How To Use CPT Code 26440

CPT 26440 describes the surgical procedure known as tenolysis, which involves releasing the flexor tendon of the palm or finger from adhesions. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26440?

CPT 26440 is a code used to describe the surgical procedure of tenolysis. This procedure involves releasing the flexor tendon of either the palm or finger from adhesions that have formed along the surface of the tendon. It is performed by a healthcare provider to restore the tendon’s ability to glide freely over the joint.

2. Official Description

The official description of CPT code 26440 is: ‘Tenolysis, flexor tendon; palm OR finger, each tendon.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure and administers anesthesia.
2. An incision is made in the skin over the palm or finger, specifically over the tendon that needs to be released.
3. The provider carefully dissects through the subcutaneous tissue to expose the tendon.
4. Adhesions and scars that have formed over the tendon are broken and debrided to allow for free gliding of the tendon.
5. Hemostasis is achieved at the surgical site, and the wound is closed by suturing the soft tissue layers.

4. Qualifying circumstances

CPT 26440 is used when a patient requires tenolysis of the flexor tendon in either the palm or finger. This procedure is typically performed when adhesions have formed along the tendon surface after an injury or repair. It is important to note that this code is specific to the flexor tendon and does not include tenolysis of the extensor tendon.

5. When to use CPT code 26440

CPT code 26440 should be used when a healthcare provider performs tenolysis of the flexor tendon in either the palm or finger. It is important to accurately document the specific tendon and location in the medical record to support the use of this code.

6. Documentation requirements

To support a claim for CPT 26440, the healthcare provider must document the following information:

• The specific flexor tendon (palm or finger) that was released
• Details of the procedure, including the incision, dissection, adhesion release, and closure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 26440, ensure that the procedure performed matches the description of the code. It is important to accurately document the specific tendon and location to support the use of this code. Additionally, be aware of any bundling or unbundling guidelines that may apply to this procedure.

8. Historical information

CPT 26440 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs tenolysis of the flexor tendon in the palm of a patient who had previously undergone hand surgery.
2. A surgeon releases the flexor tendon of a finger from adhesions in a patient with a history of trauma to the hand.
3. A hand specialist performs tenolysis of the flexor tendon in the finger of a patient with limited finger movement due to adhesions.
4. A healthcare provider performs tenolysis of the flexor tendon in the palm of a patient with a history of repetitive strain injury.
5. A surgeon releases the flexor tendon of a finger from adhesions in a patient with a history of rheumatoid arthritis.
6. A hand specialist performs tenolysis of the flexor tendon in the palm of a patient with a history of Dupuytren’s contracture.
7. A healthcare provider performs tenolysis of the flexor tendon in the finger of a patient with a history of tendon repair surgery.
8. A surgeon releases the flexor tendon of a finger from adhesions in a patient with a history of infection in the hand.
9. A hand specialist performs tenolysis of the flexor tendon in the palm of a patient with a history of trigger finger.
10. A healthcare provider performs tenolysis of the flexor tendon in the finger of a patient with a history of tendonitis.