CPT® Code 25300

Tenodesis at the wrist, specifically for the flexors of the fingers, is a surgical procedure aimed at addressing injuries to the tendon, such as tears or ruptures. This procedure involves a series of meticulous steps to ensure the proper repair and reattachment of the tendon to restore functionality. The process begins with the identification and inspection of the affected tendon, which may require detachment from its insertion site to facilitate thorough examination and treatment. During the procedure, any damaged or degenerated tendon tissue is carefully excised to promote healing and restore the integrity of the tendon. If there are any longitudinal tears present, these are repaired to ensure the tendon can function effectively post-surgery. Once the tendon is adequately prepared, it is reattached to the appropriate bone at the wrist using sutures or bone anchors, which provide stability and support for the healing process. Following the surgical intervention, the joint is typically flushed with sterile saline to reduce the risk of infection, and the incisions are closed securely. A dressing is then applied to protect the surgical site. For coding purposes, the CPT® code 25300 is designated for the tenodesis of the flexors of the fingers, while 25301 is used for the tenodesis of the extensors of the fingers.