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Unspecified injury of right Achilles tendon, initial encounter. S86.001A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM S86.001A became effective on October 1, 2018.
Diagnosis Index entries containing back-references to Q66.89: Clawfoot (congenital) Q66.89 Clawtoe (congenital) Q66.89 Clubfoot (congenital) Q66.89 Coalition calcaneo-scaphoid Q66.89 Contraction(s) Achilles tendon - see also Short, tendon, Achilles congenital Q66.89 Deformity Q89.9 ICD-10-CM Diagnosis Code Q89.9
S86.0 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM S86.0 became effective on October 1, 2021.
NATURE OF OPERATION: Left Achilles tendon debridement and repair with graft, flexor hallucis longus tendon transfer and partial ostectomy calcaneus. OPERATIVE INDICATIONS: The patient is a 46-year-old gentleman who has had over two years of pain in his left posterior heel, some interstitial signal on MRI was noted.
Anatomy. The plantaris muscle is a fine rope-like tendon running next to the larger Achilles Tendon. Its function is to work with the Achilles to flex the ankle and knee joint by extending from the outside (lateral) back of the femur (allowing you to stand on your toes or point your foot).
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.
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.
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)
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.
ICD-10 code S86. 0 for Injury of Achilles tendon is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
This outpatient procedure is used in the correction of conditions such as flatfoot, chronic Achilles tendonitis, or equinus (commonly called toe walking). Gastrocnemius recession lengthens the muscles and tendons at the back of the leg, allowing the heel to shift downward into a more natural position.
The goal of percutaneous Achilles tendon repair is to capture the proximal fibers and approximate them against the distal fibers while preserving the natural clot and not disrupting the Achilles tendon sheath.
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.
The AAOS Global Service Guidelines restrict reporting capsulotomy code 28270 in conjunction with code 28285 unless there is clear documentation of contracture at the metatarsophalangeal joint and it is correlated to a separate, supporting diagnosis. 7.
CPT® Code 27652 in section: Repair, primary, open or percutaneous, ruptured Achilles tendon.
CPT® 27654 in section: Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint.
Subcutaneous tissue was divided. Paratenon was incised and elevated off the tendon. The Achilles tendon and its insertion were exposed. Some chronic fibrotic changes seen near the incision. A longitudinal incision was made in the midline of the tendon. Fibrotic tissue within the core of the tendon was debrided.
The fascial overlying muscle was slightly released in order to further dissect out the tendon that was down into the posterior medial tunnel. Tibial nerve was not injured. The tendon was isolated and then cut. At that point, two G2 suture anchors were placed near where the Achilles tendon insertion is in the calcaneus.