Superior glenoid labrum lesion

This code identifies a tear or damage to the superior portion of the glenoid labrum, the fibrocartilaginous rim surrounding the shoulder socket. This injury often involves the attachment site of the long head of the biceps tendon, commonly referred to as a SLAP (Superior Labrum Anterior Posterior) lesion. Patients typically experience shoulder pain, clicking, popping, or a sensation of instability.

Use this code when documentation clearly indicates a lesion or tear specifically affecting the superior aspect of the glenoid labrum. This diagnosis is often made following physical examination findings, MRI imaging, or arthroscopic evaluation. Supporting documentation should specify the location of the labral injury as superior.

• Differentiate from other labral tears (e.g., anterior, posterior) which have distinct codes.
• Ensure documentation specifies "superior" to justify this code; otherwise, an unspecified labral tear code may be more appropriate.
• Consider sequencing with codes for associated conditions like biceps tendinitis if documented.