2027 ICD-10-CM Diagnosis Code M66.812Spontaneous rupture of other tendons, left shoulder

ICD-10-CM Codes›M00–M99›M65-M67›M66

ICD-10-CM M66.812
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

M66.812 is a billable ICD-10-CM diagnosis code for spontaneous rupture of other tendons, left shoulder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 557 through 558. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Tendon and synovial disorders.

This medical diagnosis code is frequently used in Orthopedics medical specialties to designate conditions such selected shoulder conditions.

Code Identity

ICD-10-CM Code
M66.812
Billable Status
Yes — Valid for Submission
Code Describes
Spontaneous rupture of other tendons, left shoulder
Short Description
Spontaneous rupture of other tendons, left shoulder
Same as the full description in the CMS dataset.
Parent Code
M66.81
Spontaneous rupture of other tendons, shoulder

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM65-M67Disorders of synovium and tendon
CategoryM66Spontaneous rupture of synovium and tendon
This CodeM66.812Spontaneous rupture of other tendons, left shoulder

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bilateral disorder of tendon of shoulders
  • Bilateral tendon disorder of biceps brachii
  • Injury of tendon of long head of left biceps brachii
  • Injury of tendon of long head of right biceps brachii
  • Non-traumatic rupture of biceps brachii tendon
  • Nontraumatic rupture of long head of biceps brachii tendon
  • Nontraumatic rupture of long head of biceps brachii tendon of left shoulder
  • Nontraumatic rupture of long head of biceps brachii tendon of right shoulder
  • Nontraumatic rupture of long head of bilateral biceps brachii tendons
  • Nontraumatic rupture of tendon of bilateral shoulders
  • Nontraumatic rupture of tendon of bilateral upper arms
  • Nontraumatic rupture of tendon of left shoulder
  • Nontraumatic rupture of tendon of left upper arm
  • Nontraumatic rupture of tendon of right shoulder
  • Nontraumatic rupture of tendon of right upper arm
  • Nontraumatic rupture of tendon of shoulder region
  • Nontraumatic rupture of tendon of upper arm
  • Rupture of tendon of biceps, long head
  • Rupture of tendon of left biceps brachii
  • Rupture of tendon of right biceps brachii

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to M66.812: its own notes plus those printed at M66 and Chapter 13. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From M66 Spontaneous rupture of synovium and tendon applies to 103 codes
  • rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From M66 Spontaneous rupture of synovium and tendon applies to 103 codes
  • rotator cuff syndrome (M75.1-)
  • rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region
From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 13 (M00-M99) Diseases of the musculoskeletal system and connective tissue applies to 6,687 codes
  • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name M66.812, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming M66.812: its condition is not part of those codes, and both may be reported when the patient has both.

  • M62.1 Other rupture of muscle (nontraumatic)
    rupture of tendon (M66.-) names M66.-, which includes this code

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

Shoulder Injuries and Disorders

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it.

Read the full article at MedlinePlus

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

Convert M66.812 to ICD-9-CMHistory

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

ICD-9-CM
726.10 Rotator cuff synd NOS
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About M66.812Overview

What is the ICD-10 code for spontaneous rupture of other tendons, left shoulder?

The ICD-10-CM code for spontaneous rupture of other tendons, left shoulder is M66.812 (sometimes written as M66812). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is M66.812 (Spontaneous rupture of other tendons, shoulder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report spontaneous rupture of other tendons, left shoulder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does M66.812 group to?

When spontaneous rupture of other tendons, left shoulder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 557, 558, with relative weights from 0.8873 to 1.4883 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of M66.812?

Under the General Equivalence Mappings, spontaneous rupture of other tendons, left shoulder converts to ICD-9-CM 726.10 (rotator cuff synd NOS). The mapping is approximate, so confirm the match fits the documentation.