Spontaneous rupture of other tendons, hand
ICD-10 M66.84 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, hand.
Spontaneous rupture of tendons in the hand can occur due to various factors, including underlying degenerative conditions, inflammatory processes, or acute trauma. This condition is characterized by the sudden tearing of tendons, which can lead to significant functional impairment and pain. Commonly affected tendons include those associated with the flexor and extensor muscles of the fingers and wrist. The rupture may be associated with tenosynovitis, where inflammation of the synovial sheath surrounding the tendon occurs, often leading to swelling and pain. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes diagnostic injections. Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention for tendon repair or reconstruction, depending on the severity of the rupture and the patient's functional needs. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed operative reports, imaging studies, and pre-operative assessments are necessary.
Patients presenting with acute pain and loss of function in the hand following a sudden event.
Documentation must clearly indicate the mechanism of injury and the specific tendon involved.
Comprehensive history of inflammatory conditions, lab results, and imaging findings.
Patients with chronic inflammatory diseases presenting with tendon ruptures.
Must document the relationship between underlying rheumatologic conditions and tendon integrity.
Used when surgical repair is performed for a spontaneous tendon rupture.
Operative report detailing the procedure and findings.
Orthopedic documentation must include pre-operative assessments and post-operative care plans.
Spontaneous tendon rupture occurs without an identifiable external force, often due to underlying conditions, while traumatic rupture is a direct result of an injury or accident.
