27769 Optx posterior ankle fracture
Also known as: open reduction posterior ankle, posterior malleolus ORIF
Open treatment of posterior ankle malleolus (tibia) fracture with direct visualization and internal fixation.
In Plain Language
surgical repair of broken back ankle
Clinical Context
Indicated for displaced posterior malleolar fractures or when open approach needed for visualization and secure fixation.
RVU Breakdown
| Work RVU | 9.89 |
| Total RVU | 9.89 |
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 9.89, this code ranks in the 58th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 27769?
CPT 27769 (Optx posterior ankle fracture) is a Surgery code. Open treatment of posterior ankle malleolus (tibia) fracture with direct visualization and internal fixation.
What is the wRVU value for CPT 27769?
The work RVU for CPT 27769 is 9.89. This code is primarily used by Orthopedic Surgery, Podiatric Surgery. It has a 90-day global period.
When is CPT 27769 used?
Indicated for displaced posterior malleolar fractures or when open approach needed for visualization and secure 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.