ICD-10 Coding for Hemithyroidectomy(60220, E04.1, E05.10)
Complete ICD-10-CM coding and documentation guide for Hemithyroidectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemithyroidectomy
E04-E05Primary Range
Disorders of thyroid gland
Includes conditions related to thyroid nodules and thyrotoxicosis, relevant for hemithyroidectomy.
60220-60260Primary Range
Thyroidectomy procedures
Surgical codes for thyroidectomy procedures, including hemithyroidectomy and completion thyroidectomy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 60220 | Thyroid lobectomy, unilateral | Use for initial unilateral thyroid lobectomy without prior surgery. |
|
| E04.1 | Nontoxic single thyroid nodule | Use when a single thyroid nodule is present without hyperthyroidism. |
|
| E05.10 | Thyrotoxicosis with toxic single thyroid nodule | Use when a toxic nodule is confirmed with hyperthyroidism. |
|
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 hemithyroidectomy
Essential facts and insights about Hemithyroidectomy
Primary ICD-10-CM Codes for hemithyroidectomy
Decision Criteria
clinical Criteria
- No prior thyroid surgery and unilateral lobectomy performed.
Applicable To
- Initial removal of one thyroid lobe
Excludes
- Completion thyroidectomy
Clinical Validation Requirements
- Operative note confirming unilateral lobectomy
- No prior thyroid surgery
Code-Specific Risks
- Incorrectly coding as completion thyroidectomy
Coding Notes
- Ensure documentation specifies 'lobectomy' and absence of prior surgery.
E04.1 - Nontoxic single thyroid nodule
Use when a single thyroid nodule is present without hyperthyroidism.
Applicable To
- Non-hyperfunctioning thyroid nodule
Excludes
- Toxic thyroid nodule
Clinical Validation Requirements
- Ultrasound findings of a single nodule
- Normal TSH levels
Coding Notes
Ensure TSH levels are documented to confirm non-toxic status.
E05.10 - Thyrotoxicosis with toxic single thyroid nodule
Use when a toxic nodule is confirmed with hyperthyroidism.
Applicable To
- Hyperthyroidism with a single toxic nodule
Excludes
- Nontoxic thyroid nodule
Clinical Validation Requirements
- Suppressed TSH and elevated T4
- Ultrasound or nuclear scan showing a toxic nodule
Coding Notes
Document lab results confirming hyperthyroidism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Hemithyroidectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 60220.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific terms like 'lobectomy' and 'isthmusectomy', Confirm details with the surgical team
Impact
Reimbursement: May lead to claim denials or audits., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.
Mitigation Strategy
Verify and document any previous thyroid surgeries before coding.
Impact
Reimbursement: Incorrect risk adjustment factor applied., Compliance: Potential for coding errors., Data Quality: Misleading clinical data.
Mitigation Strategy
Ensure lab results confirm the presence or absence of hyperthyroidism.
Impact
Failure to document prior thyroid surgeries can lead to incorrect coding.
Mitigation Strategy
Ensure thorough review of patient history and documentation.
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 Hemithyroidectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemithyroidectomy
Use these documentation templates to ensure complete and accurate documentation for Hemithyroidectomy. These templates include all required elements for proper coding and billing.
Unilateral thyroid lobectomy for nontoxic nodule
Specialty: Endocrine SurgeryRequired Elements
- Procedure details
- Indication for surgery
- Findings and specimen details
- Prior surgery status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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