Spontaneous rupture of other tendons, right lower leg
ICD-10 M66.861 is a billable code used to indicate a diagnosis of spontaneous rupture of other tendons, right lower leg.
Spontaneous rupture of tendons in the right lower leg can occur due to various factors, including underlying degenerative conditions, acute trauma, or chronic overuse. This condition is characterized by the sudden tearing of tendons, which may lead to significant pain, swelling, and functional impairment. The tendons in the lower leg, such as the Achilles tendon or peroneal tendons, are particularly susceptible to rupture due to their role in weight-bearing and movement. Patients may present with acute pain, a palpable defect in the tendon, and difficulty in ambulation. Diagnostic imaging, such as ultrasound or MRI, may be utilized to confirm the diagnosis and assess the extent of the injury. Treatment often involves conservative management, including rest, ice, compression, and elevation (RICE), followed by physical therapy. In some cases, surgical intervention may be necessary to repair the ruptured tendon, especially if there is a complete rupture or if conservative measures fail to provide relief. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed clinical notes, imaging results, and treatment plans.
Patients presenting with acute pain and swelling in the lower leg, often after a sudden movement.
Ensure documentation reflects the mechanism of injury and any prior tendon issues.
Functional assessments and rehabilitation plans.
Patients recovering from tendon repair or those undergoing conservative management.
Document progress and response to therapy to support ongoing treatment.
Used when surgical repair is performed for a spontaneous tendon rupture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the specific tendon repaired and the technique used.
Spontaneous tendon rupture occurs without a specific traumatic event, often due to degeneration, while traumatic rupture is the result of a specific injury or accident.
