CPT® Code 27006

The procedure described by CPT® Code 27006 refers to a tenotomy of the hip extensors and/or abductors, which is an open surgical intervention performed as a separate procedure. A tenotomy involves the surgical cutting of a tendon to relieve tension and improve mobility. This specific procedure is indicated for patients suffering from extension and/or abduction contractures, commonly seen in conditions such as spastic paraplegia or cerebral palsy. In these cases, the affected muscles may become overly tight, leading to deformities that restrict movement. The surgical approach begins with a careful evaluation of the deformity, followed by incisions made over the quadriceps muscle for extension deformities, where the tendons of the rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius are accessed. For abduction contractures, the gluteal muscle insertion sites are exposed to allow for the release of the tendons. After the necessary tenotomies are performed, the incisions are meticulously closed in layers, and postoperative care may include the application of casts or braces to support the hip during recovery.