ICD Code M66.271

ICD code M66.271 is used to classify and document a medical diagnosis of a spontaneous rupture of the extensor tendons in the right ankle and foot. This condition refers to the sudden tearing or breaking of the tendons that help extend or straighten the foot and toes, without any apparent external trauma or injury. Such ruptures can lead to pain, swelling, and difficulty in moving the affected foot or ankle, and may require medical intervention for proper healing and restoration of function. This code is crucial for healthcare providers to accurately record the condition for treatment planning, billing, and insurance purposes.

When to use the ICD code for spontaneous rupture of extensor tendons in the right ankle and foot, consider the following diagnostic criteria and symptoms:

1. Patient History
- Recent history of trauma or injury to the ankle or foot.
- Previous conditions affecting tendon integrity (e.g., chronic tendonitis).

2. Physical Examination Findings
- Visible deformity or abnormal positioning of the toes or foot.
- Swelling or edema localized around the ankle and foot.

3. Pain Assessment
- Acute pain in the ankle or foot, particularly during movement.
- Pain that worsens with weight-bearing activities.

4. Range of Motion
- Limited range of motion in the affected ankle and foot.
- Inability to extend the toes or foot properly.

5. Diagnostic Imaging
- MRI or ultrasound confirming the rupture of extensor tendons.
- X-rays to rule out associated fractures or other injuries.

6. Functional Impairment
- Difficulty performing daily activities due to pain or dysfunction.
- Inability to participate in sports or physical activities.

7. Response to Conservative Treatment
- Lack of improvement with rest, ice, compression, and elevation (RICE).
- No significant relief from pain management strategies.

8. Referral to Specialist
- Consultation with an orthopedic specialist for further evaluation.
- Recommendations for surgical intervention based on severity.

These criteria should guide healthcare providers in determining the appropriate use of the ICD code for this specific condition.

For the ICD code M66.271, which pertains to the spontaneous rupture of extensor tendons in the right ankle and foot, the relevant CPT codes that may be applicable for treatment include:

1. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon.

2. 27652 - Repair, primary, open or percutaneous, of ruptured tendon, other than Achilles, in the ankle or foot.

3. 27654 - Repair, secondary, with or without graft, of ruptured tendon, other than Achilles, in the ankle or foot.

4. 27658 - Repair, flexor tendon, leg; primary, without graft, each tendon.

5. 27659 - Repair, flexor tendon, leg; secondary, with or without graft, each tendon.

6. 27664 - Repair, extensor tendon, leg; primary, without graft, each tendon.

7. 27665 - Repair, extensor tendon, leg; secondary, with or without graft, each tendon.

These CPT codes are used to document and bill for the surgical repair of tendon ruptures in the ankle and foot, ensuring accurate reimbursement and efficient revenue cycle management for healthcare providers.

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