Spontaneous rupture of extensor tendons, other site
ICD-10 M66.28 is a billable code used to indicate a diagnosis of spontaneous rupture of extensor tendons, other site.
Spontaneous rupture of extensor tendons, particularly at sites other than the commonly affected areas such as the wrist or fingers, can occur due to various underlying conditions, including chronic tenosynovitis or degenerative tendon changes. This condition is characterized by the sudden loss of tendon integrity, which may lead to functional impairment and pain. Patients often present with acute pain, swelling, and loss of function in the affected area. Diagnosis typically involves a thorough clinical examination and imaging studies, such as ultrasound or MRI, to confirm the rupture and assess the extent of damage. Treatment may involve conservative management, including rest and physical therapy, or surgical intervention to repair the tendon, depending on the severity of the rupture and the patient's functional needs. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the condition and its management.
Detailed operative reports, imaging studies, and pre-operative assessments.
Patients presenting with acute pain and functional loss in the extremities, often following a history of repetitive strain or underlying tendon pathology.
Documentation must clearly outline the surgical approach, extent of the repair, and any complications encountered during the procedure.
Comprehensive evaluations, treatment plans, and progress notes detailing functional assessments.
Patients undergoing rehabilitation post-surgery or those receiving conservative management for tendon ruptures.
Focus on functional outcomes and the impact of the injury on daily activities is crucial for accurate coding.
Used when surgical repair of the ruptured extensor tendon is performed.
Operative report detailing the procedure, including the extent of the repair and any complications.
Orthopedic surgeons must document the specific tendon repaired and any associated procedures.
Common causes include chronic degenerative changes, inflammatory conditions such as tenosynovitis, and acute trauma. Patients with underlying conditions like rheumatoid arthritis are at higher risk.
