Superior glenoid labrum lesion of left shoulder, init encntr

This diagnosis code signifies damage to the superior portion of the glenoid labrum, a rim of cartilage surrounding the shoulder socket, specifically in the left shoulder. This type of lesion often involves the attachment point of the biceps tendon, commonly referred to as a SLAP (Superior Labrum Anterior Posterior) tear.

This code is appropriate for the initial encounter of a patient presenting with symptoms such as shoulder pain, clicking, or instability, and diagnostic imaging (e.g., MRI) confirms a superior labral tear in the left shoulder. It is used when the patient is receiving active treatment for the acute injury.

• Ensure documentation specifies the superior aspect of the labrum and the left shoulder.
• Confirm this is the first time the patient is being seen for this specific injury.
• Distinguish from other labral tears (e.g., anterior, posterior) and shoulder conditions.