Spontaneous rupture of flexor tendons, unspecified shoulder
ICD-10 M66.319 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, unspecified shoulder.
Spontaneous rupture of flexor tendons in the shoulder is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for the movement of the shoulder joint. This condition can occur without any apparent trauma or injury, often linked to underlying degenerative changes or inflammatory processes. Patients may present with acute pain, swelling, and limited range of motion in the shoulder. The rupture can lead to significant functional impairment, affecting daily activities and quality of life. Diagnosis typically involves a thorough clinical examination, imaging studies such as MRI or ultrasound, and sometimes arthroscopy 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 torn tendon, depending on the severity of the rupture and the patient's overall health status. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the condition.
Detailed operative reports, imaging results, and pre-operative assessments.
Patients presenting with acute shoulder pain and limited mobility, often after a sudden onset of symptoms.
Documentation must clearly differentiate between spontaneous and traumatic ruptures to ensure accurate coding.
Comprehensive evaluations, treatment plans, and progress notes.
Patients undergoing rehabilitation post-surgery or those with chronic pain due to tendon rupture.
Focus on functional outcomes and the impact of the rupture on daily activities.
Used when surgical repair is performed for spontaneous rupture of flexor tendons.
Operative report detailing the procedure, findings, and post-operative care.
Orthopedic surgeons must document the specific tendon repaired and any complications.
Spontaneous tendon rupture occurs without any external trauma, often due to degenerative changes, while traumatic rupture results from an injury or accident.
