CPT® Code 25290

The procedure described by CPT® Code 25290 refers to an open tenotomy of either a flexor or extensor tendon located in the forearm and/or wrist. A tenotomy is a surgical procedure that involves the cutting or severing of a tendon, which is a fibrous connective tissue that attaches muscle to bone. In this specific procedure, an incision is made in the skin over the tendon that is targeted for the tenotomy. This incision allows the surgeon to access the tendon directly. Once the tendon is exposed through careful dissection of the surrounding soft tissues, the surgeon proceeds to incise the tendon, effectively severing or releasing it. This action may be necessary for various clinical reasons, such as to relieve tension, correct deformities, or address tendon-related injuries. After the tendon has been incised, any bleeding that occurs is typically controlled using electrocautery, a technique that uses electrical current to coagulate blood vessels. Finally, the surgical site is closed in layers to promote proper healing and minimize complications. It is important to note that CPT® Code 25290 should be reported for each individual tendon on which the tenotomy is performed, ensuring accurate coding and billing for the procedure.