Spontaneous rupture of other tendons, multiple sites
ICD-10 M66.89 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, multiple sites.
Spontaneous rupture of tendons is a condition characterized by the sudden tearing of tendons without any significant trauma or injury. This can occur in various tendons throughout the body, often affecting those that are already compromised due to underlying conditions such as tenosynovitis, which is inflammation of the synovial sheath surrounding the tendon. The condition can lead to acute pain, swelling, and loss of function in the affected area. Patients may present with symptoms such as a 'popping' sensation at the time of rupture, followed by immediate pain and swelling. The diagnosis is typically confirmed through clinical examination and imaging studies, such as ultrasound or MRI, which can visualize the extent of the rupture. Treatment may involve conservative management, including rest and physical therapy, or surgical intervention to repair the ruptured tendon, especially in cases where function is significantly impaired. The spontaneous nature of these ruptures often complicates the clinical picture, as they may occur in patients with no prior history of tendon issues, making accurate diagnosis and coding essential.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with acute pain and swelling in multiple joints or tendons, often after minimal or no trauma.
Ensure to document any pre-existing conditions that may contribute to tendon weakness.
Comprehensive history of joint and tendon issues, including any autoimmune conditions.
Patients with systemic inflammatory diseases presenting with tendon ruptures.
Document the relationship between systemic conditions and tendon health.
Used when surgical repair is performed for a spontaneous rupture of the rotator cuff.
Operative report detailing the procedure and findings.
Orthopedic documentation must include pre-operative assessments.
M66.89 is used for spontaneous ruptures of multiple tendons, while M66.88 is for a single tendon. Accurate coding depends on the number of sites affected.