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Chronic Achilles tendon rupture

  1. #1
    Default Chronic Achilles tendon rupture
    Medical Coding Books
    What dx code are you using for a chronic Achilles tendon rupture

    I'm not sure about 727.67 says non traumatic........this injury was traumatic, its just old

    Not sure about internal derangement code as the Achilles is not in a joint?

    any thoughts?

  2. #2
    Location
    Greater Pittsburgh
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    390
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    I use 727.67 for recurrent, if it is traumatic new injury it would be 845.09. I relate it to the shoulder for current traumatic injury rotator cuff 840.4, but if the patient is 60 some years old and has had pain for years and does have a rotator cuff tear, but who knows when or how they did it I use 726.10.

    Just my thoughts what do you think.?
    jdemar, CPC, CMA

  3. #3
    Default
    my problem is the 727.67 title of code says "non traumatic" , it doesnt say chronic, old , recurrent , like some of the other chronic codes do. this particular patient did have a significant fall down some stairs, but it was quite some time ago, so would you use a code that says "non traumatic"??

  4. #4
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    No I would not use non traumatic code, sorry, misunderstood.

    In checking cross codes 845.09 is an allowable code for the 27654 CPT code and since the ICD 9 code does not specify current injury you might be able to use it or you may look @ 905.8, late effect of tendon injury classifable to 840-848. I would querry the Dr. on which to use.
    Last edited by jdemar; 07-25-2011 at 11:24 AM.
    jdemar, CPC, CMA

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