2025 CPT code 26445
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Musculoskeletal System Musculoskeletal System Feed
Tenolysis, extensor tendon, hand or finger; each tendon.
Modifiers such as 51 (multiple procedures) and 76 (repeat procedure) may be applicable depending on the circumstances.
Medical necessity is established when conservative management (physical therapy, splinting) fails to improve the patient's range of motion and functional ability.The presence of significant adhesions limiting tendon gliding is critical for justifying the procedure.
The surgeon's responsibilities include making an incision, dissecting through the subcutaneous tissue, exposing the tendon, releasing adhesions, and closing the wound in layers. Postoperative care and physical therapy may be provided by other healthcare professionals.
In simple words: This surgery frees up a tendon in your hand or finger that's stuck due to scar tissue. The surgeon makes a small cut, releases the tendon, and stitches up the cut.This helps improve movement in your hand or finger.
Tenolysis is a surgical procedure to release an extensor tendon of the hand or finger from adhesions.The surgeon makes an incision, dissects through subcutaneous tissue, exposes the tendon, breaks down adhesions and scar tissue, and closes the wound. One unit is reported for each extensor tendon released.
Example 1: A patient presents with limited extension of the right index finger following a laceration injury 6 months prior.The patient has completed physical therapy but still experiences significant stiffness and impaired function. Tenolysis of the extensor tendon of the right index finger is performed., A patient underwent flexor tendon repair 3 months ago.Despite physical therapy,the patient exhibits residual stiffness and limited active range of motion.The patient requires tenolysis of the extensor digitorum communis (EDC) tendon of the ring finger., A patient with a history of rheumatoid arthritis presents with significant contracture and limited extension of multiple fingers.During surgery, tenolysis of the extensor tendons of the little, ring, and middle fingers are performed.
Preoperative diagnosis, operative report detailing the tendons released,postoperative assessment, and physical therapy notes. Imaging studies (e.g., ultrasound, MRI) to assess the extent of adhesions and tendon condition might be included.
** This code is used for the release of extensor tendons only.The release of other structures or significant soft tissue repair should be coded separately.
- Revenue Code: P5B (AMBULATORY PROCEDURES - MUSCULOSKELETAL)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Orthopedic Surgery, Hand Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient Department