CPT® Code 26445

Tenolysis is a surgical procedure aimed at releasing an extensor tendon in the hand or finger from scar tissue that has formed due to trauma or a disease process. This procedure is essential for restoring motion to the affected area, allowing for improved functionality of the hand or finger. In the context of CPT® Code 26445, the tenolysis is specifically performed on a single extensor tendon, which is a type of tendon responsible for extending the fingers. The procedure begins with an incision made directly over the affected tendon, allowing the surgeon to access the underlying soft tissues. Once the tendon is exposed, any adhesions or scar tissue that may be restricting movement are carefully lysed, or broken down. After the release of the tendon, the surgeon evaluates the range of motion to assess the effectiveness of the procedure. Following this evaluation, the surgical wound is meticulously closed in layers to promote proper healing, and a dressing is applied to protect the site. It is important to note that CPT® Code 26445 should be reported for each extensor tendon in the hand or finger that is successfully released from scar tissue during the procedure.