Spontaneous rupture of other tendons, unspecified hand
ICD-10 M66.849 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, unspecified hand.
Spontaneous rupture of tendons in the hand can occur due to various factors, including underlying degenerative conditions, overuse, or trauma. This condition is characterized by the sudden tearing of a tendon without any external force or injury, leading to pain, swelling, and functional impairment of the affected hand. The tendons in the hand are crucial for movement and dexterity, and their rupture can significantly impact a patient's ability to perform daily activities. Commonly affected tendons include those associated with the flexor and extensor muscles. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound or MRI, and assessment of the patient's history. Treatment may range from conservative management, including rest and physical therapy, to surgical intervention for tendon repair, 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 in clinical documentation.
Detailed clinical notes including mechanism of injury, physical examination findings, and imaging results.
Patients presenting with acute pain and loss of function in the hand, often after repetitive use or sudden movements.
Ensure documentation reflects the specific tendon involved and any surgical interventions performed.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients requiring rehabilitation post-surgery or those with chronic tendon issues.
Document the patient's progress and response to therapy to support ongoing treatment needs.
Used when surgical repair is performed for a spontaneous tendon rupture.
Operative report detailing the procedure, findings, and post-operative care plan.
Orthopedic surgeons should ensure that the surgical notes clearly indicate the tendon repaired.
Common causes include degenerative changes due to aging, chronic overuse, systemic diseases such as diabetes or rheumatoid arthritis, and sometimes genetic predispositions.
Diagnosis typically involves a clinical examination, patient history, and imaging studies such as ultrasound or MRI to confirm the rupture and assess the extent of the injury.
Treatment options range from conservative management, including rest and physical therapy, to surgical repair, depending on the severity of the rupture and the patient's functional needs.
