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CPT 28226: Tenolysis of Extensor Tendons of Foot
CPT code 28226 represents tenolysis of the extensor tendons of the foot, a surgical procedure to free tendons from adhesions, restore motion, and alleviate pain. Nationally, this code is relevant to orthopaedic and podiatric surgical billing and utilization, as tenolysis addresses tendon dysfunction that can impair ambulation and quality of life. The code is typically billed for operative interventions performed in hospital outpatient departments or ambulatory surgery centers.
Key payers included in the coverage landscape are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coding intent and clinical context, common billing modifiers and service-line considerations, and guidance on typical sites of service. The publication also outlines benchmarks and policy-relevant topics that affect authorization, medical necessity review, and reimbursement pathways for tendon-release procedures. Clinical context covers indications, expected outcomes such as improved tendon glide and pain reduction, and the procedural focus when multiple extensor tendons are addressed in a single operation.
This summary equips billing managers, surgical providers, and policy analysts with a concise reference to CPT code 28226, helping inform documentation, claim preparation, and payer discussions on coverage and medical necessity criteria.
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Billing Code Overview
CPT code 28226 describes a surgical tenolysis of the extensor tendons of the foot, performed to release tendons from adhesions and restore gliding motion. The procedure is indicated when scar tissue or adhesions limit tendon mobility, causing pain or impaired function.
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Service type: Operative, tendon release/tenolysis
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Typical site of service: Hospital outpatient department or ambulatory surgery center, and may be performed in a surgical suite when indicated