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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 28226 refers to the tenolysis of multiple extensor tendons in the foot. This procedure is typically indicated when scar tissue has formed around the tendons due to trauma or a disease process, which can impede the normal motion of the foot and toes. The goal of tenolysis is to restore the range of motion by carefully releasing these adhesions. During the procedure, an incision is made over the affected tendons, and the surrounding soft tissues are meticulously dissected to expose the tendons. Once identified, the adhesions that bind the tendons to the surrounding structures are severed. After the tendons are freed, the range of motion is assessed to ensure that the procedure has been successful. The surgical site is then closed in layers, and a dressing is applied to protect the area as it heals. This procedure is essential for patients who have experienced significant limitations in foot and toe movement due to tendon adhesions.
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