ICD 10 CM M12.17 | Description & Clinical Information

ICD 10 M12.17 describes a rare degenerative disease called Kaschin Beck disease, which primarily affects the ankle and foot joints, and is characterized by the necrosis of the cartilage in the epiphyseal plate or growth plate of bones, leading to joint deformities and shortened limbs, and typically develops during childhood and adolescence, and is also known as big bone disease.

Official Description Of M12.17

The ICD 10 CM book defines ICD 10 code M12.17 as:

Kaschin-Beck disease, ankle and foot
Parent Code Notes: M12

Excludes1: arthrosis (M15-M19)
cricoarytenoid arthropathy (J38.7)

Clinical Information

The diagnosis described by ICD 10 CM M12.17 pertains to a specific disease known as Kaschin-Beck disease. This condition is prevalent in certain geographical areas of the world, more specifically in Asia, and is believed to develop due to a range of environmental and nutritional factors, among others.

Kaschin-Beck disease is characterized by a set of symptoms that usually manifest in the form of joint pain, morning stiffness in the joints, and limited motion. The condition primarily affects younger individuals, and it is more common in regions where there are low levels of selenium and iodine in the soil.

When a patient presents with the aforementioned symptoms, providers typically undertake an extensive evaluation process to diagnose the condition accurately. The primary tools utilized in this process include taking a detailed patient history, conducting a physical examination, and leveraging imaging techniques such as X-rays.

The patient’s history is usually the initial step in the evaluation process, and it involves gathering information concerning the duration and timing of the patient’s symptoms, as well as any factors that may have triggered or exacerbated the condition. Providers will typically ask about the patient’s family history, diet, lifestyle, and environmental exposures to identify potential risk factors.

The second step in the diagnostic process is the physical examination. During this step, the provider assesses the patient’s range of motion, joint flexibility, and the extent of their pain. They may press or move various parts of the body to determine the degree of discomfort the patient is experiencing.

The third step in the evaluation process involves imaging techniques such as X-rays. These imaging techniques are used to identify any visible changes to the bones and joints, such as deformities, fractures, or joint space narrowing. Providers may also order additional imaging studies such as MRI or CT scans to obtain more detailed information about the condition.

Once Kaschin-Beck disease has been diagnosed, treatment usually involves a combination of surgical interventions and physical therapy. Surgical corrections may include joint replacement, realignment or fusion, depending on the patient’s specific condition. Physical therapy is essential to maintaining flexibility, posture, and mobility while preventing further damage to the joints.

Finally, nutritional supplements such as selenium and iodine are often prescribed to patients with Kaschin-Beck disease to prevent the disease from worsening. These supplements help to stabilize the joints and provide the body with the necessary nutrients to repair and maintain bone health.

In conclusion, the ICD 10 CM M12.17 diagnosis code represents Kaschin-Beck disease, a debilitating condition that affects numerous individuals primarily in Asia. Accurate diagnosis usually involves a thorough evaluation process, comprising patient’s history, physical examination, and imaging techniques. Treatment often involves a combination of surgical interventions, physical therapy, and nutritional supplements. As medical coders, it is essential to have a thorough understanding of this diagnosis code and the underlying condition to ensure accurate coding and billing.

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