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ICD-10 Coding for Shoulder Labral Tear(S43.431A, M75.1, S43.43)

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Explore detailed ICD-10 coding and documentation guidelines for shoulder labral tears, including SLAP lesions and Bankart repairs.

Also known as:
Glenoid Labrum TearSLAP LesionBankart Lesion
Related ICD-10 Code Ranges

Complete code families applicable to Shoulder Labral Tear

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
S43.431ASuperior glenoid labrum lesion of right shoulder, initial encounter
S43.432ASuperior glenoid labrum lesion of left shoulder, initial encounter
S43.439ASuperior glenoid labrum lesion, unspecified shoulder, initial encounter
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

Rotator cuff tear or ruptureM75.1

Documentation & Coding Risks

Avoid these common issues when documenting Shoulder Labral Tear.

Omitting laterality in documentation

Impact

Clinical: Ambiguity in treatment records., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation

Always document the affected side, Use templates that prompt for laterality

Confusing debridement with repair

Impact

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

Mitigation

Use 29807 for repair and 29822 for debridement only.

Incorrect laterality coding

Impact

Reimbursement: Claims may be denied or delayed., Compliance: Non-compliance with specificity requirements., Data Quality: Inaccurate patient records.

Mitigation

Verify laterality in documentation before coding.

Procedure documentation

Impact

Inadequate documentation of SLAP lesion type and repair method.

Mitigation

Use detailed templates and verify documentation completeness.

Frequently Asked Questions

Related condition guides

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