Systemic diseases that may be associated with Achilles tendon injuries include the following:
What can the athlete do?
If you overstretch your Achilles tendon, it can tear (rupture) completely or just partially. If your Achilles tendon ruptures, you might hear a pop, followed by an immediate sharp pain in the back of your ankle and lower leg that is likely to affect your ability to walk properly. Surgery is often performed to repair the rupture.
Treatment
An Achilles tendon rupture is a full or partial tear of the Achilles tendon. This acute (sudden) injury occurs when the tendon stretches to its breaking point. It happens most frequently while playing sports. Tripping, falling or twisting your ankle can also cause an Achilles tear.
27650: Repair, primary, open or percutaneous, ruptured Achilles tendon; Lay Description (Code): The physician repairs a ruptured Achilles tendon.
M76. 60 - Achilles tendinitis, unspecified leg | ICD-10-CM.
The Achilles tendon is a strong fibrous cord that connects the muscles in the back of your calf to your heel bone.
CPT Code: 27650 Surgery to repair a torn Achilles tendon. This procedure may be performed as an open procedure or percutaneously.
27650 (Repair, primary, open or percutaneous, ruptured Achilles tendon) 27652 (Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)) 27654 (Repair, secondary, Achilles tendon, with or without graft)
Achilles tendinosis refers to a degenerative process of the tendon without histologic or clinical signs of intratendinous inflammation. Treatment is based on whether to stimulate or prevent neovascularization. Thus, until now, there is no consensus as to the best treatment for this condition.
Tendinitis is an acutely inflamed swollen tendon that doesn't have microscopic tendon damage. The underlying culprit in tendinitis is inflammation. Tendinosis, on the other hand, is a chronically damaged tendon with disorganized fibers and a hard, thickened, scarred and rubbery appearance.
Achilles tendinitis is an overuse injury of the Achilles (uh-KILL-eez) tendon, the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. Achilles tendinitis most commonly occurs in runners who have suddenly increased the intensity or duration of their runs.
the Achilles tendonSometimes the Achilles tendon is torn during a non-sports-related injury such as a fall. The Achilles tendon is the thickest and strongest tendon in the body.
The Achilles tendon starts in the middle of your calf and extends down to your heel. It connects your calf muscles (gastrocnemius and soleus muscles) in the back of your lower leg to the heel bone in your foot.
Patients with rupture of the Achilles tendon can still walk. Patients with rupture of the Achilles tendon can still actively move the ankle up and down. Patients with an Achilles tendon rupture may even manage to stand on tiptoes (on both feet together — though not on the injured limb alone).
CPT® 27654 in section: Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint.
27650: Repair, primary, open or percutaneous, ruptured Achilles tendon; Lay Description (Code): The physician repairs a ruptured Achilles tendon. An incision is made overlying the tendon.
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.
For debridement of insertional Achilles tendinitis and repair (suture anchor versus bony trough), choose code 27680. For Achilles tendon debridement and repair for tendonosis, choose 27654 (Repair, secondary, Achilles tendon, with or without graft).
ICD Code S86.0 is a non-billable code. To code a diagnosis of this type, you must use one of the four child codes of S86.0 that describes the diagnosis 'injury of achilles tendon' in more detail.
Achilles tendon rupture is when the achilles tendon breaks. The achilles is the most commonly injured tendon. Rupture can occur while performing actions requiring explosive acceleration, such as pushing off or jumping.
S86.0. Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code S86.0 is a non-billable code.
ICD Code S86.092 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'other specified injury of left achilles tendon' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:
Achilles tendon rupture is when the achilles tendon breaks. The achilles is the most commonly injured tendon. Rupture can occur while performing actions requiring explosive acceleration, such as pushing off or jumping. The male to female ratio for Achilles tendon rupture varies between 7:1 and 4:1 across various studies.