ICD-10-CM Billable Code

M12.111

Kaschin-Beck disease, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Kaschin-Beck disease is a form of osteoarticular disorder primarily affecting children and adolescents. It is characterized by progressive damage to the joints, especially in the knees, ankles, and elbows, and can also involve the shoulder region. When the disease impacts the right shoulder, it can lead to pain, swelling, stiffness, and limited mobility, which may impact daily activities and quality of life. This condition is primarily associated with nutritional deficiencies and environmental factors common in certain regions.

Causes & Symptoms

Clinical Causes: Nutritional deficiencies, especially a lack of iodine, selenium, and vitamin D Environmental factors such as poor sanitation and contaminated water sources Genetic predisposition may play a role in susceptibility Chronic exposure to environmental toxins or pollutants Limited access to proper healthcare and nutritional support during childhood

Key Symptoms: Pain in the shoulder joint, especially during movement Swelling and tenderness around the shoulder Stiffness and reduced range of motion Muscle weakness around the shoulder Possible deformity or unevenness in shoulder appearance Early stages may show mild discomfort, progressing to significant impairment in advanced cases

Diagnostic & Treatment

Diagnosis Path: The diagnosis of Kaschin-Beck disease affecting the shoulder involves a combination of clinical evaluation and imaging tests. Healthcare providers will review a patient’s medical history, nutritional background, and environmental exposures. Physical examination assesses joint mobility, swelling, and pain. Imaging methods such as X-rays can reveal characteristic changes, including cartilage erosion and joint deformities. Laboratory tests may also be conducted to evaluate nutritional deficiencies and rule out other conditions.

Treatment Protocols: While there is no specific cure for Kaschin-Beck disease, treatment aims to manage symptoms and prevent progression. Approaches typically include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M12.111 a billable ICD-10 code?
Yes, M12.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M12.111?
Clinical documentation must specify the nature of Kaschin-Beck disease, right shoulder and any associated comorbidities for accurate reporting.

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