CPT® Code 26450

The procedure described by CPT® Code 26450 refers to a tenotomy of the flexor tendon in the palm, performed through an open surgical approach. A tenotomy is a surgical procedure that involves the cutting or severing of a tendon, which is a fibrous connective tissue that attaches muscle to bone. In this specific case, the focus is on the flexor tendons located in the palm, which are responsible for bending the fingers. The procedure begins with an incision made in the skin over the flexor tendon, allowing the surgeon to access the underlying structures. Once the tendon is exposed through careful dissection of the surrounding soft tissues, the surgeon incises the tendon to release it, which may be necessary to alleviate conditions such as tendon contractures or to improve function. To manage any bleeding that occurs during the procedure, electrocautery is utilized, which is a technique that uses electrical current to coagulate blood vessels. After the tenotomy is completed, the surgical site is meticulously closed in layers to promote proper healing. It is important to note that CPT® Code 26450 should be reported for each separate palmar flexor tendon that undergoes a tenotomy, ensuring accurate coding and billing for the services rendered.