CPT® Code 25295

Tenolysis is a surgical procedure aimed at restoring motion in the wrist, hand, and fingers by addressing the complications caused by scar tissue that develops around flexor or extensor tendons. This procedure is specifically indicated for a single tendon located in the forearm or wrist. The term "tenolysis" refers to the surgical release of tendons that have become adhered to surrounding tissues due to trauma or disease processes, which can significantly impair movement. During the procedure, a surgical incision is made directly over the affected tendon, allowing the surgeon to access the tendon and the surrounding soft tissues. The surgeon carefully dissects these tissues to identify the affected tendon. In cases involving flexor tendons, the surgeon will sever the adhesions that restrict movement. For extensor tendons, particularly at the wrist, the dorsal retinaculum, which is a fibrous band that holds the tendons in place, is opened to facilitate access to the tendon. After the adhesions are lysed, the surgeon evaluates the range of motion to ensure that the procedure has successfully restored mobility. Finally, the surgical wound is meticulously closed in layers, and a dressing is applied to protect the area as it heals. The CPT® code 25295 should be reported for each flexor or extensor tendon that is released from scar tissue during this procedure.