CPT® Code 27605

A percutaneous tenotomy of the Achilles tendon is a surgical procedure aimed at addressing issues related to the shortening or contracture of the Achilles tendon. This condition is often associated with deformities such as clubfoot, where the tendon becomes tight and restricts normal movement. The procedure involves making a small stab incision at the predetermined site on the Achilles tendon, allowing for direct access to the tendon without the need for extensive surgical exposure. During the tenotomy, the tendon is incised, typically utilizing a Z-plasty technique, which is designed to lengthen the tendon effectively. Following the incision, the small stab wound is closed using sutures or Steri-Strips to promote healing. To ensure that the tendon maintains its new length and to facilitate proper recovery, the foot is subsequently placed in a cast. This procedure is performed under local anesthesia, which is indicated by the use of CPT® Code 27605. In contrast, if the procedure requires general anesthesia, CPT® Code 27606 should be utilized instead.