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Tenolysis is a surgical procedure aimed at freeing a tendon from the surrounding tissue that may be restricting its movement. Specifically, CPT® Code 28225 refers to the tenolysis of a single extensor tendon located in the foot. This procedure is typically indicated when there is a presence of scar tissue that has formed due to trauma or a disease process, which can impede the normal motion of the foot and toes. The goal of the tenolysis is to restore the range of motion by carefully releasing these adhesions. During the procedure, a surgical incision is made directly over the affected extensor tendon, allowing the surgeon to access the tendon and the surrounding soft tissues. The surgeon then meticulously dissects the soft tissues to identify the affected tendon, after which the adhesions are severed to free the tendon. Following the release, the range of motion of the tendon is evaluated to ensure that the procedure has been successful. Finally, the surgical wound is closed in layers, and a dressing is applied to protect the area as it heals. This procedure is crucial for patients who have experienced limitations in foot and toe movement due to the aforementioned conditions.
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