ICD-10 Coding for Hyperthyroidism Eye(E05.00, H05.00)
Complete ICD-10-CM coding and documentation guide for Hyperthyroidism Eye. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperthyroidism Eye
E05.00-E05.09Primary Range
Thyrotoxicosis with or without goiter
Primary range for hyperthyroidism-related eye conditions, including TED.
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 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm | Use when TED is associated with active hyperthyroidism. |
|
| H05.00 | Unspecified disorder of orbit | Use when TED is present without active thyroid dysfunction. |
|
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 hyperthyroidism eye
Essential facts and insights about Hyperthyroidism Eye
Primary ICD-10-CM Codes for hyperthyroidism eye
Decision Criteria
clinical Criteria
- Documented hyperthyroidism with TED symptoms.
Applicable To
- Graves' disease with hyperthyroidism
Excludes
- Thyrotoxic crisis or storm (E05.01)
Clinical Validation Requirements
- Low TSH, elevated T3/T4 levels
- Positive TSI/TRAb antibodies
Code-Specific Risks
- Incorrectly coding without thyroid status confirmation.
Coding Notes
- Ensure thyroid function tests are documented.
H05.00 - Unspecified disorder of orbit
Use when TED is present without active thyroid dysfunction.
Applicable To
- Orbital disorder without specified thyroid dysfunction
Excludes
- Thyrotoxic exophthalmos (H06.2*)
Clinical Validation Requirements
- Normal thyroid function tests
Coding Notes
Ensure absence of thyroid dysfunction is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Orbital inflammation, unspecified
H05.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperthyroidism Eye to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.00.
Impact
Clinical: Misrepresentation of disease severity., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.
Mitigation Strategy
Always include thyroid function test results.
Impact
Reimbursement: Incorrect DRG assignment, potential underpayment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code E05.00 with additional codes for eye manifestations.
Impact
Inadequate documentation of thyroid status can lead to audits.
Mitigation Strategy
Ensure thyroid function tests are always documented.
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 Hyperthyroidism Eye, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperthyroidism Eye
Use these documentation templates to ensure complete and accurate documentation for Hyperthyroidism Eye. These templates include all required elements for proper coding and billing.
Active TED with hyperthyroidism
Specialty: EndocrinologyRequired Elements
- Thyroid function tests
- CAS score
- Proptosis measurements
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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