Spontaneous rupture of flexor tendons, left lower leg
ICD-10 M66.362 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, left lower leg.
Spontaneous rupture of flexor tendons in the left lower leg is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for bending the toes and foot. This injury can occur without any apparent trauma or excessive force, often seen in individuals with underlying conditions such as tenosynovitis or degenerative tendon changes. The flexor tendons are encased in a synovial sheath that can become inflamed, leading to tenosynovitis, which may weaken the tendon structure over time. Symptoms typically include sudden pain, swelling, and loss of function in the affected area. Diagnosis is often confirmed through physical examination and imaging studies, such as ultrasound or MRI, which can visualize tendon integrity. Treatment may involve conservative management, such as rest and immobilization, or surgical intervention to repair the ruptured tendon, depending on the severity of the injury and the patient's overall health status. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Detailed notes on the mechanism of injury, imaging results, and treatment plan.
Patients presenting with sudden onset pain in the lower leg, often after minimal or no trauma.
Ensure clarity on whether the rupture is spontaneous or due to an underlying condition.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients recovering from tendon repair surgery or those with chronic pain due to tendon issues.
Document the patient's functional status and response to therapy.
Used when a patient undergoes surgical repair of a ruptured flexor tendon.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the specific tendon repaired.
Spontaneous tendon rupture occurs without significant trauma, often due to underlying conditions, while traumatic rupture results from a specific injury or excessive force.