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M66.819

Billable

Spontaneous rupture of other 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 (other than flexor tendons) spontaneously tears, but it is unclear whether it is the right or left side.

Coding Tips

  • •This unspecified laterality code should only be used when the side cannot be determined from documentation
  • •Query the provider if possible to determine right versus left for more specific coding

Code Hierarchy

└M66Spontaneous rupture of synovium and tendon└M66.8Spontaneous rupture of other tendons└M66.81Spontaneous rupture of other tendons, shoulder└M66.819Spontaneous rupture of other tendons, unspecified shoulder
└M66.819Spontaneous rupture of other tendons, unspecified shoulder

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