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

ICD-10 Coding for Tear of Achilles Tendon

S86.011A
M66.362

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

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

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

Use ICD-10 code S86.011A for strain of right achilles tendon, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of right Achilles tendon, initial encounter

Billable Code
S86.011A
Billable

Diagnostic Criteria

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

Applicable To

  • • Traumatic rupture of right Achilles tendon

Important Notes

  • • Ensure documentation specifies laterality and encounter type.

Spontaneous rupture of left Achilles tendon

Billable Code
M66.362
Billable

Diagnostic Criteria

clinical:
  • • MRI showing chronic tendinopathy
  • • No history of trauma

Applicable To

  • • Non-traumatic rupture of left Achilles tendon

Important Notes

  • • Document absence of trauma and presence of underlying conditions.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00.0XXA

Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter

Use to describe the external cause of the injury.

Frequently Asked Questions

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

The ICD-10 code for a traumatic Achilles tendon tear is S86.0-, with specific codes for laterality and encounter type.

How do you code a spontaneous Achilles tendon rupture?

Use M66.3- for spontaneous Achilles tendon ruptures, ensuring documentation excludes trauma.

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