CPT 27394: Hamstring Tendon Lengthening, Unilateral
CPT code 27394 identifies a surgical hamstring tendon lengthening procedure performed on one leg, with incisions extending from the knee toward the hip to release and lengthen multiple hamstring tendons. The code captures a targeted orthopedic intervention intended to improve knee extension and reduce functional limitations caused by hamstring tightness or contracture. Nationally, this procedure is relevant for orthopedics and physical rehabilitation pathways and factors into coverage determinations and facility planning for operative musculoskeletal care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for CPT code 27394, a breakdown of typical sites of service and service type, and benchmarking and policy-oriented material where available. The publication highlights coding relationships, common modifier usage, and considerations for surgical billing workflows. It also summarizes where additional data is required and notes that specific diagnosis coding and payer-specific coverage criteria should be reviewed when preparing claims.
This brief aims to equip billing specialists, orthopedic clinicians, and policy analysts with the essential facts about CPT code 27394, helping them locate further details on reimbursement policy, clinical indications, and billing practice.
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Billing Code Overview
CPT code 27394 describes a surgical procedure to lengthen multiple hamstring tendons in one leg by making incisions from the knee to the hip. The hamstring group includes the biceps femoris, semitendinosus, and semimembranosus muscles, which function to bend the knee and extend the thigh backward. The procedure directly addresses tightness, contracture, or other structural issues affecting hamstring length and knee mobility.
Service Type: Orthopedic surgical procedure — tendon lengthening of the hamstrings
Typical Site of Service: Hospital operating room or outpatient surgical center, depending on clinical setting and patient factors.
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