ICD-10 Coding for Hyperactive Thyroid(E05.00, E05.01)
Complete ICD-10-CM coding and documentation guide for Hyperactive Thyroid. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperactive Thyroid
E05.00-E05.91Primary Range
Hyperthyroidism and other thyrotoxicosis
This range includes all forms of hyperthyroidism, including Graves' disease and toxic multinodular goiter.
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 | Graves' disease without thyrotoxic crisis or storm | Use when Graves' disease is confirmed without crisis symptoms. |
|
| E05.01 | Graves' disease with thyrotoxic crisis or storm | Use when Graves' disease is accompanied by crisis symptoms. |
|
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 hyperactive thyroid
Essential facts and insights about Hyperactive Thyroid
Primary ICD-10-CM Codes for hyperactive thyroid
Decision Criteria
clinical Criteria
- Presence of diffuse goiter and positive TRAb
Applicable To
- Diffuse toxic goiter
Excludes
- Thyrotoxic crisis or storm (E05.01)
Clinical Validation Requirements
- TSH <0.1 mIU/L
- Positive TRAb
- Diffuse goiter on ultrasound
Code-Specific Risks
- Misclassification if crisis symptoms are present
Coding Notes
- Ensure documentation specifies Graves' disease to avoid non-specific coding.
E05.01 - Graves' disease with thyrotoxic crisis or storm
Use when Graves' disease is accompanied by crisis symptoms.
Applicable To
- Thyrotoxic storm
Excludes
- Thyrotoxicosis without crisis (E05.00)
Clinical Validation Requirements
- Fever >100.4°F
- Heart rate >130 bpm
- Altered mental status
Coding Notes
Document crisis symptoms clearly to justify this code.
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 Hyperactive Thyroid to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.00.
Impact
Clinical: Misleading clinical data, Regulatory: Potential for coding audits, Financial: Loss of appropriate reimbursement
Mitigation Strategy
Use specific ICD-10 codes, Document supporting clinical evidence
Impact
Reimbursement: Potential underpayment due to non-specific coding, Compliance: Increased audit risk for non-specific coding, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Ensure specific etiology like Graves' disease is coded with E05.00 or E05.01.
Impact
Using unspecified codes when specific etiology is documented
Mitigation Strategy
Educate providers on importance of specific 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 Hyperactive Thyroid, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperactive Thyroid
Use these documentation templates to ensure complete and accurate documentation for Hyperactive Thyroid. These templates include all required elements for proper coding and billing.
Graves' disease diagnosis
Specialty: EndocrinologyRequired Elements
- Patient history
- Physical examination findings
- Laboratory results
- Imaging studies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hyperactive Thyroid? Ask your questions below.