How To Use CPT Code 27687

CPT 27687 describes a procedure known as gastrocnemius recession, which is performed to treat stiffness, tightness, or pain that limits normal ankle movement. This article will provide an overview of CPT code 27687, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of when to use this code.

1. What is CPT Code 27687?

CPT 27687 is used to describe a surgical procedure called gastrocnemius recession. This procedure is performed to address tightness in the outer calf muscle, which can restrict normal movement of the ankle joint. During the procedure, the provider releases the gastrocnemius tendon, effectively lengthening the calf muscle and allowing for improved ankle mobility.

2. Official Description

The official description of CPT code 27687 is: ‘Gastrocnemius recession (e.g., Strayer procedure).’ This procedure involves the release of the gastrocnemius tendon to alleviate stiffness, tightness, or pain that hinders normal ankle movement. It is important to note that the toe extensors are considered a single tendon when transplanted into the midfoot.

3. Procedure

1. To perform a gastrocnemius recession, the patient is placed under anesthesia, and the surgical area is prepared and draped.
2. The provider makes a longitudinal incision on the back of the leg to expose the gastrocnemius tendon.
3. The provider then releases the tendon from the bone, allowing it to heal naturally or sutures it to the underlying tissue to stabilize it in the lengthened position.
4. After closing the incision, the patient’s leg is typically placed in a CAM boot or walking boot for a period of 2-6 weeks to support proper healing.

4. Qualifying circumstances

Gastrocnemius recession is performed on patients who experience tightness in the outer calf muscle, leading to restricted ankle movement. This procedure is appropriate for individuals who have not responded to conservative treatments and continue to experience pain or limited mobility. It is important to note that the procedure should be performed by a qualified healthcare professional with expertise in this specific surgical technique.

5. When to use CPT code 27687

CPT code 27687 should be used when a gastrocnemius recession is performed to address stiffness, tightness, or pain that affects normal ankle movement. This code accurately represents the surgical procedure and allows for proper billing and documentation of the service provided.

6. Documentation requirements

When reporting CPT code 27687, the following documentation is necessary:

• Clear indication of the patient’s diagnosis and the need for gastrocnemius recession
• Description of the specific surgical technique used, including any modifications or variations
• Date of the procedure and the duration of the surgery
• Details of the incision, including its location and length
• Documentation of the release of the gastrocnemius tendon and any additional procedures performed
• Information regarding the closure of the incision and any post-operative instructions given to the patient

7. Billing guidelines

When billing for CPT code 27687, it is important to ensure that the procedure was performed by a qualified healthcare professional with the necessary expertise. Additionally, it is crucial to follow the specific guidelines set forth by the payer regarding the use of modifiers and any additional documentation requirements. It is also important to note that CPT code 27687 should not be reported with other codes that describe similar procedures or services.

8. Historical information

CPT code 27687 was added to the Current Procedural Terminology system on January 1, 1990. Since its addition, there have been no updates or changes to the code.

9. Examples

1. A patient with chronic ankle pain undergoes a gastrocnemius recession to address tightness in the calf muscle and improve ankle mobility.
2. A professional athlete with limited ankle range of motion undergoes a gastrocnemius recession to enhance performance and prevent further injury.
3. An individual with a history of ankle sprains and instability undergoes a gastrocnemius recession to strengthen the ankle joint and reduce the risk of future injuries.
4. A patient with a congenital condition that affects ankle movement undergoes a gastrocnemius recession to improve their overall quality of life and mobility.
5. An individual with a history of failed conservative treatments for ankle stiffness and pain undergoes a gastrocnemius recession to alleviate their symptoms and restore normal ankle function.
6. A patient with a previous ankle injury that resulted in limited mobility undergoes a gastrocnemius recession to regain full range of motion and improve their overall quality of life.
7. An individual with a chronic condition that causes calf muscle tightness undergoes a gastrocnemius recession to alleviate their symptoms and improve their ability to perform daily activities.
8. A patient with a history of ankle arthritis undergoes a gastrocnemius recession to reduce pain and improve joint function.
9. An athlete with tight calf muscles that limit their performance undergoes a gastrocnemius recession to enhance their athletic abilities and prevent future injuries.
10. A patient with a traumatic ankle injury that resulted in significant stiffness and pain undergoes a gastrocnemius recession to restore normal ankle function and improve their overall quality of life.