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Home/Diagnosis/ICD-10 Coding for Torn Achilles Tendon

ICD-10 Coding for Torn Achilles Tendon

S86.01xA
M66.36x

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

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

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

Use ICD-10 code S86.01xA for strain of achilles tendon, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Strain of Achilles tendon, initial encounter

Non-Billable
S86.01xA
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of a traumatic event leading to rupture.
documentation:
  • • Detailed description of the injury mechanism and physical exam findings.

Applicable To

  • • Traumatic rupture of Achilles tendon

Important Notes

  • • Ensure documentation specifies the mechanism of injury and laterality.

Spontaneous rupture of Achilles tendon

Non-Billable
M66.36x
Non-Billable

Applicable To

  • • Degenerative rupture of Achilles tendon

Important Notes

  • • Document absence of trauma and presence of degenerative changes.
Ancillary Codes

Additional codes that may be used with this diagnosis

W18.41xA

Fall from curb, initial encounter

Use to specify the external cause of the injury.

Frequently Asked Questions

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

The ICD-10 code for a traumatic rupture of the Achilles tendon is S86.01xA, while M66.36x is used for spontaneous ruptures.

How do you document a torn Achilles tendon?

Document the mechanism of injury, laterality, and confirm with imaging like MRI. Include encounter type and any relevant physical exam findings.

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