ICD-10 Coding for Hypothyroid Disease(E03.9, E89.0, E06.3)
Complete ICD-10-CM coding and documentation guide for Hypothyroid Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypothyroid Disease
E00-E07Primary Range
Disorders of thyroid gland
This range includes all disorders related to thyroid function, including hypothyroidism.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E03.9 | Hypothyroidism, unspecified | Use when hypothyroidism is diagnosed but no specific cause is documented. |
|
| E89.0 | Postprocedural hypothyroidism | Use for hypothyroidism following surgical or radioactive treatment of the thyroid. |
|
| E06.3 | Autoimmune thyroiditis | Use when autoimmune thyroiditis is confirmed by lab tests. |
|
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 hypothyroid disease
Essential facts and insights about Hypothyroid Disease
Primary ICD-10-CM Codes for hypothyroid disease
Decision Criteria
documentation Criteria
- Lack of specific etiology in documentation
Applicable To
- Acquired hypothyroidism NOS
Excludes
- Congenital hypothyroidism (E03.0)
Clinical Validation Requirements
- TSH >4.5 mIU/L with normal T4
- No identified cause
Code-Specific Risks
- Overuse due to lack of specific documentation
Coding Notes
- Ensure documentation specifies why a more specific code is not applicable.
E89.0 - Postprocedural hypothyroidism
Use for hypothyroidism following surgical or radioactive treatment of the thyroid.
Applicable To
- Hypothyroidism following thyroidectomy
Clinical Validation Requirements
- History of thyroid surgery or radioactive iodine treatment
- Elevated TSH levels post-procedure
Coding Notes
Document the procedure and timeline clearly.
E06.3 - Autoimmune thyroiditis
Use when autoimmune thyroiditis is confirmed by lab tests.
Applicable To
- Hashimoto's thyroiditis
Clinical Validation Requirements
- Positive TPO antibodies
- Goiter presence
Coding Notes
Ensure lab results are documented.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypothyroid Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E03.9.
Impact
Clinical: Misdiagnosis risk, Regulatory: Audit trigger, Financial: Incorrect reimbursement
Mitigation Strategy
Thorough history taking, Detailed lab documentation
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit risk, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use E89.0 for postprocedural cases.
Impact
Using E03.9 without specific documentation.
Mitigation Strategy
Document specific causes or procedural history.
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 Hypothyroid Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypothyroid Disease
Use these documentation templates to ensure complete and accurate documentation for Hypothyroid Disease. These templates include all required elements for proper coding and billing.
Post-thyroidectomy follow-up
Specialty: EndocrinologyRequired Elements
- Procedure date
- Current TSH levels
- Symptoms post-surgery
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hypothyroid Disease? Ask your questions below.