Old tears or degenerative tears are typically coded under 'Derangement' in ICD-10. For an "old tear", if known to be traumatic, I would be inclined to consider this sequela and continue to use S43.43-.
Short description: Superior glenoid labrum lesion of left shoulder, init encntr. The 2019 edition of ICD-10-CM S43.432A became effective on October 1, 2018. This is the American ICD-10-CM version of S43.432A - other international versions of ICD-10 S43.432A may differ.
SLAP tears are S43.43_ even if degenerative. I use S43.49_ for anterior or posterior labral tears. Thanks for the input. I did not realize there were M codes available.
Other specified disorders of tendon, right shoulder. M67.813 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M67.813 became effective on October 1, 2018.
For degerative shoulder labrum tears I use M24.11_. SLAP tears are S43.43_ even if degenerative. I use S43.49_ for anterior or posterior labral tears.
439A: Superior glenoid labrum lesion of unspecified shoulder, initial encounter.
In a type 1 tear, the labrum is frayed but the biceps tendon is attached. This type of tear is degenerative and usually seen in older people. A type 2 tear also involves a frayed labrum, but the biceps is detached. Type 2 tears are the most common SLAP injuries.
ICD-10 Code for Superior glenoid labrum lesion of left shoulder, initial encounter- S43. 432A- Codify by AAPC.
Superior Labrum, Anterior to Posterior tears (SLAP tears), also known as labrum tears, represent 4% to 8% of all shoulder injuries. The L in SLAP refers to your glenoid labrum. Your labrum plays two important roles in keeping your shoulder functioning and pain free.
A SLAP lesion (superior labrum, anterior [front] to posterior [back]) is a tear of the rim above the middle of the socket that may also involve the biceps tendon. A tear of the rim below the middle of the glenoid socket that also involves the inferior glenohumeral ligament is called a Bankart lesion.
SLAP stands for "superior labrum from anterior to posterior." This type of shoulder labral tear occurs at the top (“superior”) of the glenoid labrum where it connects to the biceps tendon, and it extends in a curve from the chest (“anterior”) to the back (“posterior”).
ICD-10-CM Code for Bursitis of right shoulder M75. 51.
ICD-10-CM Code for Superior glenoid labrum lesion of right shoulder, initial encounter S43. 431A.
829.
A classic overuse injury, swimmer's shoulder occurs when repetitive overhead motions (like swimming, throwing, etc.) cause inflammation in the rotator cuff, compressed tendons and reduced blood flow. Labral tears, on the other hand, can result from both the wear and tear of repetitive motion or from traumatic injury.
With a type 3 SLAP tear, the labrum collapses into the shoulder joint, while the bicep tendon remains in place. This particular injury is also commonly referred to as a bucket-handle tear due to the appearance of the labrum once it has detached and begun to droop.
There are several different types of Labral tears that can occur. These include SLAP tears, anterior tears, posterior tears and Bankart tears.
They often occur as a result of a jarring motion of the arm. Unfortunately, SLAP tears do not heal on their own and usually require surgery to allow them to heal properly.
Many people with SLAP tears get better with a period of rest and rehabilitation. A physical therapy program can strengthen the muscles surrounding the shoulder and improve control of the shoulder joint. Nonsurgical treatment may include: Rest: If overuse led to inflammation, resting the shoulder may help.
Yes, if a SLAP tear is left untreated, some common and long-term problems could occur, including: shoulder dislocation or instability, reduced range of motion, chronic pain, and adhesive capsulitis (frozen shoulder). Therefore, it's best to pay a visit to O'Grady Orthopaedics the minute you suspect a problem.
Recovery/Time off Work There is a large amount of variability in the time it takes to fully recover from this procedure. It is usually estimated that it will take at least 4-6 months to feel as though you have completely regained the use of your arm. Some cases may take as long as 9-12 months to make a full recovery.