CPT® Code 26455

The procedure described by CPT® Code 26455 refers to a tenotomy of the flexor tendon in the finger, performed through an open surgical approach. A tenotomy is a surgical procedure that involves the cutting or severing of a tendon, which in this case pertains specifically to the flexor tendons that allow for the bending of the fingers. During the procedure, an incision is made in the skin of the palm or finger, directly over the flexor tendon that is to be treated. This incision allows the surgeon to access the underlying soft tissues, which are carefully dissected to expose the tendon. Once the tendon is visible, it is incised, effectively severing or releasing it to alleviate tension or correct a deformity. The use of electrocautery is employed to control any bleeding that may occur during the procedure, ensuring a clear surgical field. After the tenotomy is completed, the surgeon meticulously closes the operative wound in layers to promote proper healing and minimize complications. It is important to note that CPT® Code 26455 should be reported for each separate finger flexor tendon on which a tenotomy is performed, distinguishing it from other related procedures such as those involving palmar flexor tendons, which are reported under a different code.