ICD-10 Coding for Shoulder Labral Tear(M75.1, S43.43, S43.431A)
Explore detailed ICD-10 coding and documentation guidelines for shoulder labral tears, including SLAP lesions and Bankart repairs.
Complete code families applicable to Shoulder Labral Tear
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S43.431A | Superior glenoid labrum lesion of right shoulder, initial encounter | Use for initial treatment of a right shoulder labral tear. |
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| S43.432A | Superior glenoid labrum lesion of left shoulder, initial encounter | Use for initial treatment of a left shoulder labral tear. |
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| S43.439A | Superior glenoid labrum lesion, unspecified shoulder, initial encounter | Use when laterality is not specified in the documentation. |
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Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutShoulder Labral Tear
Alternative codes to consider when ruling out similar conditions
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.