2025 CPT code 27393
Lengthening of hamstring tendon; single tendon.
Modifiers may be applicable to this code to indicate specific circumstances, such as increased procedural services (modifier 22), bilateral procedures (modifier 50), or repeat procedures by the same physician (modifier 76). Refer to current CPT coding guidelines for modifier usage.
The physician is responsible for preparing the patient, administering anesthesia, making the incision, dissecting the tissue, lengthening the tendon, achieving hemostasis, and closing the wound.
In simple words: The surgeon lengthens a single hamstring tendon in the back of your thigh. This is done through a small cut above the back of your knee. The surgeon carefully lengthens the tendon, which helps your knee to straighten more fully. This procedure is often done to correct a deformity or improve movement.
This procedure involves lengthening a single hamstring tendon by incising it. The hamstring muscles, located at the back of the thigh, consist of three muscles: biceps femoris, semitendinosus, and semimembranosus. These muscles are responsible for bending the knee and extending the hip. The procedure involves making an incision in the skin of the back of the thigh, just above the knee joint, to expose the targeted hamstring tendon. After dissecting through the subcutaneous tissue, the tendon is incised and lengthened. Multiple incisions in the tendon might be necessary to reattach the cut portions in a manner that effectively increases the tendon's length. This allows the muscle to return to its normal length, which facilitates straightening of the joint and corrects the deformity. Finally, hemostasis is achieved, and the wound is closed by suturing the soft tissue in layers.
Example 1: A patient with a knee flexion contracture due to a shortened hamstring tendon undergoes lengthening of the semitendinosus tendon to improve range of motion., A child with cerebral palsy has a tight hamstring that limits walking ability. The surgeon lengthens the affected hamstring tendon to improve gait and mobility., Following a traumatic injury, a patient's hamstring tendon heals in a shortened position. The surgeon performs a lengthening procedure to restore normal leg function.
Documentation should include the operative report detailing the procedure, the specific hamstring tendon lengthened, the method of lengthening, any complications encountered, and the final outcome. Preoperative and postoperative assessments, including range of motion measurements, should also be documented. Any associated procedures performed should be separately coded.
- Specialties:Orthopedic Surgery, Sports Medicine
- Place of Service:Ambulatory Surgical Center, Hospital - Outpatient, Inpatient Hospital