Spontaneous rupture of extensor tendons
ICD-10 M66.2 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons.
Spontaneous rupture of extensor tendons refers to the unexpected tearing of the tendons that extend the fingers and wrist, often occurring without a significant traumatic event. This condition can arise due to underlying degenerative changes, chronic tenosynovitis, or systemic diseases such as rheumatoid arthritis. Patients may present with sudden loss of function in the affected fingers, pain, swelling, and an inability to extend the fingers at the metacarpophalangeal joints. Diagnosis is typically made through clinical examination and imaging studies, such as ultrasound or MRI, which can reveal the extent of the rupture and any associated synovial disorders. Treatment often involves surgical repair of the ruptured tendon, followed by rehabilitation to restore function. Understanding the etiology and management of spontaneous tendon ruptures is crucial for effective coding and billing, as these conditions can significantly impact a patient's quality of life and functional abilities.
Detailed operative notes, pre-operative assessments, and post-operative follow-ups.
Patients presenting with sudden loss of finger extension, often after a period of chronic pain or swelling.
Ensure that the surgical procedure is clearly linked to the diagnosis of spontaneous rupture.
Comprehensive history of joint symptoms, laboratory results indicating underlying conditions, and treatment plans.
Patients with rheumatoid arthritis experiencing tendon ruptures due to chronic inflammation.
Documenting the relationship between systemic disease and tendon integrity is crucial.
Used when surgical repair of the extensor tendon is performed.
Operative report detailing the procedure and findings.
Orthopedic surgeons must ensure the procedure is linked to the correct diagnosis.
Common causes include chronic tenosynovitis, degenerative changes due to aging, and systemic conditions like rheumatoid arthritis that weaken tendon integrity.
