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M66.319

Billable

Spontaneous rupture of flexor tendons, unspecified shoulder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

The flexor tendons in the shoulder spontaneously tear or rupture, but the specific side (left or right) is not documented or specified.

Coding Tips

  • •Use this code only when laterality cannot be determined from documentation; query provider if possible for specificity
  • •This is a less specific code; attempt to obtain clarification on which shoulder is affected

Code Hierarchy

└M66Spontaneous rupture of synovium and tendon└M66.3Spontaneous rupture of flexor tendons└M66.31Spontaneous rupture of flexor tendons, shoulder└M66.319Spontaneous rupture of flexor tendons, unspecified shoulder
└M66.319Spontaneous rupture of flexor tendons, unspecified shoulder

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