How To Use CPT Code 27394

CPT 27394 describes the lengthening of multiple tendons of the hamstring muscles in one leg. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 27394?

CPT 27394 can be used to describe the lengthening of multiple tendons of the hamstring muscles in one leg. This code is used when the provider makes incisions in the tendons to lengthen them, allowing the muscles to return to their normal length and correct any deformities. The procedure involves dissecting down through the subcutaneous tissue and gaining exposure of the tendons to be divided. The provider may make multiple incisions in the tendon and reattach the cut portions to lengthen the tendon.

2. Official Description

The official description of CPT code 27394 is: ‘Lengthening of hamstring tendon; multiple tendons, one leg.’

3. Procedure

1. The provider makes an incision in the skin of the back of the thigh just above the popliteal fossa over the target tendons.
2. He dissects down through the subcutaneous tissue and gains adequate exposure of the tendons to be divided.
3. The provider incises the tendons to lengthen them, making multiple incisions if necessary.
4. He reattaches the cut portions of the tendons in a way that lengthens the tendon and allows the muscles to return to their normal length.
5. Hemostasis is obtained at the surgical site and the wound is closed by suturing the soft tissue in layers.

4. Qualifying circumstances

CPT 27394 is used when the provider lengthens multiple tendons of the hamstring muscles in one leg. This procedure is typically performed on patients with deformities or conditions that require the lengthening of these tendons. The provider must make incisions in the tendons and reattach the cut portions to achieve the desired lengthening.

5. When to use CPT code 27394

CPT code 27394 should be used when the provider performs the lengthening of multiple tendons of the hamstring muscles in one leg. It is important to accurately document the procedure and ensure that it meets the criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 27394, the provider must document the following information:

• Patient’s diagnosis or condition requiring the lengthening of the hamstring tendons
• Details of the procedure, including the incisions made and the reattachment of the cut portions of the tendons
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 27394, ensure that the procedure meets the criteria outlined in the code description. It is important to accurately document the procedure and any additional services provided. Review the payer’s guidelines for any specific requirements or modifiers that may be necessary for proper billing.

8. Historical information

CPT 27394 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2010, with the description being updated to specify ‘multiple tendons, one leg.’

9. Examples

1. A provider performs CPT 27394 to lengthen the hamstring tendons in one leg of a patient with a deformity.
2. During a surgical procedure, the provider uses CPT 27394 to lengthen the hamstring tendons in one leg of a patient with a condition that requires the correction of muscle tightness.
3. A patient undergoes CPT 27394 to correct a deformity in their leg caused by shortened hamstring tendons.
4. Using CPT 27394, the provider performs a lengthening procedure on the hamstring tendons of a patient with a condition that affects their ability to walk properly.
5. A provider uses CPT 27394 to lengthen the hamstring tendons in one leg of a patient with a congenital condition that affects their leg alignment.
6. During a surgical intervention, the provider performs CPT 27394 to lengthen the hamstring tendons in one leg of a patient with a neuromuscular disorder.
7. A patient with a history of muscle tightness undergoes CPT 27394 to lengthen the hamstring tendons in one leg and improve their range of motion.
8. Using CPT 27394, the provider corrects a deformity in the leg of a patient by lengthening the hamstring tendons.
9. A provider performs CPT 27394 to lengthen the hamstring tendons in one leg of a patient with a condition that affects their ability to stand and walk properly.
10. During a surgical procedure, the provider uses CPT 27394 to lengthen the hamstring tendons in one leg of a patient with a congenital abnormality.