Spontaneous rupture of other tendons, shoulder
ICD-10 M66.81 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, shoulder.
Spontaneous rupture of tendons in the shoulder region is a condition characterized by the unexpected tearing of tendons without any significant trauma or injury. This condition often affects the rotator cuff tendons, which are crucial for shoulder stability and movement. The rupture can lead to pain, swelling, and limited range of motion, significantly impacting daily activities. Commonly associated with conditions such as tenosynovitis, which is inflammation of the tendon sheath, spontaneous ruptures may occur due to chronic degeneration of the tendon tissue, often exacerbated by repetitive overhead activities or age-related wear and tear. Diagnosis typically involves a thorough clinical examination, imaging studies such as MRI or ultrasound, and assessment of the patient's history. Treatment options may include conservative management with physical therapy and anti-inflammatory medications, or surgical intervention to repair the ruptured tendon, depending on the severity of the rupture and the patient's functional needs.
Detailed operative notes, imaging results, and pre-operative assessments are essential.
Patients presenting with shoulder pain and limited range of motion, often after repetitive overhead activities.
Ensure clear documentation of the mechanism of injury and any prior treatments.
Comprehensive evaluations including functional assessments and treatment plans.
Patients undergoing rehabilitation post-surgery or conservative management for tendon ruptures.
Documenting progress and response to therapy is crucial for accurate coding.
Used when surgical repair is performed for a spontaneous rupture of the rotator cuff.
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 degeneration, while traumatic rupture results from an acute injury or force.
