How To Use CPT Code 26460

CPT 26460 describes a surgical procedure known as tenotomy, specifically the open division of an extensor tendon in the hand or finger. This article will provide a comprehensive overview of CPT code 26460, 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 26460?

CPT 26460 is used to describe a surgical procedure called tenotomy, which involves the open division of an extensor tendon in the hand or finger. This procedure is performed by a healthcare provider to correct deformities caused by congenital or acquired shortening of a muscle. By dividing the tendon, the muscle can return to its normal length, allowing the joint to straighten and correcting the deformity.

2. Official Description

The official description of CPT code 26460 is: ‘Tenotomy, extensor, hand or finger, open, each tendon.’

3. Procedure

1. The healthcare provider prepares and anesthetizes the patient for the procedure.
2. An incision is made in the skin over the extensor tendon to be divided on the back of the hand or finger.
3. The provider dissects through the subcutaneous tissue to expose the tendon.
4. The tendon is incised to lengthen it, allowing the muscle to return to its normal length and correcting the deformity.
5. Hemostasis is achieved at the surgical site, and the wound is closed by suturing the soft tissue layers.

4. Qualifying circumstances

CPT 26460 is performed on patients who have deformities caused by congenital or acquired shortening of a muscle in the hand or finger. The procedure is typically indicated when conservative treatments have failed to correct the deformity, and surgical intervention is necessary. It is important to note that CPT 26460 specifically applies to the division of extensor tendons in the hand or finger.

5. When to use CPT code 26460

CPT code 26460 should be used when a healthcare provider performs an open tenotomy of an extensor tendon in the hand or finger. It is important to accurately document the specific tendon that was divided and whether it was performed on the hand or finger. This code should not be used for tenotomy of flexor tendons in the finger or palm, which have their own specific CPT codes.

6. Documentation requirements

To support a claim for CPT 26460, the healthcare provider must document the following information:

• Specific extensor tendon that was divided
• Location of the procedure (hand or finger)
• Date of the procedure
• Details of the surgical technique used
• Any additional procedures performed during the same surgical session
• Any complications or unexpected findings
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 26460, ensure that the procedure performed is an open tenotomy of an extensor tendon in the hand or finger. It is important to accurately document the specific tendon and location. CPT code 26460 should not be reported with other codes for tenotomy of flexor tendons in the finger or palm. It is also important to follow any specific guidelines provided by the payer regarding documentation and billing for this procedure.

8. Historical information

CPT code 26460 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 an open tenotomy of the extensor tendon in the finger to correct a congenital deformity.
2. A patient with acquired shortening of the extensor tendon in the hand undergoes an open tenotomy to restore normal joint function.
3. A healthcare provider performs an open tenotomy of the extensor tendon in the finger to correct a deformity caused by trauma.
4. A patient with a congenital deformity in the hand undergoes an open tenotomy of the extensor tendon to improve hand function.
5. A healthcare provider performs an open tenotomy of the extensor tendon in the finger to alleviate pain and improve range of motion.
6. A patient with acquired shortening of the extensor tendon in the hand undergoes an open tenotomy to correct a deformity that affects their ability to perform daily activities.
7. A healthcare provider performs an open tenotomy of the extensor tendon in the finger to improve the patient’s ability to grasp objects.
8. A patient with a congenital deformity in the hand undergoes an open tenotomy of the extensor tendon to improve the appearance and function of their hand.
9. A healthcare provider performs an open tenotomy of the extensor tendon in the finger to correct a deformity that causes functional limitations.
10. A patient with acquired shortening of the extensor tendon in the hand undergoes an open tenotomy to restore normal hand function and improve their quality of life.