CPT® Code 27606

A percutaneous tenotomy of the Achilles tendon, designated by CPT® Code 27606, is a surgical procedure aimed at addressing shortening or contracture of the Achilles tendon. This condition is often associated with clubfoot deformity, where the tendon becomes tight and restricts normal foot 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. Once the incision is made, the tendon is carefully incised to relieve the tension. In many cases, a Z-plasty incision technique is employed, which facilitates the lengthening of the tendon. After the tendon has been incised, the stab incision is typically closed using sutures or Steri-Strips to promote healing. Following the procedure, the foot is placed in a cast to maintain the newly achieved length of the tendon and to support the healing process. It is important to note that this specific code is utilized when the procedure is performed under general anesthesia, distinguishing it from similar procedures that may be conducted under local anesthesia, such as CPT® Code 27605.