Spontaneous rupture of extensor tendons, right lower leg
ICD-10 M66.261 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, right lower leg.
Spontaneous rupture of extensor tendons in the right lower leg is a condition characterized by the unexpected tearing of the extensor tendons, which are responsible for extending the toes and foot. This injury can occur due to various factors, including underlying degenerative changes, inflammatory conditions, or acute trauma. Patients may present with sudden pain, swelling, and loss of function in the affected area. The diagnosis is typically confirmed through clinical examination and imaging studies, such as ultrasound or MRI, which can visualize the extent of the tendon damage. Treatment options may include conservative management with rest and immobilization, or surgical intervention to repair the ruptured tendon, depending on the severity of the injury and the patient's functional needs. Rehabilitation is often necessary to restore strength and mobility post-repair. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Detailed operative notes, imaging reports, and pre-operative assessments.
Patients presenting with acute pain and swelling in the lower leg, often after a fall or sports injury.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients recovering from tendon repair surgery requiring physical therapy.
Document progress notes that reflect improvements in strength and range of motion.
Used when surgical repair is performed for a spontaneous rupture.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure clear documentation of the surgical approach and any complications.
Spontaneous rupture occurs without a specific traumatic event, often due to underlying conditions, while traumatic rupture is a direct result of an injury or accident.
