Spontaneous rupture of extensor tendons, unspecified upper arm
ICD-10 M66.229 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, unspecified upper arm.
Spontaneous rupture of extensor tendons in the upper arm is a condition characterized by the unexpected tearing of the extensor tendons, which are responsible for extending the fingers and wrist. This condition can occur without any apparent trauma or injury, often linked to underlying degenerative changes or inflammatory processes affecting the tendons. Patients may present with sudden pain, swelling, and loss of function in the affected arm. The diagnosis is typically confirmed through clinical examination and imaging studies, such as ultrasound or MRI, which can reveal the extent of the rupture and any associated tenosynovitis. Treatment may involve conservative management, including rest, ice, and physical therapy, or surgical intervention to repair the ruptured tendon, depending on the severity of the injury and the patient's functional needs. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Patients presenting with acute pain and loss of function in the upper arm after a sudden movement or without a clear history of trauma.
Orthopedic surgeons must document the specific tendon involved and the surgical technique used for repair.
Comprehensive assessments of functional limitations and treatment plans.
Patients undergoing rehabilitation post-surgery or those managed conservatively for tendon ruptures.
Documentation should reflect the patient's progress and response to therapy.
Used when surgical repair is performed for a spontaneous rupture of the extensor tendon.
Operative report detailing the procedure, findings, and post-operative care.
Orthopedic documentation must include specifics about the tendon repaired and any complications.
M66.229 is used for spontaneous ruptures of extensor tendons in the unspecified upper arm, while M66.221 specifies a rupture in the right upper arm. Accurate coding requires documentation of laterality when applicable.
