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M66.9 ICD-10-CM Code: Spontaneous rupture of unspecified tendon

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FY 2026 Apr update / Diseases of the musculoskeletal system and connective tissue (M00-M99) / Disorders of synovium and tendon (M65-M67)

M66.9

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Spontaneous rupture of unspecified tendon

A spontaneous tear or rupture of a tendon when the specific tendon involved cannot be identified or is not documented.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
M66Spontaneous rupture of synovium and tendon
M66.9Spontaneous rupture of unspecified tendon

Inclusion Terms

Official
  • Rupture at musculotendinous junction, nontraumatic

Excludes 2

Official
  • rotator cuff syndrome (M75.1-)
  • rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region

Related Child Codes

Official
M66.0Rupture of popliteal cyst
M66.1Rupture of synovium
M66.2Spontaneous rupture of extensor tendons
M66.3Spontaneous rupture of flexor tendons
M66.8Spontaneous rupture of other tendons

Includes

Official
  • rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for M66.9 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for M66.9 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for M66.9 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for M66.9 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This is a non-specific code; query the provider for more detail about which tendon ruptured
Use only when documentation does not allow for a more specific tendon rupture code

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is M66.9 an HCC code?

No. M66.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

M66.9 is the ICD-10-CM diagnosis code for spontaneous rupture of unspecified tendon. A spontaneous tear or rupture of a tendon when the specific tendon involved cannot be identified or is not documented. M66.9 sits in the ICD-10-CM chapter for diseases of the musculoskeletal system and connective tissue (m00-m99), within the section covering disorders of synovium and tendon (m65-m67).

M66.9 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This is a non-specific code; query the provider for more detail about which tendon ruptured.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for M66.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a non-specific code; query the provider for more detail about which tendon ruptured
  • Use only when documentation does not allow for a more specific tendon rupture code

Child Codes

Code Hierarchy

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