M66.219
BillableSpontaneous rupture of extensor tendons, unspecified shoulder
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A tendon in the shoulder that normally straightens or extends the arm has spontaneously torn or ruptured, but the specific side (left or right) is not documented.
Coding Tips
- •Use this code only when shoulder laterality cannot be determined from documentation
- •Query the provider to determine whether the rupture is on the right or left shoulder
Code Hierarchy
└M66Spontaneous rupture of synovium and tendon└M66.2Spontaneous rupture of extensor tendons└M66.21Spontaneous rupture of extensor tendons, shoulder└M66.219Spontaneous rupture of extensor tendons, unspecified shoulder
└M66.219Spontaneous rupture of extensor tendons, unspecified shoulder