ICD-10 Coding for Graves' Disease Unspecified(E05.90)
Complete ICD-10-CM coding and documentation guide for Graves' Disease Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Graves' Disease Unspecified
E05.0-E05.9Primary Range
Thyrotoxicosis with or without goiter
This range includes codes for various types of thyrotoxicosis, including Graves' disease with or without specific characteristics like goiter or crisis.
Key Information: ICD-10 code for Graves' disease unspecified
Essential facts and insights about Graves' Disease Unspecified
Primary ICD-10-CM Code for graves disease unspecified
Decision Criteria
clinical Criteria
- TRAb positivity and suppressed TSH without goiter specification.
coding Criteria
- Absence of thyroid storm or specific goiter type in documentation.
Applicable To
- Graves' disease unspecified
Clinical Validation Requirements
- TRAb positivity
- Suppressed TSH levels
- Elevated T4 levels
Code-Specific Risks
- Misclassification if goiter type or crisis is documented but not coded.
Coding Notes
- Ensure documentation supports the use of E05.90 by confirming the absence of specific goiter type or crisis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Exophthalmic conditions
H05.2-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Graves' Disease Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.90.
Impact
Clinical: Potential misdiagnosis of thyrotoxicosis type., Regulatory: Non-compliance with documentation standards., Financial: Possible claim denials due to lack of specificity.
Mitigation Strategy
Ensure TRAb tests are ordered and results documented.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E05.00 instead.
Impact
Frequent use of unspecified codes without supporting documentation.
Mitigation Strategy
Ensure detailed documentation of thyroid imaging and lab results.
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 Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Graves' Disease Unspecified
Use these documentation templates to ensure complete and accurate documentation for Graves' Disease Unspecified. These templates include all required elements for proper coding and billing.
Endocrinology follow-up for Graves' disease
Specialty: EndocrinologyRequired Elements
- TRAb levels
- Thyroid ultrasound results
- CAS score
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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