Spontaneous rupture of flexor tendons, left shoulder
ICD-10 M66.312 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, left shoulder.
Spontaneous rupture of flexor tendons in the left shoulder is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for the movement of the shoulder joint. This condition can occur without any prior trauma or injury, often associated with underlying degenerative changes or inflammatory conditions such as tenosynovitis. Patients may present with sudden pain, swelling, and loss of function in the affected shoulder. The diagnosis is typically confirmed through clinical examination and imaging studies, such as MRI or ultrasound, which can visualize the tendon integrity and any associated synovial disorders. Treatment options may include conservative management with physical therapy and anti-inflammatory medications, or surgical intervention to repair the ruptured tendon, depending on the severity of the rupture and the patient's functional needs. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition.
Detailed operative reports, imaging studies, and pre-operative assessments.
Patients presenting with acute shoulder pain and loss of function, often requiring surgical intervention.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Comprehensive evaluations of functional status and rehabilitation progress.
Patients undergoing rehabilitation post-surgery or those managed conservatively.
Documenting the patient's response to therapy and any modifications to the treatment plan.
Used when surgical repair is performed for spontaneous tendon rupture.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure all surgical details are documented.
M66.312 refers specifically to spontaneous rupture of flexor tendons in the left shoulder, while M66.311 refers to the right shoulder.
