CPT® Code 25280

The procedure described by CPT® Code 25280 involves the surgical lengthening or shortening of a flexor or extensor tendon located in the forearm and/or wrist. This intervention is typically indicated for patients who present with a flexion or extension deformity of the wrist, which may arise from various causes, including the late effects of injuries or degenerative conditions such as severe rheumatoid arthritis or osteoarthritis. The surgical approach begins with making a skin incision over the targeted tendon, followed by careful dissection of the surrounding soft tissues to expose the tendon. For lengthening, a Z-shaped incision is created in the tendon, allowing the tendon fibers to separate and elongate as the wrist is flexed or extended. Conversely, if shortening is required, the tendon is divided, and the ends are overlapped and sutured together. Post-surgery, the wrist is immobilized using a splint or cast to maintain the desired position during the healing process. It is important to note that this code is applicable for the lengthening or shortening of a single tendon; if multiple tendons require similar procedures, the code should be reported for each tendon involved.