CPT® Code 25116

Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum

The CPT® Code 25116 refers to a surgical procedure known as the radical excision of the bursa and synovia of the wrist, as well as the tendon sheaths of the forearm, specifically targeting the extensor tendons. This procedure is indicated for various conditions, including tenosynovitis, fungal infections, tuberculosis, other granulomatous diseases, and rheumatoid arthritis. During the procedure, the physician makes an incision through the skin and subcutaneous tissue to access the affected areas, which may include the bursa, wrist synovia, and extensor tendons. The surgical approach involves careful dissection to expose the dorsal aspect of the wrist joint and the extensor tendon sheaths. The procedure may also involve the transposition of the dorsal retinaculum to ensure proper wrist stability post-excision. The excised tissue is typically sent for pathology evaluation to assess the nature of the abnormalities. This comprehensive approach aims to alleviate symptoms and restore function by removing inflamed or diseased tissue while preserving the integrity of surrounding structures.