CPT® Code 23406

A tenotomy in the shoulder area involves the surgical procedure of cutting or releasing multiple tendons through a single incision. This procedure is typically indicated for various tendon-related issues in the shoulder, such as injuries, tendinitis, or specific types of tears like a superior labrum anterior to posterior (SLAP) tear. During the tenotomy, a surgical incision is made over the affected tendon or tendons, allowing the surgeon to access the underlying soft tissues. The surgeon carefully dissects these tissues to expose the tendon, which is then incised and severed or released near its attachment to the bone. This technique may be performed on multiple tendons, which is a key distinction from a similar procedure that addresses only a single tendon. The use of electrocautery is employed to control any bleeding that may occur during the procedure. Once the necessary tendon releases are completed, the incision is meticulously closed in layers to promote proper healing. It is important to note that CPT® Code 23406 is specifically used when multiple tendons are treated through the same incision, distinguishing it from CPT® Code 23405, which is reserved for the tenotomy of a single tendon.