ICD-10 Coding for Acquired Hypothyroidism(E03.9, E03.2, E03.4, E89.0)
Complete ICD-10-CM coding and documentation guide for Acquired Hypothyroidism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acquired Hypothyroidism
E03.0-E03.9Primary Range
Other hypothyroidism
This range includes various forms of hypothyroidism, including acquired types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E03.9 | Unspecified hypothyroidism | Use when the cause of hypothyroidism is not specified. |
|
| E03.2 | Hypothyroidism due to medications and other exogenous substances | Use when hypothyroidism is caused by medication. |
|
| E03.4 | Autoimmune hypothyroidism | Use when hypothyroidism is due to autoimmune causes. |
|
| E89.0 | Postprocedural hypothyroidism | Use when hypothyroidism follows a medical procedure. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acquired hypothyroidism
Essential facts and insights about Acquired Hypothyroidism
Primary ICD-10-CM Codes for acquired hypothyroidism
Decision Criteria
clinical Criteria
- TSH >10 uIU/mL with low FT4
Applicable To
- Hypothyroidism NOS
Excludes
- Congenital hypothyroidism (E03.1)
Clinical Validation Requirements
- Elevated TSH levels
- Low FT4 levels
Code-Specific Risks
- Overuse when specific etiology is documented
Coding Notes
- Ensure documentation specifies if hypothyroidism is acquired.
E03.2 - Hypothyroidism due to medications and other exogenous substances
Use when hypothyroidism is caused by medication.
Applicable To
- Drug-induced hypothyroidism
Clinical Validation Requirements
- Documentation of drug use causing hypothyroidism
Coding Notes
Document the specific medication responsible.
E03.4 - Autoimmune hypothyroidism
Use when hypothyroidism is due to autoimmune causes.
Applicable To
- Hashimoto's thyroiditis
Clinical Validation Requirements
- Positive TPO antibodies
Coding Notes
Ensure autoimmune etiology is documented.
E89.0 - Postprocedural hypothyroidism
Use when hypothyroidism follows a medical procedure.
Applicable To
- Hypothyroidism after thyroidectomy
Clinical Validation Requirements
- History of thyroid surgery or radiation
Coding Notes
Document the procedure leading to hypothyroidism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fatigue
R53.83Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acquired Hypothyroidism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E03.9.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use templates for documentation, Educate staff on coding requirements
Impact
Reimbursement: May affect DRG assignment and reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces data accuracy for clinical research.
Mitigation Strategy
Use specific codes like E03.2 or E03.4 when etiology is known.
Impact
Risk of audits due to unspecified hypothyroidism coding.
Mitigation Strategy
Ensure documentation supports specific etiology coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acquired Hypothyroidism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acquired Hypothyroidism
Use these documentation templates to ensure complete and accurate documentation for Acquired Hypothyroidism. These templates include all required elements for proper coding and billing.
Autoimmune hypothyroidism diagnosis
Specialty: EndocrinologyRequired Elements
- TSH and FT4 levels
- TPO antibody results
- Symptom documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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