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ICD-10 Guide
ICD-10 CodesM67.00

M67.00

Billable

Short Achilles tendon (acquired), unspecified ankle

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M67.00 is a billable code used to indicate a diagnosis of short achilles tendon (acquired), unspecified ankle.

Key Diagnostic Point:

Short Achilles tendon (acquired) refers to a condition where the Achilles tendon, which connects the calf muscles to the heel bone, is shorter than normal due to various factors such as injury, surgery, or chronic inflammation. This condition can lead to functional limitations, pain, and an increased risk of tendon ruptures. Patients may experience symptoms such as stiffness, swelling, and difficulty in performing activities that require ankle mobility, such as walking or running. The condition can be associated with tenosynovitis, which is inflammation of the tendon sheath, leading to further complications if not addressed. Surgical repairs may be necessary in cases of significant shortening or rupture, and rehabilitation is crucial for recovery. Accurate diagnosis often involves imaging studies and a thorough clinical examination to assess the extent of the tendon shortening and any associated injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Differentiation from other tendon disorders
  • Potential for associated conditions like tenosynovitis
  • Need for precise documentation of acquired nature

Audit Risk Factors

  • Inadequate documentation of the acquired nature of the condition
  • Failure to document associated conditions like tenosynovitis
  • Misclassification of the condition as congenital
  • Lack of clarity in treatment plans and surgical interventions

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed clinical notes, imaging results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with pain and limited mobility in the ankle, often following an injury or surgery.

Billing Considerations

Ensure to document the acquired nature and any associated conditions to support the diagnosis.

Physical Therapy

Documentation Requirements

Progress notes detailing functional assessments and treatment interventions.

Common Clinical Scenarios

Rehabilitation following surgical repair of the Achilles tendon or conservative management of tendon shortening.

Billing Considerations

Document the patient's response to therapy and any changes in mobility or pain levels.

Coding Guidelines

Inclusion Criteria

Use M67.00 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's acquired nature
  • Include any associated conditions like tenosynovitis or ruptures when applicable

Exclusion Criteria

Do NOT use M67.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

27650CPT Code

Repair of Achilles tendon

Clinical Scenario

Used when surgical intervention is performed for tendon shortening.

Documentation Requirements

Surgical notes detailing the procedure and any complications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery and any pre-existing conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like short Achilles tendon, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like short Achilles tendon, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like short Achilles tendon, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between M67.00 and M67.01?

M67.00 refers to an acquired short Achilles tendon without specifying the cause, while M67.01 indicates the condition is due to trauma, requiring documentation of the traumatic event.