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ICD-10 Guide
DiagnosesRight Shoulder Labral Tear

Right Shoulder Labral Tear

ICD-10 Coding for Right Shoulder Labral Tear(S43.431A, S43.431D, S43.431S)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Shoulder Labral Tear?
Essential facts and insights about Right Shoulder Labral Tear

Key Clinical Considerations:

  • Shoulder pain, especially during overhead activities
  • Clicking or popping sensation in the shoulder
  • Limited range of motion
  • Weakness in the shoulder
  • Key diagnostic tests: MRI or CT arthrogram showing labral tear
  • Physical exam findings: Positive O'Brien's test, apprehension test

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including mechanism of injury
  • Detailed physical examination findings
  • Results of imaging studies
  • Specific terminology: 'labral tear', 'glenoid labrum', 'SLAP lesion'
  • Documentation examples: 'MRI shows a superior labral tear', 'Patient reports pain during abduction'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on the type and location of the tear.
  • Common errors: Incorrectly coding for unspecified labral tears.

Code Exclusions

Important Exclusions

  • Excluded conditions: Rotator cuff tears, shoulder dislocations.
  • Alternative codes: Consider codes for associated shoulder conditions if applicable.

Related ICD-10 Codes

Primary Codes
S43.431A
Superior glenoid labrum tear, right shoulder, initial encounter
S43.432A
Inferior glenoid labrum tear, right shoulder, initial encounter
Differential Codes
M75.81

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Patient populations: Athletes, individuals with repetitive overhead activities, older adults.
  • Clinical settings: Orthopedic clinics, sports medicine facilities, rehabilitation centers.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed history, physical exam findings, and imaging results.

Billing considerations?

Ensure correct ICD-10 codes are used and document medical necessity.