CPT® Code 26460

The procedure described by CPT® Code 26460 refers to a tenotomy of the extensor tendon in the hand or finger, performed through an open surgical approach. A tenotomy is a surgical procedure that involves cutting a tendon to relieve tension or to correct a deformity. In this case, the extensor tendon, which is responsible for extending the fingers or hand, is targeted. The procedure begins with a dorsal incision, which is made on the back side of the hand or finger, directly over the extensor tendon. 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, severed, or released, depending on the specific clinical need. The use of electrocautery is employed to control any bleeding that may occur during the procedure, ensuring a clean surgical field. After the tenotomy is completed, the surgeon meticulously closes the operative wound in layers to promote proper healing. It is important to report CPT® Code 26460 for each separate extensor tendon in the hand or finger that undergoes this tenotomy procedure, as each tendon treated is billed separately.