CPT® Code 26440

Tenolysis, specifically for a single flexor tendon in the palm or finger, is a surgical procedure aimed at restoring motion in the hand and/or fingers. This procedure is necessary when scar tissue forms around the flexor tendon due to trauma or a disease process, which can severely limit movement. The surgery involves making an incision over the affected tendon, allowing the surgeon to access the underlying structures. Once the incision is made, the surrounding soft tissues are carefully dissected to expose the tendon. The primary goal of the tenolysis is to identify the affected flexor tendon and sever any adhesions that have developed along its length, which are responsible for restricting movement. After the adhesions are released, the surgeon evaluates the range of motion to ensure that the procedure has successfully restored function. Finally, the surgical wound is meticulously closed in layers, and a dressing is applied to protect the area as it heals. It is important to note that the CPT® code 26440 is specifically used for reporting the tenolysis of each separate tendon treated in the palm or finger, distinguishing it from other related procedures such as CPT® code 26442, which involves more extensive tenolysis along the entire length of the tendon.