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ICD-10 Guide
ICD-10 CodesM67.0

M67.0

Billable

Short Achilles tendon (acquired)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M67.0 is a billable code used to indicate a diagnosis of short achilles tendon (acquired).

Key Diagnostic Point:

Short Achilles tendon (acquired) refers to a condition where the Achilles tendon is abnormally shortened due to various factors, including chronic inflammation, repetitive stress, or surgical interventions. This condition can lead to functional limitations, pain, and an increased risk of tendon ruptures. Patients may present with symptoms such as heel pain, difficulty in plantar flexion, and a noticeable decrease in the range of motion. The condition is often associated with tenosynovitis, where the synovial sheath surrounding the tendon becomes inflamed, leading to further complications. Surgical repairs may be necessary in cases of significant shortening or rupture, which can involve tendon lengthening procedures or reconstruction. Accurate diagnosis typically involves physical examination, imaging studies such as ultrasound or MRI, and a thorough assessment of the patient's history and activity level. Treatment options may include conservative management with physical therapy, orthotics, and anti-inflammatory medications, or surgical intervention in more severe cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for detailed documentation of prior treatments and interventions
  • Potential for co-existing conditions affecting the Achilles tendon
  • Differentiation from other tendon disorders and injuries

Audit Risk Factors

  • Inadequate documentation of the condition's chronicity
  • Failure to document associated procedures or treatments
  • Misclassification of the condition as a primary diagnosis when it is secondary
  • Lack of imaging studies to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed notes on physical examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with heel pain, limited mobility, or post-surgical follow-ups.

Billing Considerations

Ensure that all surgical interventions are documented, including pre-operative assessments and post-operative outcomes.

Physical Therapy

Documentation Requirements

Progress notes detailing treatment modalities, patient response, and functional outcomes.

Common Clinical Scenarios

Rehabilitation following Achilles tendon surgery or conservative management of tendon shortening.

Billing Considerations

Document specific exercises and modalities used, as well as patient adherence to the therapy plan.

Coding Guidelines

Inclusion Criteria

Use M67.0 When
  • According to ICD
  • 10 guidelines, M67
  • 0 should be used when the Achilles tendon shortening is acquired and not congenital
  • It is essential to document the cause of the shortening, whether due to injury, surgery, or chronic conditions

Exclusion Criteria

Do NOT use M67.0 When
  • Exclusion criteria include congenital tendon shortening or other specific tendon disorders

Related ICD-10 Codes

Related CPT Codes

27650CPT Code

Repair of Achilles tendon

Clinical Scenario

Used when a patient undergoes surgical repair due to acquired shortening.

Documentation Requirements

Surgical notes detailing the procedure, indications, and post-operative care.

Specialty Considerations

Orthopedic surgeons should ensure comprehensive documentation of the surgical approach and outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like M67.0, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like M67.0, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like M67.0, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of acquired short Achilles tendon?

Common causes include chronic inflammation from repetitive stress, previous surgical interventions, and conditions that affect tendon elasticity.