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Home/Diagnosis/ICD-10 Coding for Achilles Rupture

ICD-10 Coding for Achilles Rupture

S86.01xA
M66.36

Complete ICD-10-CM coding and documentation guide for icd-10 coding for achilles rupture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Achilles Tendon Tear
Achilles Tendon Rupture
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Key Information: ICD-10 Coding for Achilles Rupture

Essential facts and insights about ICD-10 Coding for Achilles Rupture

Use ICD-10 code S86.01xA for strain of achilles tendon, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of Achilles tendon, initial encounter

Non-Billable
S86.01xA
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of acute trauma and positive Thompson test
documentation:
  • • Detailed mechanism of injury and imaging results

Applicable To

  • • Acute traumatic rupture of Achilles tendon

Important Notes

  • • Ensure documentation specifies traumatic mechanism and laterality.

Spontaneous rupture of flexor tendon, lower leg

Non-Billable
M66.36
Non-Billable

Diagnostic Criteria

clinical:
  • • History of tendinopathy
  • • Absence of acute trauma
  • • MRI showing degenerative changes

Applicable To

  • • Spontaneous rupture of Achilles tendon

Important Notes

  • • Document any underlying conditions contributing to the rupture.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.52

Long-term (current) use of systemic steroids

Use when steroid use is documented in spontaneous ruptures.

Frequently Asked Questions

What is the ICD-10 code for a traumatic Achilles rupture?

The ICD-10 code for a traumatic Achilles rupture is S86.01xA, which indicates a strain of the Achilles tendon during an initial encounter.

How do you code a spontaneous Achilles tendon rupture?

Use ICD-10 code M66.36 for a spontaneous rupture of the Achilles tendon, often associated with degenerative conditions.

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