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The procedure described by CPT® Code 27395 involves the lengthening of multiple hamstring tendons on a bilateral basis. This surgical intervention is primarily indicated for patients suffering from conditions such as spastic cerebral palsy, meningomyelocele, or other neurological disorders that lead to muscle imbalances, particularly resulting in a flexed-knee gait. The hamstring group consists of three key muscles: the biceps femoris, semitendinosus, and semimembranosus, which play crucial roles in extending the knee and flexing the thigh. The lengthening procedure aims to alleviate the tightness of these tendons, thereby improving the patient's ability to walk and move more freely. The surgical technique involves making an incision in the popliteal crease, exposing the tendon, and creating a Z-shaped incision to facilitate the lengthening process. This allows the tendon fibers to slide apart as the knee is extended, ultimately leading to a more functional range of motion. Following the procedure, tendon sutures are placed to secure the tendon in its newly lengthened position, and a long leg or cylinder cast is applied to maintain the knee in an extended position during the recovery phase.
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The lengthening of hamstring tendons, as described by CPT® Code 27395, is indicated for the following conditions:
The procedure for lengthening multiple hamstring tendons bilaterally involves several key steps:
Post-procedure care following the lengthening of multiple hamstring tendons includes monitoring the surgical site for any signs of infection or complications. Patients are typically advised to keep the cast dry and intact to ensure proper healing. Rehabilitation may involve physical therapy to gradually restore mobility and strength in the affected legs. The duration of recovery can vary based on individual patient factors, but it is essential to follow the surgeon's guidelines for activity restrictions and follow-up appointments to assess healing progress.
| Short Descr | LENGTHENING OF THIGH TENDONS | Medium Descr | LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL | Long Descr | Lengthening of hamstring tendon; multiple tendons, bilateral | 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) | 2 - 150% payment adjustment does NOT apply. | 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) | 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) | 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). | 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 | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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) |
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| Pre-1990 | Added | Code added. |
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