CPT® Code 26442

Tenolysis is a surgical procedure aimed at restoring motion in the hand and fingers by addressing issues related to flexor tendons. Specifically, CPT® Code 26442 refers to the tenolysis of a flexor tendon located in both the palm and finger, with the procedure being performed on each tendon separately. The need for tenolysis typically arises when scar tissue forms around the flexor tendons due to trauma or disease, which can severely limit the range of motion and functionality of the hand. During the procedure, a surgical incision is made over the affected tendon, allowing the surgeon to access the underlying soft tissues. The surgeon then carefully dissects these tissues to expose the tendon and identify any adhesions that may be restricting movement. In this case, the adhesions are severed along the entire length of the tendon, both in the palm and the finger, to facilitate improved mobility. Following the tenolysis, the range of motion is assessed to determine the effectiveness of the procedure. The surgical site is then closed in layers, and a dressing is applied to protect the area as it heals. It is important to note that CPT® Code 26442 is reported for each tendon that undergoes tenolysis, emphasizing the procedure's specificity and the need for accurate coding in medical billing and documentation.