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ICD-10 Coding for Bankart Lesion(S43.431A, M75.81, S43.08)

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Learn about Bankart lesion ICD-10 coding, documentation requirements, and common pitfalls. Ensure accurate billing and compliance with our detailed guide.

Also known as:
Anteroinferior Labral TearBony Bankart
Related ICD-10 Code Ranges

Complete code families applicable to Bankart Lesion

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Primary ICD-10-CM Codes
Superior glenoid labrum lesion of right shoulder, initial encounter
S43.431ABillable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Other shoulder lesionsM75.81

Use when the lesion is not specifically anteroinferior.

Documentation & Coding Risks

Avoid these common issues when documenting Bankart Lesion.

Omitting laterality in documentation

Impact

Clinical: Inaccurate treatment records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation

Use templates that prompt for laterality, Review documentation before submission

Confusing Bankart with SLAP lesions

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.

Mitigation

Ensure documentation specifies the location of the labral tear.

Modifier Usage

Impact

Improper use of modifier 59 when coding Bankart and SLAP repairs.

Mitigation

Ensure documentation supports separate procedures.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S43.431A.