CPT® Code 26145

The procedure described by CPT® Code 26145 refers to a radical synovectomy of the tendon sheath, specifically targeting the flexor tendon in the palm and/or finger. This surgical intervention is primarily indicated for the treatment of inflammation affecting the synovial tissue within the tendon sheath, a condition often associated with diseases such as rheumatoid arthritis. The procedure aims to alleviate pain and restore function by removing the inflamed synovial tissue that can cause discomfort and limit movement. During the operation, a skin incision is made directly over the affected tendon, allowing the surgeon to access the underlying structures. The overlying tissues are carefully dissected to expose the tendon sheath, which is then incised for inspection. The surgeon utilizes a motorized suction shaving device to meticulously remove all inflamed synovial tissue, ensuring that the area is cleared of any pathological material. It is important to note that CPT® Code 26145 should be reported for each separate tendon sheath that undergoes a radical tenosynovectomy, reflecting the extent of the surgical intervention performed.