotational muscle transfer.
What is the wRVU value for CPT 27759?
The work RVU for CPT 27759 is 14.09. This code is primarily used by Orthopedic Surgery, Trauma Surgery, Plastic Surgery. It has a 90-day global period.
When is CPT 27759 used?
Performed for massive soft tissue injury and bone loss requiring reconstructive surgery in same setting. Highest 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.