CPT® Code 26341

Dupuytren's contracture is a condition characterized by the thickening and tightening of the palmar fibrous tissue, which is a result of excessive collagen deposition beneath the skin of the hand and fingers. This condition leads to the development of a flexion contracture, making it challenging or even impossible for the affected individual to fully extend one or more fingers. Although the thickening of the tissue is typically painless, it significantly impacts hand function. The procedure associated with CPT® Code 26341 involves the manipulation of the palmar fascial cord, commonly referred to as Dupuytren's cord, following a specific enzyme injection aimed at weakening this cord. The enzyme injection, which is reported separately under CPT® Code 20527, is administered to facilitate the subsequent manipulation. The patient is required to return for the manipulation procedure the day after the enzyme injection. During this manipulation, the healthcare provider carefully extends the flexed finger, which results in the mechanical breakage of the weakened cord. This manipulation is crucial as it enhances the range of motion of the affected finger(s), thereby improving the patient's ability to use their hand effectively. The use of CPT® Code 26341 is appropriate for reporting the manipulation of a single palmar fascial cord in this context.