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The quad tendon connects the quadriceps muscle to the top of the patella (white arrow). A quadriceps tendon rupture is a devastating injury to the knee that uncommonly occurs in sports. The quadriceps tendon is the tendon that extends from the quadriceps muscle of the thigh to the top of the patella (kneecap). Overall, it is part of the lower extremityâs extensor mechanism.
Take the following scenario; a patient presents for open repair of a ruptured quadriceps tendon. Here are some of the different opinions as to how the procedure should be reported along with arguments for not reporting the procedure that way. â¢ Opinion: CPT code 27385 should be assigned because the tendon is part of the quadriceps muscle â¢ Argument: You should not use 27385 because the CPT code definition specifically states quadriceps muscle repair and the tendon is not the muscle â¢ Opinion: Report CPT code 27664 repair of extensor tendon in the leg because this best describes a tendon repair and not a muscle repair â¢ Argument: It would not be appropriate to use 27664 because this code is found under the heading of Leg (Tibia and Fibula) and Ankle Joint, and these codes are used for the lower leg, not the thigh or knee which is where the quadriceps muscle/tendon is located.