ICD-10 Coding for Hypothyroidism due to Hashimoto's Thyroiditis(E06.3)
Complete ICD-10-CM coding and documentation guide for Hypothyroidism due to Hashimoto's Thyroiditis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypothyroidism due to Hashimoto's Thyroiditis
E06-E07Primary Range
Disorders of thyroid gland
This range includes codes for thyroiditis and hypothyroidism, specifically E06.3 for Hashimoto's thyroiditis.
Key Information: ICD-10 code for hypothyroidism due to Hashimoto's thyroiditis
Essential facts and insights about Hypothyroidism due to Hashimoto's Thyroiditis
Primary ICD-10-CM Code for hypothyroidism due to hashimoto's thyroiditis
Decision Criteria
clinical Criteria
- Presence of TPO antibodies and ultrasound findings
documentation Criteria
- Explicit documentation linking hypothyroidism to Hashimoto's
Applicable To
- Hashimoto's thyroiditis
Excludes
- Other forms of thyroiditis
Clinical Validation Requirements
- Elevated TSH levels
- Low free T4 levels
- Positive TPO antibodies
- Ultrasound showing heterogeneous thyroid
Code-Specific Risks
- Incorrectly coding as unspecified hypothyroidism
- Failing to document the autoimmune nature
Coding Notes
- E06.3 inherently includes hypothyroidism due to its autoimmune nature.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other specified hypothyroidism
E03.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypothyroidism due to Hashimoto's Thyroiditis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E06.3.
Impact
Clinical: Misrepresentation of patient's condition, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Educate providers on documentation requirements, Implement checklist for thyroiditis documentation
Impact
Reimbursement: May lead to incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use E06.3 instead
Impact
Inadequate linkage of hypothyroidism to Hashimoto's
Mitigation Strategy
Regular training and audits
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 Hypothyroidism due to Hashimoto's Thyroiditis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypothyroidism due to Hashimoto's Thyroiditis
Use these documentation templates to ensure complete and accurate documentation for Hypothyroidism due to Hashimoto's Thyroiditis. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Patient history
- Lab results
- Imaging findings
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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