How To Use CPT Code 26442

CPT 26442 describes the surgical procedure known as tenolysis, specifically for the release of the flexor tendon in the palm and finger from adhesions. This article will provide an overview of CPT code 26442, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26442?

CPT 26442 is a code used to describe the surgical procedure of tenolysis, which involves the release of the flexor tendon in the palm and finger from adhesions. This procedure is performed by a healthcare provider to restore the tendon’s ability to glide freely over the joint, allowing for improved movement and function.

2. Official Description

The official description of CPT code 26442 is: ‘Tenolysis, flexor tendon; palm AND finger, each tendon.’

3. Procedure

1. The healthcare provider begins by making an incision in the skin over the flexor tendon in the palm and finger.
2. They then dissect through the subcutaneous tissue to gain access to the tendon.
3. Once the tendon is exposed, the provider breaks the adhesions and scars that have formed over the tendon.
4. They carefully remove any debris or damaged tissue from the area.
5. The entire procedure extends from the finger to the palm, ensuring that the entire length of the flexor tendon is released.
6. After achieving hemostasis, the provider closes the wound by suturing the soft tissue layers.

4. Qualifying circumstances

CPT code 26442 is used when a patient requires tenolysis of the flexor tendon in the palm and finger due to adhesions that have formed after injury or repair. Adhesions are fibrous bands that develop between tissues, restricting movement and causing pain. This procedure is typically performed on patients who have experienced limited range of motion or decreased function in the affected area.

5. When to use CPT code 26442

CPT code 26442 should be used when a healthcare provider performs tenolysis on the flexor tendon in the palm and finger. It is important to note that this code is specific to the release of the flexor tendon and should not be used for other procedures or conditions.

6. Documentation requirements

To support a claim for CPT code 26442, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for tenolysis of the flexor tendon
• Details of the procedure, including the specific tendon released and any complications encountered
• Date of the procedure
• Start and end time of the procedure
• Any additional procedures performed during the same session
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 26442, ensure that the procedure performed matches the description of tenolysis of the flexor tendon in the palm and finger. It is important to accurately document the specific tendon released and any additional procedures performed during the same session. Additionally, be aware of any specific payer guidelines or modifiers that may be required for proper reimbursement.

8. Historical information

CPT code 26442 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 patient undergoes tenolysis of the flexor tendon in their palm and finger to improve range of motion and function.
2. A healthcare provider performs tenolysis on a patient who has developed adhesions in their flexor tendon after a previous injury.
3. Tenolysis of the flexor tendon in the palm and finger is performed on a patient with limited movement and pain.
4. A healthcare provider releases the flexor tendon in the palm and finger from adhesions to restore normal function and range of motion.
5. Tenolysis of the flexor tendon is performed on a patient with a history of restricted movement and decreased hand function.
6. A patient undergoes tenolysis of the flexor tendon in their palm and finger to alleviate pain and improve hand function.
7. A healthcare provider performs tenolysis on a patient with adhesions in their flexor tendon, allowing for improved finger movement.
8. Tenolysis of the flexor tendon in the palm and finger is performed on a patient with a history of limited hand function.
9. A patient undergoes tenolysis to release the flexor tendon in their palm and finger, improving their ability to grasp and manipulate objects.
10. A healthcare provider performs tenolysis on a patient with adhesions in their flexor tendon, restoring normal finger movement and function.