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The procedure identified by CPT® Code 28086 refers to a synovectomy of the flexor tendon sheath in the foot. A synovectomy is a surgical intervention aimed at removing the synovial membrane, which is the tissue that lines the joints and tendon sheaths. This procedure is typically indicated for patients suffering from inflammation of the synovial tissue, often due to conditions such as rheumatoid arthritis. The inflammation can lead to pain, swelling, and reduced mobility, necessitating surgical intervention to alleviate these symptoms. During the procedure, a surgical incision is made over the affected tendon sheath, allowing access to the inflamed tissue. The surgeon carefully dissects the surrounding soft tissues to reach the tendon sheath, which is then incised to facilitate the removal of the inflamed synovial tissue. A motorized suction shaving device is employed to ensure complete excision of the affected tissue, promoting recovery and restoring function to the affected area. It is important to note that for procedures involving the extensor tendon sheath, CPT® Code 28088 should be utilized instead.
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