ICD Code M66.852

ICD code M66.852 is used to classify and document a medical diagnosis where there is a spontaneous rupture of a tendon located in the left thigh. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), which is a system used by healthcare providers to standardize the diagnosis of medical conditions. The term "spontaneous rupture" indicates that the tendon has torn or split without any external trauma or injury, often due to underlying conditions such as tendon degeneration or overuse. This specific code helps in accurately recording the condition for treatment planning, billing, and statistical purposes.

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

1. Acute Onset of Pain: Sudden and severe pain in the left thigh, often described as a tearing sensation.

2. Swelling and Bruising: Noticeable swelling and bruising in the area surrounding the left thigh, indicating possible internal bleeding.

3. Limited Range of Motion: Difficulty or inability to move the left thigh or leg due to pain or mechanical instability.

4. Palpable Defect: A noticeable gap or defect in the tendon upon physical examination, which may be felt during palpation.

5. Functional Impairment: Inability to perform normal activities, such as walking or climbing stairs, due to pain or weakness in the left thigh.

6. History of Overuse or Trauma: Recent history of overuse, trauma, or sudden increase in physical activity that may have contributed to the tendon rupture.

7. Diagnostic Imaging Findings: Confirmation of tendon rupture through imaging studies such as MRI or ultrasound, showing disruption of tendon continuity.

8. Exclusion of Other Conditions: Ruling out other potential causes of thigh pain, such as fractures, muscle tears, or other tendon injuries.

These criteria should be carefully evaluated to determine the appropriate use of the ICD code.

For the ICD code M66.852, which pertains to the spontaneous rupture of other tendons in the left thigh, the relevant CPT codes that may be applicable for treatment include:

1. 27385 - Suture of infrapatellar tendon.

2. 27386 - Suture of quadriceps or hamstring muscle rupture; primary.

3. 27387 - Suture of quadriceps or hamstring muscle rupture; secondary.

4. 27650 - Repair, primary, open or percutaneous, of ruptured Achilles tendon.

5. 27652 - Repair, primary, open or percutaneous, with graft, of ruptured Achilles tendon.

6. 27654 - Repair, secondary, Achilles tendon, with or without graft.

These CPT codes are examples of procedures that might be performed to address tendon ruptures in the thigh area, depending on the specific clinical scenario and physician's assessment. Always consult with a coding specialist or use a coding tool to ensure accurate coding based on the specific details of the case.

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