Spontaneous rupture of flexor tendons, lower leg
ICD-10 M66.36 is a billable code used to indicate a diagnosis of spontaneous rupture of flexor tendons, lower leg.
Spontaneous rupture of flexor tendons in the lower leg is a condition characterized by the unexpected tearing of the flexor tendons, which are responsible for bending the toes and foot. This condition can occur due to various factors, including underlying degenerative changes, inflammatory conditions such as tenosynovitis, or acute trauma. Patients may present with sudden pain, swelling, and loss of function in the affected area. The diagnosis is typically confirmed through clinical examination and imaging studies, such as ultrasound or MRI, which can visualize the extent of the tendon rupture. Treatment options may include conservative management with rest and immobilization or surgical intervention to repair the ruptured tendon, depending on the severity of the injury and the patient's functional needs. Surgical repair often involves tendon suturing or grafting, followed by rehabilitation to restore strength and mobility. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Detailed operative notes, imaging results, and pre-operative assessments are necessary.
Patients presenting with acute pain and swelling in the lower leg after a fall or sports injury.
Ensure that the surgical approach and any graft materials used are clearly documented.
Comprehensive evaluations of functional limitations and rehabilitation plans.
Patients recovering from tendon repair surgery requiring physical therapy.
Document progress notes that reflect improvements in range of motion and strength.
Used when surgical repair is performed for a spontaneous rupture.
Operative report detailing the procedure and any graft materials used.
Orthopedic surgeons should ensure accurate coding of the procedure based on the specific tendon repaired.
Common causes include chronic degenerative changes, inflammatory conditions such as tenosynovitis, and sometimes systemic diseases that weaken tendon integrity.
