Wiki Needle Tenotomy help!!

HBROCKMAN

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I have a physician who would like to do a needle tenotomy procedure on a patient and when I forwarded him on the description of CPT 27000, which is the only one I could find that was close enough he responded with this:

My email:
Here is the only percutaneous tenotomy code they have for the hip region: CPT 27000-Tenotomy, adductor of hip, percutaneous. Description- The physician makes a small incision approximately 0.5 inches long over the origin of the adductor muscles. Dissection is carried to the adductor tendon. The physician uses a small blade to release (free by incision) the tendon. The incision is repaired in layers with sutures and Steri-strips. A spica cast is applied for three to four weeks to keep the hip in abduction.
His response:
In this case the tendon is the glutus medius, the one we are treating, I do not know if this apply to the same CPT 27000, since I am not making and incision, not using the scarpel....nor the patient is place on spika cast....

Should I use the unlisted CPT code 27299 or use 27000-with a 52 modifier?? If anyone has done this procedure before and knows how to code this I would greatly appreciate your help!

Thank you in advance,
Heather
 
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