CPT® Code 27326

1. Indications

The neurectomy procedure described by CPT® Code 27326 is indicated for specific conditions that affect the gastrocnemius muscle and surrounding structures. The following are the primary indications for performing this procedure:

• Clonus A condition characterized by involuntary muscle contractions that can lead to muscle spasms.
• Successive muscle spasms Recurrent episodes of muscle contractions that may cause discomfort or functional impairment.

2. Procedure

The neurectomy procedure involves several critical steps to ensure successful excision of the targeted nerve. The following outlines the procedural steps as described:

• Step 1: Incision The surgeon begins by making a transverse incision across the hamstring muscle. This incision is strategically placed to provide optimal access to the underlying structures while minimizing damage to surrounding tissues.
• Step 2: Division of fascia After the incision is made, the fascia, which is the connective tissue surrounding the muscle, is carefully divided. This step is essential to expose the nerves that innervate the gastrocnemius muscle.
• Step 3: Identification of the nerve The surgeon identifies the correct nerve by applying electrical current or gentle pressure. This technique helps to produce a muscle spasm, confirming the nerve's role in muscle innervation and ensuring that the correct nerve is targeted for excision.
• Step 4: Division and removal of the nerve Once the appropriate nerve is identified, it is divided, effectively severing the connection of electrical impulses to the muscle. The segment of the nerve is then removed to alleviate the symptoms associated with clonus or muscle spasms.
• Step 5: Wound closure The final step involves closing the wound. The surgeon ensures that the incision is properly sutured to promote healing and minimize the risk of complications.

3. Post-Procedure

After the neurectomy procedure, patients can expect specific post-operative care and recovery considerations. It is important to monitor the surgical site for any signs of infection or complications. Patients may experience some discomfort or pain in the area, which can be managed with prescribed pain relief medications. Physical therapy may be recommended to aid in recovery and restore function to the affected limb. The overall recovery time can vary depending on individual factors, but patients are typically advised to follow up with their healthcare provider to assess healing and discuss any ongoing symptoms or concerns.