ICD-10 Coding for Endocrine Disorder(E11.9, E05.90)
Complete ICD-10-CM coding and documentation guide for Endocrine Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Endocrine Disorder
E00-E07Primary Range
Disorders of thyroid gland
This range includes various thyroid disorders, which are common endocrine conditions.
Disorders of other endocrine glands
This range covers disorders of glands such as the parathyroid, adrenal, and pituitary.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.9 | Type 2 diabetes mellitus without complications | Use when type 2 diabetes is diagnosed without any complications. |
|
| E05.90 | Thyrotoxicosis, unspecified without thyrotoxic crisis or storm | Use for hyperthyroidism without crisis. |
|
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 type 2 diabetes
Essential facts and insights about Endocrine Disorder
Primary ICD-10-CM Codes for endocrine disorder
Decision Criteria
clinical Criteria
- Diagnosis of type 2 diabetes confirmed by lab tests.
Applicable To
- Type 2 diabetes mellitus NOS
Excludes
- Type 1 diabetes mellitus (E10.-)
Clinical Validation Requirements
- HbA1c ≥6.5%
- Fasting glucose ≥126 mg/dL
Code-Specific Risks
- Misclassification with type 1 diabetes
Coding Notes
- Ensure diabetes type is clearly documented.
E05.90 - Thyrotoxicosis, unspecified without thyrotoxic crisis or storm
Use for hyperthyroidism without crisis.
Applicable To
- Hyperthyroidism NOS
Excludes
- Thyrotoxic crisis or storm (E05.01)
Clinical Validation Requirements
- TSH <0.4 μIU/mL
- Free T4 >1.8 ng/dL
Coding Notes
Verify lab results are not affected by external factors.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of insulin
Z79.4Differential 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 Endocrine Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.9.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific terms and include lab results.
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always code the underlying condition first, followed by the manifestation.
Impact
Incorrect sequencing of diabetes and its complications.
Mitigation Strategy
Regular training on coding guidelines.
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 Endocrine Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Endocrine Disorder
Use these documentation templates to ensure complete and accurate documentation for Endocrine Disorder. These templates include all required elements for proper coding and billing.
Endocrine Assessment
Specialty: EndocrinologyRequired Elements
- Thyroid palpation findings
- TSH and free T4 levels
- Adrenal function tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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