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Home/Diagnosis/ICD-10 Coding for Rupture of Achilles Tendon

ICD-10 Coding for Rupture of Achilles Tendon

S86.012A
M66.361

Complete ICD-10-CM coding and documentation guide for icd-10 coding for rupture of achilles tendon 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 Rupture of Achilles Tendon

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

Use ICD-10 code S86.012A for strain of left achilles tendon, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of left Achilles tendon, initial encounter

Billable Code
S86.012A
Billable

Diagnostic Criteria

clinical:
  • • Documented traumatic event leading to rupture
coding:
  • • Use external cause codes for traumatic events

Applicable To

  • • Traumatic rupture of left Achilles tendon

Important Notes

  • • Ensure laterality is specified and link to external cause codes for traumatic cases.

Spontaneous rupture of right Achilles tendon

Billable Code
M66.361
Billable

Diagnostic Criteria

clinical:
  • • No history of trauma
  • • Possible history of tendinopathy or steroid use

Applicable To

  • • Non-traumatic rupture of right Achilles tendon

Important Notes

  • • Ensure documentation of 'no trauma' and any underlying conditions.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.2

Long-term (current) use of steroids

Use if steroid use is a contributing factor.

Frequently Asked Questions

What is the ICD-10 code for a ruptured Achilles tendon?

The ICD-10 code for a traumatic rupture of the Achilles tendon is S86.012A for the left leg. For spontaneous ruptures, use M66.361 for the right leg.

How do you code a spontaneous Achilles tendon rupture?

For spontaneous Achilles tendon ruptures, use ICD-10 code M66.36-. Ensure to document any underlying conditions that may have contributed.

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