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The procedure described by CPT® Code 27307 refers to a percutaneous tenotomy involving multiple tendons of the adductor or hamstring muscles. A tenotomy is a surgical procedure that involves the cutting of a tendon to relieve tension or to correct deformities. In this specific case, the focus is on the hamstring muscles, which are comprised of three distinct muscles: the biceps femoris, semitendinosus, and semimembranosus. These muscles play a crucial role in knee extension and thigh flexion. Additionally, the adductor muscles, including the gracilis, are involved in thigh flexion and adduction. The procedure is particularly beneficial for patients with conditions such as cerebral palsy, where it aims to improve gait and alleviate flexion deformities of the knee. The tenotomy is performed percutaneously, meaning it is done through small incisions, minimizing tissue damage and promoting quicker recovery. This code is specifically used when multiple tendons are divided in one leg, distinguishing it from related procedures that may involve fewer tendons.
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The procedure indicated by CPT® Code 27307 is performed for specific conditions and symptoms that necessitate the division of multiple tendons in the adductor or hamstring regions. The primary indications include:
The procedure for CPT® Code 27307 involves several key steps that ensure the effective division of multiple tendons. The following procedural steps are outlined:
Following the procedure, patients are typically monitored for any immediate complications. The application of a long leg or cylinder cast helps to stabilize the knee and allows for proper healing of the divided tendons. Patients may experience some discomfort or swelling, which can be managed with prescribed pain relief. Rehabilitation and physical therapy may be recommended to aid in recovery and to improve mobility and function post-surgery. The duration of the cast and the overall recovery time will depend on the individual patient's condition and response to the procedure.
| Short Descr | INCISION OF THIGH TENDONS | Medium Descr | TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON | Long Descr | Tenotomy, percutaneous, adductor or hamstring; multiple tendons | 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) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 160 - Other therapeutic procedures on muscles and tendons |
| 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) | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| Pre-1990 | Added | Code added. |
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