ICD-10-CM Billable Code

S43.431

Superior glenoid labrum lesion of right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

A superior glenoid labrum lesion of the right shoulder is an injury to the cartilage rim (labrum) that surrounds the socket of the shoulder joint on the upper (superior) part. This condition affects the stability and function of the shoulder, often resulting from trauma or repetitive shoulder movements. Recognizing this injury is important for proper management and recovery.

Causes & Symptoms

Clinical Causes: Trauma or sudden injury, such as a fall onto an outstretched arm or direct blow to the shoulder Repetitive overhead activities, common in sports like baseball, swimming, or tennis Sudden or excessive shoulder movements during sports or work activities Degenerative changes associated with age or overuse that weaken the labrum Previous shoulder injuries that may have compromised the labrum

Key Symptoms: Deep, dull shoulder pain that worsens with movement or activity A feeling of instability or the shoulder 'giving way' Pain during overhead or lifting motions Limited range of motion in the shoulder joint Catching, popping, or clicking sensations during shoulder movement Weakness or muscle fatigue around the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed medical history and physical examination focusing on shoulder stability and mobility. Imaging tests such as magnetic resonance imaging (MRI), particularly MRI arthrograms, help visualize the labrum to confirm the injury. Sometimes, doctors may perform specific shoulder tests to assess stability and pinpoint the location of the lesion.

Treatment Protocols: Treatment options aim to reduce pain, restore shoulder stability, and improve function. They include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S43.431 a billable ICD-10 code?
Yes, S43.431 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S43.431?
Clinical documentation must specify the nature of Superior glenoid labrum lesion of right shoulder and any associated comorbidities for accurate reporting.

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