Spontaneous rupture of other tendons, left upper arm

This code signifies a non-traumatic tear of a tendon in the patient's left upper arm, excluding the rotator cuff, flexor, and extensor tendons of the hand and wrist. This rupture occurs without an external force or injury, often due to degenerative changes or underlying systemic conditions.

Apply this code when documentation clearly indicates a spontaneous (non-traumatic) rupture of a tendon in the left upper arm, such as the biceps or triceps tendon. The medical record should specify the left side and rule out an acute injury as the cause.

• Ensure the documentation explicitly states "spontaneous" or "non-traumatic" to differentiate from traumatic ruptures.
• Verify the specific tendon involved is located in the upper arm and is not a rotator cuff tendon (which has its own specific codes).
• Confirm laterality (left upper arm) is clearly documented; separate codes exist for the right and unspecified sides.