27827 Treat lower leg fracture
Also known as: intramedullary nailing lower leg, IM nailing tibia-fibula
Initial open treatment of lower leg fracture with intramedullary nailing for tibial and fibular fixation.
In Plain Language
surgical repair of leg with metal nail
Clinical Context
Used for tibia and fibula fractures where intramedullary approach provides optimal fixation and early mobilization.
RVU Breakdown
| Work RVU | 14.42 |
| Total RVU | 14.42 |
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 14.42, 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 27827?
CPT 27827 (Treat lower leg fracture) is a Surgery code. Initial open treatment of lower leg fracture with intramedullary nailing for tibial and fibular fixation.
What is the wRVU value for CPT 27827?
The work RVU for CPT 27827 is 14.42. This code is primarily used by Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 27827 used?
Used for tibia and fibula fractures where intramedullary approach provides optimal fixation and early mobilization.
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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.