ICD-10 Coding for Autoimmune Thyroiditis(E06.3)
Complete ICD-10-CM coding and documentation guide for Autoimmune Thyroiditis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Autoimmune Thyroiditis
E06.3Primary Range
Autoimmune thyroiditis
This range includes all manifestations of autoimmune thyroiditis, including Hashimoto's.
Key Information: ICD-10 code for autoimmune thyroiditis
Essential facts and insights about Autoimmune Thyroiditis
Primary ICD-10-CM Code for autoimmune thyroiditis
Decision Criteria
clinical Criteria
- Presence of positive TPO antibodies and ultrasound findings.
coding Criteria
- Avoid using E03.9 with E06.3.
Applicable To
- Hashimoto's thyroiditis
- Chronic lymphocytic thyroiditis
Excludes
- Postprocedural hypothyroidism (E89.0)
Clinical Validation Requirements
- Positive TPO antibodies >34 IU/mL
- TSH >4.5 mIU/L with low T4
- Ultrasound showing heterogeneous echotexture
Code-Specific Risks
- Incorrectly coding both E06.3 and E03.9 for hypothyroidism due to Hashimoto's.
Coding Notes
- E06.3 inherently includes hypothyroidism due to autoimmune thyroiditis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other long term (current) drug therapy
Z79.899Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Autoimmune Thyroiditis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E06.3.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure antibody tests are documented., Confirm diagnosis with imaging.
Impact
Reimbursement: Potential for incorrect billing and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E06.3 alone as it includes hypothyroidism.
Impact
High denial risk if documentation lacks lab or imaging support.
Mitigation Strategy
Ensure comprehensive documentation of lab and imaging findings.
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 Autoimmune Thyroiditis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Autoimmune Thyroiditis
Use these documentation templates to ensure complete and accurate documentation for Autoimmune Thyroiditis. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Patient history
- Lab results
- Ultrasound findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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