Superior glenoid labrum lesion of right shoulder, sequela

This code signifies a chronic or residual issue stemming from a previous injury to the superior portion of the glenoid labrum in the right shoulder. This type of lesion often involves the attachment point of the biceps tendon (SLAP lesion) and can lead to persistent pain, instability, or functional limitations long after the initial trauma.

Apply this code when documentation clearly indicates a superior glenoid labrum lesion of the right shoulder that is a long-term consequence or complication of an earlier injury. This is appropriate for patients presenting with ongoing symptoms directly attributable to the past labral damage, rather than an acute injury.

• Ensure the medical record explicitly states "sequela" or indicates a chronic condition resulting from a prior injury.
• Do not use this code for acute or initial presentations of a superior glenoid labrum lesion.
• Always review the patient's history to confirm the chronic nature and laterality (right shoulder).