ICD-10 Coding for Shoulder Labrum Tear(M75.6, M75.61, M75.61N)
Explore detailed ICD-10 coding and documentation guidelines for shoulder labrum tears, including SLAP and Bankart lesions.
Complete code families applicable to Shoulder Labrum 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 acute traumatic superior labral tears of the right shoulder during the initial encounter. |
|
| M75.61 | Tear of labrum of left shoulder | Use for chronic degenerative labrum tears without a recent traumatic event. |
|
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 Labrum Tear
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Shoulder Labrum Tear.
Omitting laterality in documentation
Impact
Clinical: Leads to ambiguity in treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation
Always document right or left shoulder, Use templates to ensure completeness
Mixing acute and degenerative codes
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of patient records.
Mitigation
Ensure documentation clearly differentiates between acute trauma and degenerative changes.
Incorrect coding of degenerative tears
Impact
Coding degenerative tears as traumatic can lead to audits.
Mitigation
Ensure clear documentation of the chronic nature of the tear.