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Home/Diagnosis/ICD-10 Coding for Shoulder Labral Tear

ICD-10 Coding for Shoulder Labral Tear

S43.431A
S43.432A
S43.439A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for shoulder labral tear includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Glenoid Labrum Tear
SLAP Lesion
Bankart Lesion
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Key Information: ICD-10 Coding for Shoulder Labral Tear

Essential facts and insights about ICD-10 Coding for Shoulder Labral Tear

Use ICD-10 code S43.431A for superior glenoid labrum lesion of right shoulder, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Superior glenoid labrum lesion of right shoulder, initial encounter

Billable Code
S43.431A
Billable

Diagnostic Criteria

clinical:
  • • MRI confirmation of SLAP lesion
documentation:
  • • Documented laterality and encounter type

Applicable To

  • • SLAP lesion
  • • Bankart lesion

Important Notes

  • • Ensure laterality and encounter type are clearly documented.

Superior glenoid labrum lesion of left shoulder, initial encounter

Billable Code
S43.432A
Billable

Diagnostic Criteria

clinical:
  • • MRI confirmation of SLAP lesion
documentation:
  • • Documented laterality and encounter type

Applicable To

  • • SLAP lesion
  • • Bankart lesion

Important Notes

  • • Ensure laterality and encounter type are clearly documented.

Superior glenoid labrum lesion, unspecified shoulder, initial encounter

Billable Code
S43.439A
Billable

Diagnostic Criteria

clinical:
  • • MRI confirmation of SLAP lesion
documentation:
  • • Documented laterality and encounter type

Applicable To

  • • SLAP lesion
  • • Bankart lesion

Important Notes

  • • Query for laterality if not documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.1-

Rotator cuff tear

Use if rotator cuff tear is present alongside labral tear.

Frequently Asked Questions

What is the ICD-10 code for a left shoulder labral tear?

The ICD-10 code for a left shoulder labral tear, initial encounter, is S43.432A.

How do you code a SLAP lesion repair?

Use CPT code 29807 for arthroscopic SLAP lesion repair, ensuring documentation specifies the SLAP type and clock-face position.

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