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The procedure described by CPT® Code 27000 refers to a percutaneous tenotomy of the adductor muscle of the hip, classified as a separate procedure. The adductor muscles are located on the medial, or inner, side of the hip joint and play a crucial role in the movement and stabilization of the hip. A tenotomy is a surgical procedure that involves cutting a tendon to relieve tension or to correct deformities. This specific procedure is often indicated for conditions such as congenital hip dislocation or adduction contracture, particularly in patients with spastic type cerebral palsy, where the hip may be positioned improperly due to muscle tightness. During the percutaneous tenotomy, a minimally invasive approach is utilized, which involves making a small stab incision over the tendon after evaluating the position of the femoral head through the injection of contrast material into the hip joint. This technique aims to alleviate the symptoms associated with the aforementioned conditions while minimizing recovery time and surgical trauma compared to open surgical methods.
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