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

ICD-10 Coding for Peroneal Tendon Tear

S86.511A
M66.88

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

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

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

Use ICD-10 code S86.511A for strain of peroneal muscle and tendon, right leg, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of peroneal muscle and tendon, right leg, initial encounter

Non-Billable
S86.511A
Non-Billable

Diagnostic Criteria

clinical:
  • • Confirmed traumatic rupture via imaging
documentation:
  • • Documented mechanism of injury

Applicable To

  • • Acute traumatic rupture of peroneal tendon

Important Notes

  • • Ensure documentation specifies the traumatic nature and laterality.

Spontaneous rupture of other tendons, not elsewhere classified

Billable Code
M66.88
Billable

Diagnostic Criteria

Applicable To

  • • Degenerative tear of peroneal tendon

Important Notes

  • • Ensure documentation specifies the degenerative nature and absence of trauma.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.571

Pain in right ankle and joints of right foot

Use to document associated symptoms.

Frequently Asked Questions

What is the ICD-10 code for a peroneal tendon tear?

The ICD-10 code for a traumatic peroneal tendon tear is S86.511A for the right leg and S86.512A for the left leg. For degenerative tears, use M66.88.

How do you code a nontraumatic peroneal tendon tear?

For nontraumatic, degenerative peroneal tendon tears, use ICD-10 code M66.88, ensuring documentation specifies no trauma history.

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