Summary & Overview
CPT 27307: Percutaneous Tenotomy of Adductors/Hamstrings
CPT code 27307 represents a percutaneous tenotomy procedure that divides multiple adductor or hamstring tendons through a small skin incision. Nationally relevant for orthopedic and pediatric practices that manage contractures or spastic deformities, this code captures a focused, minimally invasive surgical service intended to improve limb function and reduce soft-tissue tension. Payers commonly covering this service in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This publication provides clinicians, coding professionals, and policy analysts with practical context: how the procedure is described clinically, typical sites of service, and the payer landscape. Readers will find benchmarks for coverage and billing practices, notes on common modifier usage and billing considerations, and clinical context that clarifies when this percutaneous approach is coded versus alternative open tendon procedures. Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes are omitted. The summary equips revenue cycle teams and surgical providers with concise guidance on the code’s clinical scope and payer coverage patterns at a national level.
Billing Code Overview
CPT code 27307 describes a percutaneous tenotomy in which the provider divides multiple tendons of the adductor or hamstrings through a small skin incision. This is a minor surgical procedure focused on releasing tight or contracted tendons to improve limb positioning and function.
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Service type: Percutaneous tenotomy (minor surgical tendon release)
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Typical site of service: Ambulatory surgical center or outpatient clinic with minor operative capability
Clinical & Coding Specifications
Clinical Context
A typical patient is a pediatric or adult patient with spasticity-related adductor or hamstring tendon tightness limiting hip adduction, gait, perineal hygiene, or causing pain. The patient often has neurologic conditions such as cerebral palsy or post-stroke spasticity and presents for a percutaneous tenotomy after conservative management (physical therapy, orthotics, botulinum toxin injections) failed to provide adequate functional improvement. Pre-procedure workflow includes outpatient evaluation by an orthopedic surgeon or pediatric orthopedic specialist, informed consent, focused physical exam confirming fixed soft-tissue contracture, and review of imaging as needed. The procedure is commonly performed in an ambulatory surgery center or hospital minor procedure room under local anesthesia with sedation or general anesthesia depending on age and cooperation. Post-procedure workflow includes hemostasis, dressing, brief recovery observation, discharge instructions for activity limitation and wound care, and scheduled follow-up for range-of-motion assessment and possible rehabilitation services.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | Use when the procedure is performed on the left lower extremity |
RT |