Spontaneous rupture of other tendons, left shoulder
ICD-10 M66.812 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, left shoulder.
Spontaneous rupture of tendons in the left shoulder is a condition characterized by the unexpected tearing of tendons without any significant trauma or injury. This condition often occurs in individuals with underlying synovial disorders, such as rheumatoid arthritis or degenerative tendon diseases, where the tendons may become weakened over time. The left shoulder is a common site for such ruptures, particularly involving the rotator cuff tendons, which are crucial for shoulder stability and movement. Symptoms typically include sudden pain, swelling, and loss of function in the affected shoulder. Diagnosis is often confirmed through imaging studies such as MRI or ultrasound, which can visualize the extent of the tendon damage. Treatment may involve conservative management, including 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 overall health status. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed operative notes, imaging results, and pre-operative assessments are essential.
Patients presenting with acute shoulder pain and limited range of motion, often after a history of chronic shoulder issues.
Ensure that the surgical procedure aligns with the diagnosis and that all relevant details are documented to support the coding.
Comprehensive evaluations, treatment plans, and progress notes are necessary.
Patients undergoing rehabilitation post-surgery or those receiving conservative management for tendon injuries.
Documenting the functional limitations and response to therapy is crucial for accurate coding.
Used when surgical repair is performed for a spontaneous rupture of the shoulder tendon.
Operative report detailing the procedure, findings, and post-operative care plan.
Orthopedic surgeons must ensure that the procedure aligns with the diagnosis and that all relevant details are documented.
Common causes include underlying degenerative conditions, chronic inflammation, and age-related changes in tendon structure. Patients with conditions like rheumatoid arthritis or diabetes are at higher risk.
