Spontaneous rupture of flexor tendons, right lower leg
ICD-10 M66.361 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, right lower leg.
Spontaneous rupture of flexor tendons in the right lower leg is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for bending the toes and ankle. This condition can occur without any significant trauma or injury, often linked to underlying conditions such as tenosynovitis, which is inflammation of the tendon sheath. 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 tendon integrity. Treatment may involve conservative management, including rest and immobilization, or surgical intervention to repair the ruptured tendon, depending on the severity of the rupture and the patient's overall health. Surgical repair aims to restore function and alleviate pain, with rehabilitation following to regain strength and mobility.
Detailed operative reports, imaging studies, and follow-up notes are essential.
Patients presenting with acute pain and swelling in the lower leg, often after minimal or no trauma.
Ensure clear documentation of the mechanism of injury and any pre-existing conditions.
Comprehensive assessments of functional limitations and rehabilitation progress.
Patients recovering from tendon repair surgery requiring rehabilitation services.
Document the patient's functional status and response to therapy for accurate coding.
Used when surgical repair of the ruptured tendon is performed.
Operative report detailing the procedure and any complications.
Orthopedic surgeons must document the specifics of the tendon repaired.
M66.361 refers to spontaneous rupture of flexor tendons in the right lower leg, while M66.362 refers to the same condition in the left lower leg. Accurate coding requires specifying the affected side.
