Spontaneous rupture of extensor tendons, unspecified shoulder
ICD-10 M66.219 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, unspecified shoulder.
Spontaneous rupture of extensor tendons in the shoulder is a condition characterized by the unexpected tearing of the extensor tendons, which are responsible for extending the arm and fingers. This condition can occur without any apparent trauma or injury, often in individuals with underlying tendon degeneration or inflammatory conditions. The extensor tendons are located in the shoulder region and are crucial for the proper functioning of the upper limb. Symptoms may include sudden pain, swelling, and loss of function in the affected shoulder. Diagnosis typically involves a physical examination and imaging studies such as MRI or ultrasound to confirm the rupture. Treatment options may vary from conservative management, including rest and physical therapy, to surgical intervention for tendon repair or reconstruction, depending on the severity of the rupture and the patient's overall health status. Understanding the underlying causes, such as tenosynovitis or other synovial disorders, is essential for effective management and prevention of recurrence.
Detailed operative notes, imaging reports, and pre-operative assessments are essential.
Patients presenting with shoulder pain and functional limitations, often after a sudden onset of symptoms.
Documentation must clearly differentiate between spontaneous and traumatic ruptures to ensure accurate coding.
Comprehensive evaluations including functional assessments and treatment plans.
Patients undergoing rehabilitation post-surgery or conservative management for tendon ruptures.
Focus on documenting progress and functional outcomes to support the need for ongoing therapy.
Used when surgical repair is performed for spontaneous rupture of extensor tendons.
Operative report detailing the procedure, findings, and post-operative care.
Orthopedic surgeons must document the extent of the rupture and the surgical approach taken.
The primary cause is often degenerative changes in the tendon due to age, chronic inflammation, or systemic diseases that weaken tendon integrity.
