Spontaneous rupture of flexor tendons, right ankle and foot
ICD-10 M66.371 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, right ankle and foot.
Spontaneous rupture of flexor tendons in the right ankle and foot is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for bending the toes and foot. This condition can occur due to various factors, including underlying degenerative changes, inflammatory processes, or acute trauma. Patients may present with sudden pain, swelling, and loss of function in the affected area. The flexor tendons are encased in a synovial sheath, and conditions such as tenosynovitis can predispose these tendons to rupture. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes surgical exploration. Treatment may involve surgical repair of the ruptured tendon, followed by rehabilitation to restore function. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed operative notes, imaging results, and pre-operative assessments.
Patients presenting with acute pain and swelling in the ankle following a sudden movement.
Ensure that the surgical notes clearly indicate the nature of the rupture and the repair performed.
Comprehensive evaluation reports, treatment plans, and progress notes.
Patients undergoing rehabilitation post-surgery for tendon repair.
Document functional limitations and progress towards rehabilitation goals.
Used when a surgical repair is performed for a spontaneous tendon rupture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the specific tendon repaired.
Spontaneous tendon rupture occurs without a specific traumatic event, often due to underlying conditions, while traumatic rupture is a direct result of an injury.