Breakdown (mechanical) of muscle and tendon graft, sequela

This code signifies a mechanical failure or disruption of a previously implanted muscle or tendon graft. This breakdown is not an acute event but rather a long-term complication or residual effect of the initial graft procedure. It indicates a structural compromise of the graft material itself, leading to impaired function.

Use this code when documenting a patient presenting with symptoms or findings related to a mechanical failure of a muscle or tendon graft that occurred in the past. This applies to situations where the graft has lost its structural integrity over time, such as fraying, rupture, or detachment, and the patient is now experiencing the lasting consequences of this breakdown. This code is appropriate for follow-up encounters addressing these long-term effects.

• This code is for sequelae, meaning it should be used for conditions that are the late effects of the graft breakdown, not the acute event.
• Always code the underlying reason for the original graft procedure if known and relevant to the current encounter.
• Be sure to document the specific muscle or tendon involved in the graft breakdown for maximum specificity.