2025 CPT code 27692

Transfer or transplant of each additional tendon (add-on code).

Consult the AMA CPT® codebook for the most up-to-date guidelines and coding conventions.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., modifier 51 for multiple procedures, modifier 62 for two surgeons, modifier 76 for a repeat procedure).

The medical necessity for additional tendon transfers must be documented in the patient's chart. This often includes the severity and impact of the additional tendon injury on the patient's function and the surgeon's justification for the additional procedure.

The surgeon is responsible for pre-operative planning, incision, exposure of the diseased tendon, excision of the diseased portion, harvesting of the healthy tendon, preparation and rerouting of the tendon graft, placement and fixation of the tendon graft, hemostasis, wound closure, and post-operative care.

IMPORTANT This code is always used with either 27690 or 27691.

In simple words: This code is for additional tendon repairs or replacements done during the same surgery.If a doctor fixes one tendon and then fixes one or more others at the same time, this code is used to bill for the extra tendons.

This code reports the transfer or transplant of one or more additional tendons during the same operative session as a primary tendon transfer or transplant (27690 or 27691).It is an add-on code and should only be reported in conjunction with a primary procedure code (27690 or 27691). The procedure involves harvesting a healthy tendon, preparing it, and rerouting it to the required location, followed by fixation and closure.The number of additional tendons transferred determines the number of units of 27692 reported.

Example 1: A patient presents with chronic tendon rupture in the posterior tibial tendon and peroneus longus tendon.The surgeon performs a primary tendon transplant of the posterior tibial tendon (27690) and subsequently repairs the peroneus longus tendon using a transfer from a flexor digitorum longus tendon. 27692 is added., A patient sustains multiple tendon injuries to the foot after an accident. During the surgical repair, the surgeon first transfers the flexor hallucis longus tendon (27691) to replace a damaged peroneus brevis tendon.Additionally, the surgeon repairs two additional damaged tendons.Two units of 27692 are reported., During a foot reconstruction surgery for a patient with a dropped foot, the primary procedure involves the transplantation of the tibialis posterior tendon (27690).An additional peroneus brevis tendon is also transferred during the same operative session. One unit of 27692 is added.

Detailed operative notes describing the need for the additional tendon transfer(s), the tendons involved, the technique used for the transfer, and the location of the graft.Preoperative and postoperative imaging should be included.Patient’s symptoms and functional status before and after the procedure must be documented.

** This CPT code is for an add-on procedure only.Accurate documentation is critical for reimbursement, as is reporting the primary procedure code (either 27690 or 27691).

  • Revenue Code: P5B (Ambulatory Procedures - Musculoskeletal)
  • RVU: The relative value units (RVUs) for this code will vary depending on the geographical location and the payer.RVUs consider the work, practice expense, and malpractice expense involved in the procedure.
  • Global Days : The global period for the primary procedure (27690 or 27691) will determine the timing for any additional procedures and coding. This add-on code is part of the global surgery period of the primary code.
  • Payment Status: Active
  • Modifier TC rule: A Technical Component (TC) modifier is not applicable to this code as it is an add-on code.
  • Fee Schedule : Historical fee schedule data is not included here. Consult your specific payer's fee schedule for historical data.
  • Specialties:Orthopedic Surgery, Podiatric Surgery
  • Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)
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