Spontaneous rupture of extensor tendons, right shoulder
ICD-10 M66.211 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, right shoulder.
The spontaneous rupture of extensor tendons in the right shoulder is a condition characterized by the unexpected tearing of the tendons that extend the arm at the shoulder joint. This condition can occur due to various factors, including degenerative changes, chronic overuse, or acute trauma. Patients may present with sudden pain, swelling, and loss of function in the affected shoulder. The extensor tendons are crucial for arm movement, and their rupture can significantly impair daily activities. Diagnosis typically involves a thorough clinical examination, imaging studies such as MRI, and sometimes ultrasound to confirm the extent of the injury. Treatment options may include conservative management with physical therapy and anti-inflammatory medications, or surgical intervention to repair the ruptured tendon, depending on the severity of the injury and the patient's overall health. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition in medical records.
Detailed operative reports, imaging results, and pre-operative assessments are necessary.
Patients presenting with acute shoulder pain and limited range of motion, often following a fall or repetitive overhead activities.
Ensure that all surgical interventions are documented, including the type of repair performed and any grafts used.
Comprehensive evaluations including functional assessments and treatment plans.
Patients undergoing rehabilitation post-surgery or those with chronic pain due to tendon rupture.
Documenting the patient's progress and response to therapy is crucial for ongoing treatment coding.
Used when surgical repair is performed for a spontaneous rupture of the extensor tendons.
Operative report detailing the procedure, findings, and any grafts used.
Orthopedic surgeons must ensure all aspects of the surgery are documented for accurate coding.
Spontaneous tendon rupture occurs without a specific injury or trauma, often due to degeneration or chronic overuse, while traumatic rupture results from a specific incident or injury.
