CPT 27393: Hamstring Tendon Lengthening, Single Tendon
CPT code 27393 represents a surgical tendon-lengthening procedure directed at a single hamstring tendon, performed by incising the tendon from knee toward hip. This code captures a targeted orthopedic intervention commonly used to address hamstring contractures, spasticity-related shortening, or functional limitations that impair gait and range of motion. Nationally, accurate coding for this procedure supports appropriate clinical documentation, care coordination, and claims adjudication in surgical and ambulatory settings.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for CPT code 27393, typical sites of service, common billing modifiers, and the payer mix relevant to national reimbursement and utilization discussions. The publication summarizes benchmarking considerations and policy updates that affect coverage and claims processing and provides clinical context to assist coding accuracy.
This summary is intended for healthcare administrators, coding professionals, and policy analysts seeking a concise briefing on the procedure captured by CPT code 27393, its placement within orthopedic surgical services, and the payer environment that influences billing and coverage nationally.
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Billing Code Overview
CPT code 27393 describes a surgical procedure to lengthen a single hamstring tendon by making an incision along the tendon from the knee toward the hip. The hamstring group includes the biceps femoris, semitendinosus, and semimembranosus muscles, which contribute to knee flexion and hip extension.
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Service type: Surgical tendon lengthening of a hamstring muscle (orthopedic surgical procedure)
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Typical site of service: Hospital operating room or ambulatory surgery center