M66.20 — Spontaneous rupture of extensor tendons, unspecified site
Is M66.20 billable?
Yes, but M66.20 is an unspecified code. M66.20 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M66.20 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M66.20 — the more specific alternatives are listed below.
More specific alternatives
- M66.21Spontaneous rupture of extensor tendons, shouldernot billable
- M66.22Spontaneous rupture of extensor tendons, upper armnot billable
- M66.23Spontaneous rupture of extensor tendons, forearmnot billable
- M66.24Spontaneous rupture of extensor tendons, handnot billable
- M66.25Spontaneous rupture of extensor tendons, thighnot billable
- M66.26Spontaneous rupture of extensor tendons, lower legnot billable
- M66.27Spontaneous rupture of extensor tendons, ankle and footnot billable
- M66.28Spontaneous rupture of extensor tendons, other site
- M66.29Spontaneous rupture of extensor tendons, multiple sites
M66.20 at a glance
| Code | M66.20 |
|---|---|
| Description | Spontaneous rupture of extensor tendons, unspecified site |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M66.20 group to?
M66.20 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 557Tendonitis, Myositis and Bursitis with MCCmedical
- 558Tendonitis, Myositis and Bursitis without MCCmedical
How is M66.20 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M66.20. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Rupture, ruptured › tendon › nontraumatic › extensor
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M66.20, but a patient may have both at the same time. When documentation supports it, M66.20 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M66
The conditions below are not part of M66.20, but a patient may have both at the same time. When documentation supports it, M66.20 and the excluded code may both be reported.
- rotator cuff syndrome (M75.1-)
- rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region
How long has M66.20 existed?
M66.20 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the M66.2 family? (9)
- M66.21Spontaneous rupture of extensor tendons, shouldernot billable
- M66.22Spontaneous rupture of extensor tendons, upper armnot billable
- M66.23Spontaneous rupture of extensor tendons, forearmnot billable
- M66.24Spontaneous rupture of extensor tendons, handnot billable
- M66.25Spontaneous rupture of extensor tendons, thighnot billable
- M66.26Spontaneous rupture of extensor tendons, lower legnot billable
- M66.27Spontaneous rupture of extensor tendons, ankle and footnot billable
- M66.28Spontaneous rupture of extensor tendons, other site
- M66.29Spontaneous rupture of extensor tendons, multiple sites