ICD Code M66.831

ICD code M66831 is used to classify and document a medical diagnosis of a spontaneous rupture of other tendons in the right forearm. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a system used by healthcare providers to standardize the recording of diseases and health conditions. The code specifically indicates that the rupture occurred without any external trauma or injury, affecting tendons in the right forearm that are not otherwise specified in other ICD codes. This information is crucial for accurate medical billing, ensuring that healthcare providers are reimbursed appropriately for the care provided to patients with this condition.

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

1. Patient History
- Recent history of trauma or injury to the right forearm.
- Previous tendon injuries or surgeries in the same area.

2. Physical Examination Findings
- Visible deformity or abnormal positioning of the right forearm.
- Swelling or bruising around the affected area.

3. Pain Assessment
- Severe pain localized to the right forearm, particularly during movement.
- Pain that worsens with palpation of the affected tendon.

4. Functional Limitations
- Inability to perform normal range of motion in the right forearm.
- Difficulty with grip strength or performing daily activities involving the right hand.

5. Imaging Studies
- MRI or ultrasound confirming the rupture of the tendon in the right forearm.
- X-rays to rule out associated fractures or other injuries.

6. Exclusion of Other Conditions
- Ruling out other potential causes of pain or dysfunction in the right forearm, such as fractures, ligament injuries, or nerve entrapments.

7. Onset of Symptoms
- Symptoms that developed suddenly, indicating an acute rupture rather than chronic degeneration.

By adhering to these criteria, healthcare providers can accurately determine the necessity of using the specific ICD code for documentation and billing purposes.

For the ICD code M66.831, which pertains to the spontaneous rupture of other tendons in the right forearm, the relevant CPT codes that may be applicable for treatment include:

1. 24341 - Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff).

2. 24342 - Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft.

3. 25260 - Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle.

4. 25270 - Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle.

5. 24343 - Reconstruction of tendon or muscle, upper arm or elbow, with tendon graft, each tendon or muscle.

These CPT codes are typically used for surgical interventions related to tendon repair or reconstruction in the forearm area. It's 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 documentation and the services provided.

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