Spontaneous rupture of other tendons, unspecified shoulder
ICD-10 M66.819 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, unspecified shoulder.
Spontaneous rupture of tendons in the shoulder region can occur due to various factors, including degenerative changes, overuse, or trauma. This condition is characterized by the sudden tearing of tendons, which may lead to significant pain, loss of function, and instability in the shoulder joint. The unspecified nature of this code indicates that the specific tendon involved is not identified, which can complicate diagnosis and treatment. Commonly affected tendons in the shoulder include the rotator cuff tendons, but this code encompasses other tendons as well. Patients may present with acute pain, swelling, and limited range of motion. Diagnostic imaging, such as MRI or ultrasound, may be utilized to confirm the rupture and assess the extent of the injury. Treatment options vary from conservative management, including physical therapy and pain management, to surgical interventions such as tendon repair or reconstruction, depending on the severity of the rupture and the patient's overall health status.
Detailed operative reports, imaging studies, and pre-operative assessments.
Patients presenting with acute shoulder pain and limited range of motion following a fall or repetitive overhead activity.
Ensure clear documentation of the tendon involved and the surgical approach taken.
Comprehensive evaluations, treatment plans, and progress notes.
Patients undergoing rehabilitation post-surgery or those with chronic shoulder pain due to tendon degeneration.
Document functional limitations and response to therapy to support ongoing treatment.
Used when surgical repair is performed for a spontaneous tendon rupture.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure accurate coding based on the specific tendon repaired.
Spontaneous tendon rupture occurs without a specific injury event, often due to degenerative changes, while traumatic rupture is a direct result of an injury or accident.
