ICD-10 Coding for Hashimoto's Disease(E06.3)
Complete ICD-10-CM coding and documentation guide for Hashimoto's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hashimoto's Disease
E06.3Primary Range
Autoimmune thyroiditis
This range includes Hashimoto's disease and is used for coding autoimmune thyroiditis.
Key Information: Hashimoto's disease ICD-10 code
Essential facts and insights about Hashimoto's Disease
Primary ICD-10-CM Code for hashimoto's disease
Decision Criteria
clinical Criteria
- Presence of elevated TPO antibodies and hypothyroidism symptoms.
coding Criteria
- Do not pair with E03.9 when Hashimoto's is documented.
Applicable To
- Hashimoto's thyroiditis
- Chronic lymphocytic thyroiditis
Clinical Validation Requirements
- Elevated TPO antibodies
- TSH >10 mIU/L
- Ultrasound showing hypoechoic thyroid
Code-Specific Risks
- Misuse with E03.9 for hypothyroidism due to Hashimoto's
Coding Notes
- Ensure documentation specifies autoimmune nature to use E06.3.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of insulin
Z79.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hashimoto's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E06.3.
Impact
Clinical: Misdiagnosis of thyroid condition., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure thorough documentation of lab results., Educate providers on coding guidelines.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data on thyroiditis prevalence.
Mitigation Strategy
Use E06.3 alone as it encompasses hypothyroidism due to autoimmune thyroiditis.
Impact
Inadequate documentation of TPO antibodies and thyroid ultrasound.
Mitigation Strategy
Implement regular training on documentation standards.
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 Hashimoto's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hashimoto's Disease
Use these documentation templates to ensure complete and accurate documentation for Hashimoto's Disease. These templates include all required elements for proper coding and billing.
Routine Endocrinology Visit
Specialty: EndocrinologyRequired Elements
- Diagnosis of Hashimoto's thyroiditis
- TSH and TPO antibody levels
- Ultrasound findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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