CPT® Code 26045

Fasciotomy, palmar (CPT® Code 26045) is a surgical procedure specifically designed to address Dupuytren's contracture, a condition characterized by the thickening and tightening of the fibrous tissue located beneath the skin of the hand and fingers. This condition leads to the development of a flexion contracture, which can make it challenging or even impossible for an individual to fully extend one or more fingers. Although Dupuytren's contracture is typically painless, the functional limitations it imposes can significantly affect a person's ability to perform daily activities. The procedure associated with CPT® Code 26045 involves an open approach, where a surgical incision is made in the palm of the hand to access the thickened fibrous tissue directly. During the surgery, the surgeon carefully incises the thickened tissue to release the contracture, allowing for improved finger extension. Following the incision, the wound is meticulously closed in layers to promote proper healing and minimize complications. This procedure is distinct from the percutaneous fasciotomy described in CPT® Code 26040, which utilizes a less invasive technique involving a small stab incision rather than a full open incision.