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The procedure described by CPT® Code 27325 refers to a neurectomy of the hamstring muscle, which involves the surgical excision of a segment of the nerve that innervates the hamstring muscle. This intervention is typically performed to alleviate conditions such as clonus, which is characterized by involuntary muscle contractions, or successive spasms of the hamstring muscle. During the procedure, the physician makes a transverse incision across the hamstring muscle, allowing access to the underlying fascia. The fascia is carefully divided to expose the nerves that innervate the muscle. To accurately identify the specific nerve responsible for the muscle spasms, the physician may apply electrical current or gentle pressure, which can induce a muscle spasm, thereby confirming the correct nerve. Once identified, the nerve is divided, effectively severing the connection that transmits electrical impulses to the hamstring muscle, and the excised segment is removed. Finally, the surgical wound is closed, completing the procedure. For similar neurectomy procedures performed on the popliteal or gastrocnemius muscle located behind the knee, CPT® Code 27326 should be used.
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The neurectomy of the hamstring muscle, as described by CPT® Code 27325, is indicated for specific conditions that affect the hamstring muscle. These indications include:
The procedure for performing a neurectomy of the hamstring muscle involves several critical steps, which are detailed as follows:
Post-procedure care following a neurectomy of the hamstring muscle typically involves monitoring the surgical site for any signs of infection or complications. Patients may be advised to rest and limit physical activity to facilitate healing. Pain management strategies may be implemented to address any discomfort following the surgery. Additionally, follow-up appointments may be scheduled to assess recovery and ensure that the desired outcomes of alleviating muscle spasms are achieved. It is important for patients to adhere to their physician's instructions regarding rehabilitation and any prescribed physical therapy to optimize recovery.
| Short Descr | NEURECTOMY HAMSTRING | Medium Descr | NEURECTOMY HAMSTRING MUSCLE | Long Descr | Neurectomy, hamstring muscle | 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) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
| 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). | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 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) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2011-01-01 | Changed | Short description changed. |
| 2007-01-01 | Added | First appearance in code book in 2007. |
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