2025 CPT code 26370

Primary repair or advancement of the profundus tendon in the finger, with an intact superficialis tendon.

Use this code for the initial repair of the profundus tendon. For secondary repairs or repairs involving grafts, use the appropriate code (26372 or 26373). Each tendon repaired requires a separate code. Do not report this code if the superficialis tendon is also injured and requires repair. Modifier 54 can be used if the surgeon only performed the surgical portion of the procedure. If a cast, splint, or strapping is applied, it’s included in the procedure and not reported separately.

Modifiers can be applicable. Common examples include 22 (increased procedural services), 50 (bilateral procedure), 51 (multiple procedures), LT (left side), RT (right side), 76 (repeat procedure by same physician), and 77 (repeat procedure by another physician).

Medical necessity for 26370 is established when the profundus tendon is injured and requires surgical repair or advancement to restore normal finger function. The documentation should support the functional impairment caused by the tendon injury and the expectation that the surgical intervention will improve the patient's condition.

In simple words: This procedure fixes a deep tendon in the finger when the more superficial tendon is still intact.The surgery is done soon after the initial injury.

This code describes a primary repair or advancement of the flexor digitorum profundus (FDP) tendon in a finger when the flexor digitorum superficialis (FDS) tendon is not damaged. It is used for the initial repair of the FDP tendon, typically within a few days of the injury. The procedure involves surgically accessing the damaged tendon, repairing it, and then closing the surgical site.

Example 1: A patient sustains a deep cut on their index finger, severing the profundus tendon while leaving the superficialis tendon intact. CPT code 26370 would be used for the primary repair of the profundus tendon., A patient avulses the profundus tendon in their thumb while rock climbing. The superficialis tendon is intact. The surgeon performs a primary repair of the profundus tendon, and code 26370 is reported., During a woodworking accident, a patient partially severs their profundus tendon in their middle finger. The superficialis tendon is unharmed. The surgeon performs a primary advancement and repair of the profundus tendon, and code 26370 is reported.

Operative report detailing the tendon involved (FDP), the method of repair (primary repair or advancement), and confirmation of the intact superficialis tendon. Documentation should also include the cause of the injury, the date of the injury, and any complications encountered.

  • Specialties:Hand Surgery, Orthopedic Surgery, Plastic Surgery
  • Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Inpatient Hospital
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