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The procedure described by CPT® Code 26416 involves the removal of a synthetic rod and the insertion of an extensor tendon graft in the hand or finger. This procedure is typically indicated when an extensor tendon repair has either failed or was not performed in a timely manner, necessitating a two-stage surgical approach to restore function. The first stage, which is coded under CPT® Code 26415, involves the excision of the injured tendon and the placement of a synthetic rod to facilitate healing. The second stage, represented by CPT® Code 26416, focuses on the actual grafting process. During this stage, a tendon graft is harvested from either the forearm or leg, and the previously placed synthetic rod is removed. As the rod is extracted, the tendon graft is pulled into the newly formed tendon sheath, allowing for proper alignment and attachment to the native tendon. This procedure is critical for patients who have experienced tendon injuries that require surgical intervention to restore hand or finger function.
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