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Home/Diagnosis/ICD-10 Coding for Biceps Tendon Tear

ICD-10 Coding for Biceps Tendon Tear

S46.211A
M66.821

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

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

Essential facts and insights about ICD-10 Coding for Biceps Tendon Tear

Use ICD-10 code S46.211A for strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter

Billable Code
S46.211A
Billable

Diagnostic Criteria

clinical:
  • • Presence of traumatic mechanism
documentation:
  • • Initial encounter status

Applicable To

  • • Acute traumatic strain of right biceps

Important Notes

  • • Ensure documentation specifies the traumatic nature and laterality.

Spontaneous rupture of other tendons, right arm

Billable Code
M66.821
Billable

Applicable To

  • • Degenerative rupture of right biceps tendon

Important Notes

  • • Ensure documentation specifies the degenerative nature and laterality.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.2

Rotator cuff tear

Use if there is a coexisting rotator cuff tear.

Frequently Asked Questions

What is the ICD-10 code for a bicep tear?

The ICD-10 code for a traumatic bicep tear is S46.211A for the right arm, initial encounter. For degenerative tears, use M66.821.

How do you document a bicep tear?

Document the mechanism of injury, laterality, and imaging findings. Specify if the tear is traumatic or degenerative.

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