icd 9 code for posterior tibial tendon insufficiency

Full Answer

What is the ICD 9 code for tibial tendon dysfunction?

PTTD is also know as posterior tibial tendonitis...ICD 9 code 726.72. Posterior tibial tendon dysfunction (PTTD), also known as posterior tibial tendonitis (726.72) one of the leading causes of acquired flatfoot in adults. The onset of PTTD may be slow and progressive or abrupt.

What is posterior tibial tendon insufficiency?

summary Posterior Tibial Tendon Insufficiency is the most common cause of adult-acquired flatfoot deformity, caused by attenuation and tenosynovitis of the posterior tibial tendon leading to medial arch collapse.

What are the stages of posterior tibial tendon dysfunction?

Answer: There are four stages of posterior tibial tendon dysfunction. Patients with stage I disease usually complain of pain along the course of the tendon, and there is evidence of local tendon inflammation. Patients with stage II disease show a mobile deformity of the hindfoot.

What does the posterior tibial tendon do?

Tendon posterior tibial tendon (PTT) lies posterior to the medial malleolus before dividing into 3 limbs anterior limb inserts onto navicular tuberosity and first cuneiform. middle limb inserts onto second and third cuneiforms, cuboid, and metatarsals 2-4. posterior limb inserts on sustentaculum tali anteriorly.

What is posterior tibial tendon insufficiency?

Posterior tibial tendon insufficiency (also called posterior tibial tendon dysfunction or adult acquired flatfoot) literally means the failure of the posterior tibial tendon. However, this condition also involves the failure of associated ligaments and joints on the medial (inner) side of the foot and ankle.

What is the posterior tibial tendon?

The posterior tibialis tendon is a strong cord of tissue. It is one of the most important tendons in your leg. It attaches the posterior tibialis muscle on the back of your calf to the bones on the inside of your foot. It helps support your foot and hold up its arch when you are walking.

Is the posterior tibial tendon a flexor or extensor?

Because the tibialis posterior (TP) originates from the posterior compartment of the lower leg, the tibialis posterior is also a secondary plantar flexor of the foot along with the gastrocnemius, soleus, and plantaris muscles.

What is the CPT code for posterior tibial tendon repair?

Report 28202 if a free graft is used for the repair. The patient may be placed in a cast for six to eight weeks. Procedures 28200 and 28202 may be reported multiple times as these codes should be reported for each flexor tendon repair.

Where does the posterior tibial tendon start?

Origin. The origin of the muscle is: Proximal postero-lateral aspect of the tibia. Mid portion: Situated in the deep posterior compartment of the lower leg and runs proximal to the medial malleoli where it is secured by the flexor retinaculum.

Where does the posterior tibial tendon end?

Ankle Anatomy The posterior tibial muscle attaches to the back of the shin bone. The posterior tibial tendon connects this muscle to the bones of the foot. A tendon is a thick cord of tissue that attaches a muscle to a bone. The posterior tibial tendon passes down the back of the leg, not far from the Achilles tendon.

Is tibialis posterior a calf muscle?

The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg....Tibialis posterior muscleInsertionNavicular and medial cuneiform boneArteryPosterior tibial arteryNerveTibial nerve11 more rows

Are plantar fasciitis and posterior tibial tendonitis related?

The patient presented with extremely tight calf muscles which is a cause of tibialis posterior tendonitis, and is also a common cause of plantar fasciitis.

Can CPT code 28285 and 28270 be billed together?

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.

What is procedure code 28300?

CPT® 28300, Under Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes. The Current Procedural Terminology (CPT®) code 28300 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

What is the CPT code for kidner type procedure?

2271500922715009 - Kidner operation with tendon transfer - SNOMED CT.

What is the code for synovial disorder?

The most appropriate code that I could come up with is 727.9, " Unspecified disorder of synovium, tendon, and bursa ".

What is the function of the os tibiale externum?

The os tibiale externum functions to facilitate motion around the navicular. The os tibiale externum functions much in the same way that the knee cap (patella) works to guide the quadraceps tendon around the knee as it bends. The os tibiale externum can undergo degenerative wear called chondromalacia.

Why is my tendon so slow to heal?

Extremely small blood vessels also permeate the tendon sheath to reach tendon. This makes all tendon notoriously slow to heal. In the case of the posterior tibial tendon, this problem is exacerbated by a distinct area of poor blood flow (hypovascularity).

What is the test for PTTD?

A common test to evaluate PTTD is the 'too many toes sign'. The 'too many toes sign' is a test used to measure abduction (deviation away from the midline of the body) of the forefoot. With damage to the posterior tibial tendon, the forefoot will abduct or move out in relationship to the rest of the foot.

Can a tibiale externum fracture?

The os tibiale externum can undergo degenerative wear called chondromalacia. The os tibiale externum also can fracture. Therefore, the os tibiale externum must also be considered when diagnosing PT tendon pain and planning surgery for PTTD. Excision of the os tibiale externum during PT tendon correction is common.

Where is the sinus tarsi?

The sinus tarsi refers to a small tunnel or divot on the outside of the ankle that can actually be felt. This tunnel is the entry to the subtalar joint.

Where is the hypovascularity of the tendon?

The most contemporary explanation refers to an area of hypovascularity (limited blood flow) in the tendon just below the ankle. Tendon derives most of its' nutritional support from synovial fluid produced by the outer lining of the tendon. Extremely small blood vessels also permeate the tendon sheath to reach tendon.

Not Valid for Submission

956.2 is a legacy non-billable code used to specify a medical diagnosis of injury to posterior tibial nerve. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

Convert 956.2 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

Information for Medical Professionals

References found for the code 956.2 in the Index of Diseases and Injuries:

ICD-9 Footnotes

General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.