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
727.67 - Nontraumatic rupture of achilles tendon. ICD-10-CM.
27650: Repair, primary, open or percutaneous, ruptured Achilles tendon; Lay Description (Code): The physician repairs a ruptured Achilles tendon.
Function. Through the action of the triceps surae, which raises the heel and lowers the forefoot, the Achilles tendon is involved in plantar flexion of the foot (approximately 93% of the plantar flexion force).
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.
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.
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)
The Achilles (uh-KILL-ease) tendon is a band of tissue in the back of your leg. This tendon links your heel bone (calcaneus, pronounced cal-KAY-nee-us) to your calf muscles. It's also called the calcaneal tendon. You have two Achilles tendons, one in each leg.
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.
Achilles tendon ruptures are most often caused by sudden, strenuous athletic activity that was not preceded by proper stretching, Ruptures usually occur during high-stress activities such as running, cutting or jumping, but sometimes the tendon becomes chronically weakened and can give way during less strenuous ...
Rupture usually occurs in the section of the tendon situated within 2 1/2 inches (about 6 centimeters) of the point where it attaches to the heel bone. This section might be prone to rupture because blood flow is poor, which also can impair its ability to heal.
The doctor might ask you to kneel on a chair or lie on your stomach with your feet hanging over the end of the exam table. He or she might then squeeze your calf muscle to see if your foot will automatically flex. If it doesn't, you probably have ruptured your Achilles tendon.
The incidence of Achilles tendon rupture in the general population is approximately 5 to 10 per 100,000, but may be higher in some regions and populations, and is increasing overall [2-5]. Over 80 percent of ruptures occur during recreational sports.
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).
This outpatient procedure is designed to repair a damaged Achilles tendon. During the procedure, injured and scarred tissue is removed. This can reduce or eliminate the pain of tendinitis.
Response: The primary surgery was the removal of posterior calcaneal spur which can be billed using CPT 28120 (partial excision, calcaneus) or CPT 28118 (ostectomy, calcaneus).
27687Reporting an open gastrocnemius recession is straightforward: 27687 Gastrocnemius recession (eg, Strayer procedure) properly describes the procedure.