Kaschin-Beck disease, left shoulder

This code describes Kaschin-Beck disease affecting the left shoulder. Kaschin-Beck disease is a chronic, endemic osteochondropathy characterized by degenerative changes in articular cartilage and epiphyseal growth plates, leading to joint deformity and dysfunction. It is primarily caused by a combination of selenium deficiency and mycotoxin exposure.

Use this code for patients diagnosed with Kaschin-Beck disease specifically manifesting in the left shoulder joint. Documentation should clearly indicate the diagnosis of Kaschin-Beck disease and specify the involvement of the left shoulder, often noted through imaging studies or clinical examination findings.

• Ensure documentation specifies "left shoulder" to differentiate from bilateral or right shoulder involvement.
• Consider co-occurring nutritional deficiencies (e.g., selenium deficiency) if documented, as these may require additional codes.
• Review for any associated deformities or functional limitations that might warrant additional coding.