CPT code 27385 denotes surgical suturing of a primary rupture of the hamstring or quadriceps muscle to relieve pain and restore an appropriate gait. This procedure is clinically significant for patients with acute traumatic or degenerative muscle ruptures that impair mobility and function. Nationally, accurate coding of CPT code 27385 affects surgical case capture, quality measurement around musculoskeletal repair, and payment for operative services.

Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise clinical context for when the procedure is used, typical sites of service, and an outline of common billing considerations. The publication summarizes benchmarks where available, highlights recent policy updates that impact operative musculoskeletal billing, and clarifies documentation elements relevant to coding and claim adjudication.

This executive summary serves providers, coding professionals, and payer policy analysts seeking a national-level reference on clinical intent, service setting, and payer coverage relevance for CPT code 27385.