CPT Knowledgebase - Aug 2, 2012

A patient with a diagnosis of carpal tunnel syndrome undergoes a surgical procedure. A carpal tunnel incision in line with the fourth ray and crossing the wrist crease obliquely into the distal forearm was made. The antebrachial fascia was opened, the median nerve identified, and the transverse carpal ligament was cut from proximal to distal. The contents of the canal were inspected. There was marked traction neuropathy and marked flexor tenosynovitis present. The traction neuropathy was released and a very thorough flexor tenosynovectomy was performed, removing the synovium from all of the flexor tendons, the floor of the canal and the median nerve. The synovectomy extended both proximally and distally to the carpal tunnel. The motor branch was identified distal to the ligament. The tourniquet was deflated, hemostasis achieved, and the wound was irrigated and closed. What CPT code(s) is appropriate to report?

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