2026 ICD-10-CM Diagnosis Code M66.249Spontaneous rupture of extensor tendons, unspecified hand

ICD-10-CM Codes›M00–M99›M65-M67›M66

ICD-10-CM M66.249
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M66.249 is a billable ICD-10-CM diagnosis code for spontaneous rupture of extensor tendons, unspecified hand. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 557 through 558. Coders also document this condition as hand and wrist extensor tendon rupture. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Tendon and synovial disorders.

Code Identity

ICD-10-CM Code
M66.249
Billable Status
Yes — Valid for Submission
Code Describes
Spontaneous rupture of extensor tendons, unspecified hand
Short Description
Spontaneous rupture of extensor tendons, unspecified hand
Same as the full description in the CMS dataset.
Parent Code
M66.24
Spontaneous rupture of extensor tendons, hand

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM65-M67Disorders of synovium and tendon
CategoryM66Spontaneous rupture of synovium and tendon
This CodeM66.249Spontaneous rupture of extensor tendons, unspecified hand

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Hand and wrist extensor tendon rupture
  • Nontraumatic rupture of extensor tendon of hand
  • Nontraumatic rupture of extensor tendon of hand and wrist
  • Nontraumatic rupture of extensor tendon of wrist region
  • Rupture wrist extensors

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS009
Tendon and synovial disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Hand Injuries and Disorders

No matter how old you are or what you do for a living, you are always using your hands. When there is something wrong with them, you may not be able to do your regular activities.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M66.249 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
727.63 Rupt exten tendon hand
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M66.249Overview

Is M66.249 (Spontaneous rupture of extensor tendons, hand) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report spontaneous rupture of extensor tendons, unspecified hand on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M66.249 group to?

When spontaneous rupture of extensor tendons, unspecified hand is the principal diagnosis on an inpatient stay, it groups to MS-DRG 557, 558, with relative weights from 0.8932 to 1.4869 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M66.249?

Under the General Equivalence Mappings, spontaneous rupture of extensor tendons, unspecified hand converts to ICD-9-CM 727.63 (rupt exten tendon hand). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.