Summary & Overview
CPT 27306: Percutaneous Tenotomy of Adductor or Hamstring
CPT code 27306 denotes a percutaneous tenotomy of a single adductor or hamstring tendon—a targeted, minimally invasive surgical release used to address tendon tightness or contracture. Nationally, this code matters because it captures a focused procedure performed across multiple ambulatory and outpatient settings, with implications for surgical utilization, care setting choice, and reimbursement for minor musculoskeletal procedures. Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn what CPT code 27306 represents clinically, where the service is typically performed, and how it is categorized for billing. The publication summarizes payer coverage patterns, common billing modifiers, and typical procedural context to aid revenue cycle and clinical coding teams. It also provides benchmarks and policy-related updates relevant to minor percutaneous musculoskeletal procedures, and highlights clinical considerations that affect coding and site-of-service decisions. Data not available in the input for specific payers, taxonomies, and ICD-10 linkage is noted within relevant sections.
Billing Code Overview
CPT code 27306 describes a percutaneous tenotomy, a procedure in which a provider divides a single tendon of the adductor or hamstring through a small incision in the skin. This is a minor surgical tendon release intended to reduce tendon tightness or contracture.
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Service type: Percutaneous tendon release / tenotomy
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Typical site of service: Ambulatory surgical center or hospital outpatient setting; may also be performed in an office-based procedure room depending on clinical setting and provider capability.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adolescent or young adult presenting with persistent groin or posterior thigh pain, limited hip or knee motion, or functional impairment from tight adductor or hamstring musculotendinous units refractory to conservative care. The patient has failed physical therapy, stretching, activity modification, and injections for at least several months. On examination there is focal tendon tightness or contracture with decreased range of motion and positive provocative maneuvers. Imaging (ultrasound or MRI) may show tendon shortening or tendinopathy without full-thickness rupture. The care pathway includes preoperative assessment, informed consent, perioperative antibiotic prophylaxis as indicated, local or general anesthesia, percutaneous tenotomy through a small skin incision to divide a single adductor or hamstring tendon (27306), brief intraoperative hemostasis, and immediate postprocedure rehabilitation focusing on range of motion and gradual strengthening. Typical sites of service are the ambulatory surgical center or hospital outpatient department; in select minor cases with local anesthesia it may be performed in an office procedure room consistent with facility policies. Documentation includes indication, prior conservative treatments, tendon targeted, anesthesia type, side (LT or RT), incision description, intraoperative findings, and postoperative instructions including weight-bearing and therapy plan.
Coding Specifications
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