De Quervain Release CPT explains the surgical release of the extensor retinaculum (CPT 25028) and extensor carpi radialis brevis tendon (CPT 26145) to treat De Quervain tenosynovitis. CPT 25028 involves releasing the extensor retinaculum to alleviate pressure on the affected tendons, while CPT 26145 targets the extensor carpi radialis brevis tendon to address tenosynovitis or entrapment. Pre- and post-operative instructions ensure optimal patient outcomes.
De Quervain Release CPT: An Overview
- Explanation of the purpose of De Quervain release surgery
- Description of the CPT codes (25028 and 26145) used for billing this procedure
De Quervain Release: Understanding the Procedure and Billing Codes
The De Quervain release surgery is a surgical intervention aimed at alleviating pain and discomfort caused by inflammation of the sheath surrounding two tendons located near the base of the thumb. This surgery aims to increase lubrication and reduce friction within the sheath.
For billing purposes, two specific Current Procedural Terminology (CPT) codes are utilized. CPT code 25028 pertains to the decompression of the extensor retinaculum, the sheath covering the tendons in question. CPT code 26145 is associated with the release of the extensor carpi radialis brevis tendon, which lies within the carpal tunnel.
Decompression, Extensor Retinaculum, Release, Thumb (CPT Code 25028): A Comprehensive Guide
De Quervain tenosynovitis, a painful condition that affects the thumb side of the wrist, arises when the extensor retinaculum, a thick band of tissue, becomes inflamed and constricts the tendons that pass through it. Fortunately, a surgical procedure called decompression, extensor retinaculum, release, thumb (CPT Code 25028) offers an effective solution to alleviate this discomfort.
The surgical procedure involved in releasing the extensor retinaculum is relatively straightforward. The surgeon begins by making a small incision on the thumb side of the wrist. They then carefully identify and incise the extensor retinaculum creating enough space for the tendons to move freely. In some cases, the surgeon may also remove a small portion of the retinaculum to ensure adequate space.
Releasing the extensor retinaculum provides several benefits in treating De Quervain tenosynovitis. First, it reduces the pressure on the affected tendons, alleviating pain and improving range of motion. Second, it allows the tendons to glide smoothly through the retinaculum, preventing further irritation and inflammation. Consequently, this procedure can significantly enhance the patient’s overall comfort and functionality.
If you have been diagnosed with De Quervain tenosynovitis, and conservative treatment hasn’t provided relief, discussing Decompression, Extensor Retinaculum, Release, Thumb (CPT Code 25028) with your doctor may be appropriate. This procedure can offer a permanent solution to your pain and restore the full use of your thumb.
Release, Extensor Carpi Radialis Brevis Tendon, Carpal Tunnel, and Radial Groove of Scaphoid (CPT Code 26145)
Imagine extensor carpi radialis brevis (ECRB), a resilient tendon that runs along the thumb side of your wrist, like a tightrope walker balancing above the carpal tunnel. If this tendon is injured or compressed, it can cause debilitating pain and hinder your daily activities. That’s where CPT Code 26145 steps in, a lifeline for restoring freedom of movement.
Understanding the Anatomy
The ECRB tendon is an extension of the extensor carpi radialis brevis muscle, which originates from the lateral epicondyle of the humerus (your upper arm bone). It runs underneath the extensor retinaculum, a thick ligament that forms the roof of the carpal tunnel. As it enters the carpal tunnel, the ECRB tendon slides through a narrow groove in the scaphoid bone at the base of your thumb.
Surgical Intervention
CPT Code 26145 encompasses the surgical release of the ECRB tendon. This involves dividing the extensor retinaculum, creating space for the tendon to move freely. The surgeon carefully incises the carpal tunnel, exposing the ECRB tendon. Using specialized instruments, the surgeon separates the tendon from any adhesions or entrapment.
Addressing Pain and Immobility
CPT Code 26145 is often used to treat conditions such as tenosynovitis, an inflammation of the tendon sheath, and entrapment, where the tendon is compressed or pinched. By releasing the ECRB tendon, the pressure is relieved, and the tendon can glide smoothly again. This surgical intervention can significantly reduce pain, improve range of motion, and restore the functionality of your thumb.
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- De Quervain Release CPT
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- CPT Code 26145
Procedure Summary for De Quervain Release
The De Quervain release procedure is a surgical intervention aimed at alleviating the pain and discomfort associated with De Quervain tenosynovitis, a condition that affects the tendons on the thumb side of the wrist. Two surgical approaches are commonly used for De Quervain release:
CPT Code 25028: Decompression, Extensor Retinaculum, Release, Thumb
This procedure involves releasing the extensor retinaculum, a thick band of tissue that overlies the tendons on the thumb side of the wrist. The surgical steps typically entail:
- Making a small incision on the back of the wrist
- Identifying and releasing the extensor retinaculum
- Evaluating the tendons for any abnormalities or additional pathology
- Closing the incision with sutures
CPT Code 26145: Release, Extensor Carpi Radialis Brevis Tendon, Carpal Tunnel, and Radial Groove of Scaphoid
This procedure focuses on releasing the extensor carpi radialis brevis (ECRB) tendon, which runs through the carpal tunnel on the thumb side of the wrist. The surgical process generally involves:
- Making two incisions on the back of the wrist
- Locating the ECRB tendon and carefully releasing it from the carpal tunnel
- Identifying any underlying pathology or entrapment within the carpal tunnel
- Closing the incisions with sutures
Pre- and Post-Operative Instructions for Patients
Pre-Operative:
- Avoid taking blood thinners or anti-inflammatory medications for a few days prior to surgery.
- Inform your doctor about any medical conditions or allergies you have.
- Follow specific fasting and showering instructions provided by your surgeon.
Post-Operative:
- Expect some pain and swelling after surgery.
- Keep the surgical site dry and clean.
- Apply ice packs to reduce swelling.
- Wear a wrist splint or bandage as directed by your surgeon.
- Avoid heavy lifting or strenuous activities that may strain the wrist.
- Follow your surgeon’s instructions for wound care, exercises, and rehabilitation.
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