2025 CPT code 27722
(Active) Effective Date: N/A Revision Date: N/A Surgery - Fracture and Dislocation Treatment Musculoskeletal System Feed
Repair of nonunion or malunion of the tibia with a sliding bone graft.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., modifier 51 for multiple procedures, modifier 62 for two surgeons).Always consult the most current guidelines.
Medical necessity is established when the patient has a documented nonunion or malunion of the tibia that has failed to heal with conservative management. Surgical intervention with bone grafting is necessary to restore bone continuity, alignment, and function.
The orthopedic surgeon is responsible for performing the surgical procedure, including incision, debridement (if necessary), harvesting and placement of the bone graft, internal fixation, hemostasis, and wound closure.
In simple words: This code describes a surgery to fix a broken tibia bone that didn't heal correctly. The doctor uses a piece of bone from the same leg to help the broken part heal, securing it with plates and screws.
This CPT code encompasses the surgical repair of a tibia fracture that has not healed properly (nonunion) or has healed in an incorrect position (malunion).The procedure involves utilizing a sliding bone graft, where a segment of bone is harvested from a nearby location on the tibia and slid into the fracture site to facilitate healing.The bone fragments are then secured using internal fixation methods, such as plates and screws. Debridement of fibrous tissue may also be performed.The selection of this code necessitates the use of a sliding bone graft technique, as opposed to other grafting methods.
Example 1: A patient presents with a tibia fracture that failed to heal after six months.A sliding bone graft is used to bridge the gap and facilitate union. Internal fixation with a plate and screws is utilized for stability., A patient has a malunion of the tibia, resulting in angulation and shortening of the leg.An osteotomy is performed to correct the angulation, and a sliding bone graft is used to address the bone defect.Plates and screws provide stable fixation., A patient with a tibial fracture that failed to heal despite conservative management requires surgical intervention.A sliding bone graft is used to promote healing, secured with an intramedullary nail.
** This code is specifically for sliding bone grafts harvested from the tibia itself.Other grafting techniques (e.g., iliac crest bone graft) are coded differently.
- Revenue Code: P3D (Major Procedure, Orthopedic - Other)
- RVU: The RVUs for this code vary depending on the geographic location and other factors. Consult the appropriate fee schedule for the specific payment amounts.
- Global Days : The global period for this procedure is dependent on the complexity and specifics of the surgery. Consult current CPT guidelines for details.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is not typically used with this code, but check current guidelines for any exceptions.
- Fee Schedule : Historical fee schedules vary depending on payer and geographic location.Consult the appropriate fee schedule for information relevant to a specific time period.
- Specialties:Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital