ICD-10 Coding for Graves' Disease(E05.00, E05.01)
Complete ICD-10-CM coding and documentation guide for Graves' Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Graves' Disease
E05.0-E05.9Primary Range
Thyrotoxicosis [hyperthyroidism]
Covers all forms of thyrotoxicosis, including Graves' disease with and without crisis.
Cardiomyopathy in diseases classified elsewhere
Used for cardiomyopathy associated with Graves' disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E05.00 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis | Use when Graves' disease is confirmed without a thyrotoxic crisis. |
|
| E05.01 | Thyrotoxicosis with diffuse goiter with thyrotoxic crisis | Use when a thyrotoxic crisis is present. |
|
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 Graves' disease
Essential facts and insights about Graves' Disease
Primary ICD-10-CM Codes for graves' disease
Decision Criteria
clinical Criteria
- Confirmed Graves' disease without crisis symptoms.
Applicable To
- Graves' disease without crisis
Excludes
- Thyrotoxicosis with toxic single thyroid nodule (E05.1)
Clinical Validation Requirements
- TSH <0.01 mIU/L
- Free T4 >1.8 ng/dL
- TRAb >1.75 IU/L
Code-Specific Risks
- Incorrectly coding as E05.9 when Graves' is confirmed.
Coding Notes
- Ensure documentation specifies 'Graves' disease' and includes lab results.
E05.01 - Thyrotoxicosis with diffuse goiter with thyrotoxic crisis
Use when a thyrotoxic crisis is present.
Applicable To
- Graves' disease with crisis
Excludes
- Thyrotoxicosis with toxic multinodular goiter (E05.2)
Clinical Validation Requirements
- Fever >102°F
- Altered mental status
- Systolic BP <90 mmHg
Coding Notes
Thyrotoxic crisis must be explicitly documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Graves' Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.00.
Impact
Clinical: Missed diagnosis of eye involvement., Regulatory: Non-compliance with coding standards., Financial: Loss of reimbursement for related treatments.
Mitigation Strategy
Thorough eye examination and documentation., Link ophthalmopathy to Graves' in notes.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting clinical outcomes tracking.
Mitigation Strategy
Confirm and document Graves' disease to use E05.00 or E05.01.
Impact
Incorrect coding of crisis status.
Mitigation Strategy
Ensure clear documentation of crisis symptoms.
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 Graves' Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Graves' Disease
Use these documentation templates to ensure complete and accurate documentation for Graves' Disease. These templates include all required elements for proper coding and billing.
Graves' disease with ophthalmopathy
Specialty: EndocrinologyRequired Elements
- Symptoms
- Lab results
- Imaging findings
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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