As long as the injury is not very severe, an Achilles tendon can heal on its own, but it can take some time. Although the pain and the swelling may drastically reduce after around 3-6 weeks, complete healing can take several months. This is because the muscles need time to restore and rebuild their strength.
Your foot and ankle flex downward so that the Achilles tendon can heal. Surgery: Most providers recommend surgical repair of a torn Achilles tendon in people who are active and middle-aged or younger. During surgery, a surgeon stitches the two ends of the torn tendon back together.
Systemic diseases that may be associated with Achilles tendon injuries include the following:
S86.001AICD-10 Code for Unspecified injury of right Achilles tendon, initial encounter- S86. 001A- Codify by AAPC.
CPT Code: 27650 Surgery to repair a torn Achilles tendon. This procedure may be performed as an open procedure or percutaneously. During an open surgery an incision is made in the back of the leg and the Achilles tendon is stitched together.
27650: Repair, primary, open or percutaneous, ruptured Achilles tendon; Lay Description (Code): The physician repairs a ruptured Achilles tendon.
Types of Achilles tendon repairGastrocnemius recession—The orthopedic surgeon lengthens the calf muscles to reduce stress on the tendon.Debridement and repair—During this procedure, the surgeon removes the damaged part of the Achilles tendon and repairs the remaining tendon with sutures or stitches.
Secondary repair: A repair performed after two weeks of injury. Primary repairs usually involve direct surgical correction of the injury, while secondary repairs may include tendon grafts or other more complex procedures.
Cases with Current Procedural Terminology (CPT) codes 27650 (primary repair, open or percutaneous, and ruptured Achilles tendon), 27652 (primary repair with graft, open or percutaneous, and ruptured Achilles tendon), and 27654 (secondary repair, with or without graft, and ruptured Achilles tendon) were selected from ...
CPT® Code 27652 in section: Repair, primary, open or percutaneous, ruptured Achilles tendon.
CPT® Code 27654 - Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint - Codify by AAPC.
ICD-10 Code for Achilles tendinitis, right leg- M76. 61- Codify by AAPC.
The most common method is an open repair. This starts with your surgeon making an incision on the back of the lower leg starting just above the heel bone. After the surgeon finds the two ends of the ruptured tendon, they sew these ends together with sutures and close the incision.
This is done with a tendon taken from another place in your foot. In some cases, the Achilles tendon repair surgery can be done as a minimally invasive procedure. This is done with several small incisions instead of one large one. It may use a special scope with a tiny camera and a light to help do the repair.
You can treat an Achilles tendon rupture with surgery or by using a cast, splint, brace, walking boot, or other device that will keep your lower leg and ankle from moving (immobilization). Both surgery and immobilization are usually successful. Another rupture is less likely after surgery than after immobilization.