2025 CPT code 26350
(Active) Effective Date: N/A Revision Date: N/A Surgery - Repair, Revision, and/or Reconstruction Procedures on the Hand and Fingers Musculoskeletal System Feed
Repair or advancement of a flexor tendon in the hand or finger, excluding zone 2, without a free graft; primary or secondary, each tendon.
Modifiers such as 59 (distinct procedural service), 76 (repeat procedure), and others may be applicable depending on the circumstances of the procedure.
The medical necessity is established by the presence of a symptomatic flexor tendon injury impairing hand function that requires surgical intervention.Documentation must support the need for surgical repair versus conservative management.
The surgeon's responsibilities include pre-operative preparation, surgical incision, tendon repair or advancement, hemostasis, and wound closure.
In simple words: This code covers surgery to fix or improve a tendon in your hand or finger (excluding a specific area called "no man's land"). The doctor will repair the tendon using stitches or other methods, or move the tendon to improve joint function. This procedure doesn't involve using a tissue graft from another part of your body.
This CPT code encompasses the surgical repair or advancement of a flexor tendon located in the hand or finger, excluding zone 2 (no man's land).The procedure involves accessing the tendon through an incision, repairing it with sutures or other appropriate methods, or advancing the tendon by detaching and reattaching it for improved joint function.A free graft is not utilized. The repair may be primary (acute injury) or secondary (non-acute injury requiring additional tissue).
Example 1: A patient presents with a flexor tendon laceration in the distal phalanx of the ring finger (outside zone 2).The surgeon performs a primary repair using sutures., A patient with a chronic flexor tendon injury in the proximal phalanx of the thumb (outside zone 2) undergoes a secondary repair with tendon advancement to restore full range of motion., A patient sustains a complete tear of the flexor digitorum profundus tendon in the middle phalanx of the index finger (outside zone 2) during a work-related accident. The surgeon repairs the tendon, achieving satisfactory alignment and function.
Operative report detailing the location of the injury (specifically stating it is outside Zone 2), type of repair (primary or secondary), technique used, and any complications encountered.Preoperative and postoperative photographs are helpful.
** Accurate documentation of the tendon involved and the specific location of the repair (excluding zone 2) is crucial for proper coding and reimbursement.
- Revenue Code: P5B (Ambulatory Procedures - Musculoskeletal)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Hand Surgery, Orthopedic Surgery
- Place of Service:Office, Ambulatory Surgical Center, Inpatient Hospital