Find information on left hip labral tear diagnosis, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for left hip labral tear, CPT codes for labral repair surgery, and MRI findings indicative of a labral tear. Explore treatment options, physical therapy protocols, and post-operative care for left hip labral tears. This resource provides relevant information for healthcare professionals, coders, and patients seeking to understand left hip labral tear diagnosis and management.
Also known as
Sprain and strain of hip and thigh
Includes labral tears, a common hip injury.
Pain in joint
May be used if pain is the primary presenting symptom.
Derangement of joint
Covers internal derangements like a torn labrum.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the labral tear traumatic?
Yes
Current injury?
No
Degenerative tear?
When to use each related code
| Description |
|---|
| Left Hip Labral Tear |
| Left Hip Labral Degeneration |
| Femoroacetabular Impingement (Left) |
Coding labral tear without specifying left hip can lead to incorrect reimbursement and data analysis. Use ICD-10-CM codes like S43.411A for accuracy.
If the tear is traumatic, neglecting to code the cause can impact severity measures and statistical reporting. Ensure proper sequencing.
Coding a suspected labral tear as confirmed without sufficient clinical documentation can trigger audits and denials. Query physicians for clarity.
Q: What are the most specific physical examination maneuvers for diagnosing a left hip labral tear, and how can I differentiate it from other hip pathologies?
A: While no single test definitively diagnoses a left hip labral tear, several maneuvers increase diagnostic suspicion when combined with patient history and imaging. The FADIR (Flexion, Adduction, Internal Rotation) test, FABER (Flexion, Abduction, External Rotation) test, and the anterior impingement test are commonly used to assess for labral involvement. However, these tests can also be positive in other conditions like osteoarthritis, femoroacetabular impingement (FAI), and iliopsoas tendinopathy. Differentiating a labral tear requires careful consideration of symptoms, such as clicking, catching, or groin pain, in conjunction with physical exam findings. The location and quality of pain elicited during specific maneuvers can offer clues. For example, anterior hip or groin pain with the FADIR test is suggestive of an anterior labral tear. Explore how dynamic ultrasound can provide real-time assessment of the labrum during these maneuvers, potentially enhancing diagnostic accuracy. Consider implementing standardized physical exam protocols to improve consistency and diagnostic precision. Learn more about intra-articular injections, such as lidocaine, which can help differentiate labral tears from other pain generators by providing temporary pain relief if the labrum is indeed the source.
Q: When should I consider advanced imaging like MRI or MRA for suspected left hip labral tear, and what are the key imaging findings clinicians should look for?
A: Plain radiographs can help rule out bony abnormalities like FAI or osteoarthritis, but they are not sensitive for visualizing the labrum directly. MRI with or without intra-articular contrast (MRA) is the gold standard for assessing soft tissue structures like the labrum. Consider advanced imaging when patients present with persistent hip or groin pain, mechanical symptoms (clicking, locking, giving way), and a positive physical exam suggestive of a labral tear, despite conservative management. Key MRI/MRA findings to look for include a linear high signal within the labrum, detachment from the acetabular rim, or abnormal labral morphology. However, it is important to note that some degree of labral signal abnormality can be seen in asymptomatic individuals. Therefore, correlating imaging findings with clinical presentation is crucial. Learn more about the diagnostic accuracy of different MRI sequences and the utility of 3D imaging for better visualization of complex labral tears.
Patient presents with complaints of left hip pain, clicking, catching, and stiffness, consistent with a suspected left hip labral tear. Onset of symptoms began approximately three months ago after a twisting injury during a hiking trip. Pain is localized to the anterior left hip and groin region, exacerbated by activities such as prolonged sitting, pivoting, and walking uphill. The patient reports occasional feelings of instability and locking in the hip joint. Physical examination reveals tenderness to palpation over the anterior left hip joint, positive anterior impingement test (FADIR), and limited range of motion with pain during internal and external rotation. Differential diagnosis includes femoroacetabular impingement (FAI), osteoarthritis, hip flexor strain, and iliopsoas bursitis. Preliminary diagnosis of left hip labral tear is suspected. Ordered MRI of the left hip without contrast to evaluate for labral pathology, cartilage damage, and other intra-articular abnormalities. Treatment plan pending MRI results may include conservative management with physical therapy focusing on hip strengthening and range of motion exercises. Referral to orthopedics will be considered for surgical intervention if conservative treatment fails or if significant labral tear or associated pathology is confirmed on imaging. ICD-10 code M25.551 (Left hip joint derangement) assigned pending MRI confirmation. Patient education provided regarding activity modification, pain management strategies, and the potential risks and benefits of treatment options. Follow-up appointment scheduled in two weeks to review imaging results and discuss further management.