ICD-10 Coding for Thyroid Gland Diseases(E03.9, E06.3)
Complete ICD-10-CM coding and documentation guide for Thyroid Gland Diseases. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Gland Diseases
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 | Hypothyroidism, unspecified | Use when specific cause of hypothyroidism is not documented. |
|
| E06.3 | Autoimmune thyroiditis | Use for confirmed autoimmune thyroiditis with lab support. |
|
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 unspecified hypothyroidism
Essential facts and insights about Thyroid Gland Diseases
Primary ICD-10-CM Codes for disease of thyroid gland
Decision Criteria
clinical Criteria
- TSH >4.5 mIU/L with low FT4
documentation Criteria
- Lack of specific etiology in records
E06.3 - Autoimmune thyroiditis
Use for confirmed autoimmune thyroiditis with lab support.
Applicable To
- Hashimoto's thyroiditis
Excludes
- Acute thyroiditis (E06.0)
Clinical Validation Requirements
- Elevated TPOAb levels
- TSH elevation
Coding Notes
Document antibody levels for validation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Underdosing of thyroid hormones
T38.1X6ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thyroid Gland Diseases to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E03.9.
Impact
Clinical: Inaccurate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure detailed documentation of thyroid disorder type., Use specific ICD-10 codes when possible.
Impact
Reimbursement: Potential for denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in health records.
Mitigation Strategy
Use specific codes like E06.3 for autoimmune causes.
Impact
High risk of audit for using E03.9 without specific etiology.
Mitigation Strategy
Use specific codes and ensure lab results are documented.
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 Thyroid Gland Diseases, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Gland Diseases
Use these documentation templates to ensure complete and accurate documentation for Thyroid Gland Diseases. These templates include all required elements for proper coding and billing.
Hashimoto's Thyroiditis Management
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- TSH and FT4 levels
- Antibody test results
- Medication adherence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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