CPT Code 25000: Under Incision Procedures on the Forearm and Wrist

Typically, CPT 25000 and 26055 should not be billed together for the same tendon sheath during the same surgical session, as they represent overlapping services. You can bill these specific codes together only if they clearly represent separate anatomical locations or distinct encounters.

No, ultrasound or other imaging guidance services performed is not included in CPT 25000. You may separately bill imaging guidance if clearly documented as medically necessary and distinct from usual components of the procedure.

CPT 25000 involves incision and release of the extensor tendon sheath at the wrist to relieve pressure. CPT 25118 describes a synovectomy (removal of inflamed synovial tissue) of the extensor tendon sheath at the wrist, representing a more extensive procedure typically performed when inflammation significantly affects tendon function.