26449 Release forearm/hand tendon
Also known as: Forearm and hand release, Extensive contracture release, Proximal release
Surgical release of contractured forearm and hand fascia and tendons, extending the scope of contracture release to include forearm structures to restore comprehensive hand function.
In Plain Language
Releasing tight tissue in forearm and hand; Surgery to free up forearm and hand contractures
Clinical Context
Performed when contractures extend into the forearm, as may occur with complex post-traumatic cases, burn contractures, or extensive Dupuytren's disease.
RVU Breakdown
| Work RVU | 8.38 |
| Total RVU | 8.38 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 8.38, this code ranks in the 52nd percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 26449?
CPT 26449 (Release forearm/hand tendon) is a Surgery code. Surgical release of contractured forearm and hand fascia and tendons, extending the scope of contracture release to include forearm structures to restore comprehensive hand function.
What is the wRVU value for CPT 26449?
The work RVU for CPT 26449 is 8.38. This code is primarily used by Hand Surgery, Orthopedic Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 26449 used?
Performed when contractures extend into the forearm, as may occur with complex post-traumatic cases, burn contractures, or extensive Dupuytren's disease.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.