Spontaneous rupture of extensor tendons, unspecified site
ICD-10 M66.20 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, unspecified site.
Spontaneous rupture of extensor tendons refers to the unexpected tearing of the tendons that extend the fingers and wrist, which can occur without any significant trauma or injury. This condition is often associated with underlying pathologies such as tenosynovitis, which is the inflammation of the synovial sheath surrounding the tendon. Patients may present with sudden pain, swelling, and loss of function in the affected area. The diagnosis is typically made through clinical examination and imaging studies, such as ultrasound or MRI, which can reveal tendon integrity and any associated synovial disorders. Treatment may involve conservative management, including rest and splinting, or surgical intervention to repair the ruptured tendon, especially if there is significant functional impairment. The unspecified site indicates that the exact location of the rupture is not documented, which can complicate treatment planning and coding accuracy.
Detailed operative reports, imaging studies, and pre-operative assessments.
Patients presenting with acute pain and dysfunction in the hand or wrist, often after repetitive use or underlying inflammatory conditions.
Ensure clear documentation of the mechanism of injury and any prior treatments to support surgical necessity.
Comprehensive patient history, including autoimmune conditions and previous tendon issues.
Patients with systemic inflammatory diseases presenting with tendon pain and swelling.
Documenting the relationship between underlying rheumatologic conditions and tendon health is crucial.
Used when surgical repair is performed following a spontaneous rupture.
Operative report detailing the procedure and indication for surgery.
Orthopedic surgeons must document the extent of the rupture and any associated procedures.
Spontaneous tendon rupture occurs without a significant injury, often due to underlying conditions, while traumatic rupture results from a specific injury or event.
