Summary & Overview
CPT 25315: Flexor Tendon Origin Release for Hand/Wrist Deformity
CPT code 25315 denotes a surgical release of the origin of the flexor tendons to permit distal muscle glide and to improve function and appearance of a severely deformed hand, wrist, or fingers. This procedure is relevant for hand surgeons, orthopedic specialists, and surgical billing teams because it captures a distinct surgical intervention aimed at restoring tendon mechanics and hand form. Nationally, accurate use of this code supports appropriate surgical classification, quality measurement, and claims processing for complex reconstructive hand procedures.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, the typical sites of service where it is performed, and an outline of common billing considerations. The report summarizes available benchmarks and payer coverage patterns where present and highlights relevant policy or coding updates that affect how this procedure is billed and adjudicated. Where specific payer policy details or comparative rates are unavailable, the summary notes that data is not supplied in the input.
The publication is intended to help revenue cycle staff, coders, and clinical leaders understand the clinical intent of CPT code 25315, where it is typically performed, and what elements to consider when aligning documentation and claims for reconstructive flexor tendon-origin release procedures.
Billing Code Overview
CPT code 25315 describes a surgical procedure in which the provider releases the origin of the flexor tendons to allow the muscles to slide distally. The procedure is performed to improve the appearance and function of a severely deformed hand, wrist, or fingers.
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Service type: Surgical procedure on the hand/wrist involving release of flexor tendon origins to restore gliding and improve function and appearance.
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Typical site of service: Hospital inpatient, hospital outpatient, or ambulatory surgery center (facility dependent on patient condition and surgical setting).
Clinical & Coding Specifications
Clinical Context
A 56-year-old patient with a long-standing flexion contracture and severe deformity of the fingers and wrist from traumatic tendon scarring and contracture presents to a hand surgeon. Conservative management including splinting and therapy has failed to restore functional range of motion. The surgeon plans an operative release of the origin of the flexor tendons to allow distal muscle glide and improve hand appearance and function. The procedure is performed in an ambulatory surgery center or hospital outpatient department under regional block or general anesthesia. Preoperative workflow includes history and physical, informed consent, stop medications as indicated, baseline neurovascular exam, and imaging or EMG as needed. Postoperative care includes wound checks, early controlled rehabilitation with hand therapy, and documentation of functional goals and expected outcomes.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the work, time, and intensity of the procedure substantially exceed typical for 25315 due to extensive release or complex reconstruction. |
26 |