Superior glenoid labrum lesion of left shoulder, sequela

This code identifies a persistent or late-effect condition stemming from a superior glenoid labrum injury in the left shoulder. This type of lesion often involves the attachment point of the biceps tendon and can lead to ongoing pain, instability, or functional limitations long after the initial injury. It signifies that the acute phase of the injury has passed, but residual problems related to the labral damage remain.

Apply this code when documenting a patient presenting with chronic symptoms directly attributable to a previously sustained superior glenoid labrum tear of the left shoulder. This is appropriate for follow-up encounters where the primary focus is managing the long-term consequences or complications of the original injury, rather than the acute treatment. Use this code when the patient is no longer in the initial healing phase and is experiencing lasting effects.

• Always assign an additional code to specify the nature of the sequela, such as chronic pain (e.g., G89.29) or instability (e.g., M24.212).
• Ensure documentation clearly links the current condition to a past superior glenoid labrum injury of the left shoulder.
• Do not use this code for acute or initial encounters for a superior glenoid labrum tear; instead, use the appropriate acute injury code.