ICD Code M66.272

ICD code M66.272 is used to classify and document a medical diagnosis where there is a spontaneous rupture of the extensor tendons located in the left ankle and foot. This condition involves 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 and toes, and may require medical intervention for proper healing and restoration of function.

When to use the ICD code for spontaneous rupture of extensor tendons in the left 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
- Swelling and tenderness localized to the dorsal aspect of the ankle and foot.
- Palpable defect or gap in the extensor tendon region.

3. Functional Impairment
- Difficulty in extending the toes or foot.
- Inability to perform activities requiring ankle dorsiflexion.

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

5. Symptomatology
- Acute onset of pain following an injury.
- Bruising or discoloration around the ankle and foot area.
- Limited range of motion in the affected area.

6. Response to Conservative Treatment
- Lack of improvement with rest, ice, compression, and elevation (RICE) protocol.
- Persistent symptoms despite physical therapy interventions.

7. Surgical Consideration
- Indication for surgical intervention due to significant functional impairment or failure of conservative management.

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

For the ICD code M66.272, which pertains to the spontaneous rupture of extensor tendons in the left 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 typically used for surgical procedures related to tendon repair in the ankle and foot region. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario. Always ensure that the chosen CPT code aligns with the documented medical necessity and the services provided.

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