CPT® Code 26449

Tenolysis is a surgical procedure aimed at releasing a tendon from scar tissue that has formed due to trauma or a disease process, ultimately restoring motion to the hand or finger. The procedure is particularly relevant for extensor tendons, which are responsible for extending the fingers. In the context of CPT® Code 26449, this complex tenolysis procedure is specifically performed on extensor tendons in the fingers, with the added complexity of addressing the proximal aspect of the tendon located in the forearm. This means that not only is the tendon in the finger treated, but the surgeon also addresses any adhesions or scar tissue that may have developed along the tendon as it travels from the forearm to the finger. The procedure begins with an incision made over the dorsal aspect of the affected finger, allowing for the dissection of soft tissues to expose the tendon. Once the tendon is visible, any scar tissue is lysed, and the range of motion is assessed. If further intervention is necessary, an additional incision is made in the forearm to access the proximal tendon segment, where further adhesions are lysed. The procedure concludes with the careful closure of the surgical wounds in layers, ensuring proper healing. CPT® Code 26449 should be reported for each extensor tendon in the finger that undergoes this complex tenolysis procedure.