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M66.811

Billable

Spontaneous rupture of other tendons, right 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 right shoulder (other than flexor tendons) spontaneously tears without a major injury.

Coding Tips

  • Confirm the rupture is on the right side and involves the shoulder joint area
  • Document which specific tendon ruptured (e.g., rotator cuff) if available for clinical clarity

Code Hierarchy

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