Spontaneous rupture of extensor tendons, unspecified ankle and foot
ICD-10 M66.279 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, unspecified ankle and foot.
Spontaneous rupture of extensor tendons in the ankle and foot is a condition characterized by the unexpected tearing of the extensor tendons, which are responsible for extending the toes and lifting the foot. This condition can occur without any preceding trauma or injury, often linked to underlying degenerative changes or inflammatory processes such as tenosynovitis. 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 tendon integrity. Treatment 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 functional needs. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the condition and its management.
Detailed notes on the patient's history, physical examination findings, imaging results, and treatment plan.
Patients presenting with acute pain and swelling in the ankle or foot, often after a sudden movement or without any apparent cause.
Ensure that all surgical interventions are documented, including the type of repair performed and any postoperative care.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients recovering from tendon repair surgery requiring rehabilitation to restore function.
Document progress notes that reflect the patient's response to therapy and any modifications to the treatment plan.
Used when surgical repair is performed for a spontaneous rupture of extensor tendons.
Operative report detailing the procedure, findings, and postoperative care.
Orthopedic surgeons should ensure that the surgical approach and any grafts used are documented.
Common causes include degenerative changes due to aging, chronic inflammatory conditions such as rheumatoid arthritis, and overuse injuries that weaken the tendon structure.
