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

ICD-10 Coding for Biceps Tendon Rupture

S46.11XA
M66.821

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

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

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

Use ICD-10 code S46.11XA for traumatic rupture of right long head of biceps, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Traumatic rupture of right long head of biceps, initial encounter

Non-Billable
S46.11XA
Non-Billable

Diagnostic Criteria

  • • Presence of traumatic event leading to rupture

Applicable To

  • • Acute traumatic rupture of right biceps tendon

Important Notes

  • • Ensure documentation specifies traumatic cause.

Spontaneous rupture of right upper arm tendon

Billable Code
M66.821
Billable

Diagnostic Criteria

    Applicable To

    • • Nontraumatic rupture of right biceps tendon

    Important Notes

    • • Ensure documentation specifies nontraumatic cause.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    M75.22

    Bicipital tendinitis

    Use when there is underlying degenerative change.

    Z87.81

    Personal history of tendon rupture

    Use for recurrent cases.

    Frequently Asked Questions

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

    The ICD-10 code for a traumatic rupture of the right biceps tendon is S46.11XA, used for initial encounters.

    How do you code a spontaneous biceps tendon rupture?

    For a spontaneous rupture of the right biceps tendon, use ICD-10 code M66.821, indicating a nontraumatic cause.

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