CPT 27395: Hamstring Tendon Lengthening, Bilateral
CPT code 27395 denotes surgical lengthening of multiple hamstring tendons from the knee to the hip. This procedure addresses hamstring contractures or severe tightness that impair gait, knee flexion, or hip extension, and it can be performed in pediatric and adult populations depending on clinical indication. Nationally, procedures addressing musculoskeletal contractures are relevant due to impacts on mobility, rehabilitation needs, and surgical resource use.
Payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The content outlines clinical context for use of CPT code 27395, common settings where the procedure is delivered, and what readers can expect when reviewing payer coverage and reimbursement materials. It summarizes benchmarks where available, highlights relevant policy considerations such as coverage criteria and site-of-service distinctions, and provides clinical context for coding and documentation.
Readers will learn the clinical intent of the code, typical sites of service, payer landscape included in the review, and what types of documentation and coding considerations are commonly associated with hamstring tendon lengthening procedures. Data not available in the input will be noted as such in detailed sections.
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Billing Code Overview
CPT code 27395 describes a surgical procedure in which a provider lengthens multiple hamstring tendons from the knee to the hip by incising the tendons. The hamstring muscle group includes the biceps femoris, semitendinosus, and semimembranosus, which function to bend the knee and extend the thigh posteriorly. This procedure is performed to address hamstring tightness or contracture affecting lower-extremity function.
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Service type: Surgical tendon lengthening of the hamstrings
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Typical site of service: Operating room or surgical suite in an inpatient or outpatient hospital setting, or ambulatory surgery center