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ICD-10 Coding for Labrum Tear(M24.411U, S43.421A, S43.43)

Learn about ICD-10 coding for labrum tears, including SLAP and Bankart lesions, with detailed documentation requirements and coding tips.

Also known as:
Shoulder Labral TearSLAP TearBankart Lesion
Related ICD-10 Code Ranges

Complete code families applicable to Labrum Tear

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Key Information

Essential facts and insights aboutLabrum Tear

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

Bankart lesion of right shoulder, initial encounterS43.421A

Documentation & Coding Risks

Avoid these common issues when documenting Labrum Tear.

Missing laterality in documentation

Impact

Clinical: Ambiguity in patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation

Always specify right or left shoulder in documentation.

Using 29807 for non-SLAP tears

Impact

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

Mitigation

Code 29806 for inferior labral repairs.

Procedure bundling

Impact

Bundling errors when coding multiple shoulder procedures.

Mitigation

Ensure distinct documentation for each procedure.

Frequently Asked Questions