CPT® Code 26392

The procedure described by CPT® Code 26392 involves the removal of a synthetic rod and the insertion of a flexor tendon graft in the hand or finger. This procedure is typically indicated when a flexor tendon repair has either failed or was not performed in a timely manner, necessitating a two-stage approach to tendon repair. The first stage, represented by CPT® Code 26390, involves the initial excision of the injured tendon and the placement of a synthetic rod to facilitate healing. The synthetic rod serves as a temporary support structure, allowing the tendon sheath to heal around it over a period of approximately 10 weeks. In the second stage, which is captured by CPT® Code 26392, a tendon graft is harvested from either the forearm or leg. The procedure requires reopening the original incision to attach the graft to the synthetic rod, which is then removed, allowing the graft to be pulled into the newly formed tendon sheath. This meticulous process ensures that the graft is properly positioned and secured, ultimately restoring function and range of motion to the affected hand or finger.