CPT® Code 25265

Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle

The procedure described by CPT® Code 25265 involves the repair of flexor tendons or muscles located in the forearm and/or wrist, specifically through a secondary approach that utilizes a free graft. Flexor tendons and muscles are essential for the movement of the wrist, hand, and fingers, as they are responsible for flexion. These structures originate from the medial epicondyle of the humerus and the proximal radius and ulna, and include key muscles such as the flexor carpi radialis, palmaris longus, flexor carpi ulnaris, flexor digitorum superficialis, flexor digitorum profundus, and flexor pollicis longus. Injuries to these tendons and muscles can occur due to various reasons, including lacerations, puncture wounds, and closed injuries like avulsions, which may lead to partial or complete transection of the tendons. In cases where primary repair is insufficient to restore function, a secondary repair may be necessary. This procedure involves the use of a free graft, which is a piece of tissue taken from another part of the body, to facilitate the repair of the damaged tendon or muscle. The surgical process includes making an incision over the injury site, locating the severed tendon, and performing the necessary repairs, whether that involves suturing the tendon or muscle or attaching a graft. The goal of this procedure is to restore the integrity and function of the flexor tendons and muscles, allowing for improved range of motion and strength in the affected areas.