ICD-10 Coding for Heterogeneous Thyroid(E06.3, E04.2)
Complete ICD-10-CM coding and documentation guide for Heterogeneous Thyroid. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Heterogeneous Thyroid
E00-E07Primary Range
Disorders of thyroid gland
This range includes all thyroid disorders, including those associated with heterogeneous thyroid findings.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E06.3 | Autoimmune thyroiditis | Use when ultrasound shows heterogeneous echogenicity and lab tests confirm autoimmune thyroiditis. |
|
| E04.2 | Nontoxic multinodular goiter | Use when ultrasound shows multiple nodules without evidence of autoimmunity. |
|
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 heterogeneous thyroid
Essential facts and insights about Heterogeneous Thyroid
Primary ICD-10-CM Codes for heterogeneous thyroid
Decision Criteria
clinical Criteria
- Presence of elevated TPO antibodies and ultrasound findings.
Applicable To
- Hashimoto's thyroiditis
Excludes
- E05.0 Graves' disease
Clinical Validation Requirements
- Heterogeneous echogenicity on ultrasound
- Elevated TPO antibodies
- TSH >4.5 mIU/L or <0.4 mIU/L
Code-Specific Risks
- Misclassification if TPO antibodies are not elevated.
Coding Notes
- Ensure documentation supports autoimmune etiology with lab and imaging findings.
E04.2 - Nontoxic multinodular goiter
Use when ultrasound shows multiple nodules without evidence of autoimmunity.
Applicable To
- Goiter with multiple nodules
Excludes
- E05.0 Graves' disease
Clinical Validation Requirements
- Multiple thyroid nodules ≥1 cm
- Normal TSH levels
- No autoantibodies present
Coding Notes
Document nodule size and absence of autoimmunity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal thyroid function studies
R94.6Differential 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 Heterogeneous Thyroid to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E06.3.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Always include lab results in the patient's record., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation in patient records.
Mitigation Strategy
Use E06.3 (Autoimmune thyroiditis) when antibodies are positive.
Impact
Risk of incorrect code selection due to lack of specific documentation.
Mitigation Strategy
Implement regular training on documentation and 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 Heterogeneous Thyroid, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Heterogeneous Thyroid
Use these documentation templates to ensure complete and accurate documentation for Heterogeneous Thyroid. These templates include all required elements for proper coding and billing.
Chronic autoimmune thyroiditis
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- Ultrasound findings
- Lab results (TPO antibodies, TSH)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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