© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 27105 involves the transfer of paraspinal muscles to the hip region, which includes the use of a fascial or tendon extension graft. The paraspinal muscles, which are critical for spinal stability and movement, consist of three main groups: the longissimus, iliocostalis, and spinalis muscles. These muscles originate from the spinous processes of the vertebrae and the iliac crest, and they insert at the posteromedial aspect of the ribs. The transfer procedure begins with an incision made in the thoracolumbar fascia, allowing for the elevation of the serratus posterior inferior muscles. This step is crucial as it provides access to the paraspinal muscle that is to be transferred. The selected muscle is then carefully released from its origin and meticulously freed from the surrounding tissues to ensure that it can be moved without damage. Once the hip is adequately exposed, the paraspinal muscle is transferred to the hip area. In cases where additional length is required for proper attachment, a fascial or tendon extension graft is created. This graft serves to bridge the gap between the transferred muscle and the hip, facilitating a secure connection. Finally, the incisions made during the procedure are closed in layers to promote optimal healing and recovery.
© Copyright 2025 Coding Ahead. All rights reserved.
The transfer of paraspinal muscle to the hip, as described by CPT® Code 27105, is indicated for specific clinical scenarios where muscle transfer may enhance function or repair. The following conditions may warrant this procedure:
The procedure for transferring a paraspinal muscle to the hip involves several critical steps, each designed to ensure the successful relocation of the muscle. The following outlines the procedural steps:
Post-procedure care following the transfer of paraspinal muscle to the hip is essential for optimal recovery. Patients can expect to undergo a rehabilitation program that focuses on restoring strength and mobility in the hip area. Monitoring for any signs of complications, such as infection or improper healing, is also critical. The recovery process may involve physical therapy to facilitate movement and strengthen the transferred muscle. The duration of recovery can vary based on individual patient factors and the extent of the procedure, but close follow-up with the healthcare provider is recommended to ensure proper healing and functional outcomes.
| Short Descr | TRANSFER OF SPINAL MUSCLE | Medium Descr | TR PARASPI MUSC HIP FASC/TDN XTN GRF | Long Descr | Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.