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ICD-10 Coding for Iodine Deficiency Disorder(E00, E01, E02)

Complete ICD-10-CM coding and documentation guide for Iodine Deficiency Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

IDDIodine DeficiencyCongenital Iodine-Deficiency Syndrome

Related ICD-10 Code Ranges

Complete code families applicable to Iodine Deficiency Disorder

E00-E02Primary Range

Congenital and acquired iodine-deficiency related disorders

This range covers all iodine deficiency disorders, including congenital and acquired forms, and subclinical cases.

Intellectual disabilities associated with iodine deficiency

These codes are used as secondary codes to indicate intellectual disabilities resulting from iodine deficiency.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E00Congenital iodine-deficiency syndromeUse for congenital cases confirmed by maternal iodine deficiency and neonatal thyroid dysfunction.
  • Neurological deficits
  • Stunted growth
  • Maternal iodine deficiency during pregnancy
E01Acquired iodine-deficiency related disordersUse for acquired iodine deficiency with documented goiter and lab results.
  • Goiter with UIC <100 µg/L
  • Elevated TSH (>4.5 mIU/L)
E02Subclinical iodine-deficiency hypothyroidismUse for subclinical cases with lab confirmation of iodine deficiency.
  • TSH elevated (4.5-10 mIU/L)
  • Normal T4
  • UIC <100 µg/L

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 iodine deficiency disorder

Essential facts and insights about Iodine Deficiency Disorder

The ICD-10 codes for iodine deficiency disorder include E00 for congenital cases, E01 for acquired disorders, and E02 for subclinical hypothyroidism due to iodine deficiency.

Primary ICD-10-CM Codes for iodine deficiency disorder

Congenital iodine-deficiency syndrome
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of neurological deficits and stunted growth

Applicable To

  • Cretinism

Excludes

  • Hypothyroidism due to other causes

Clinical Validation Requirements

  • Neurological deficits
  • Stunted growth
  • Maternal iodine deficiency during pregnancy

Code-Specific Risks

  • Misclassification with other congenital hypothyroidism

Coding Notes

  • Ensure maternal iodine deficiency is documented for congenital cases.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Intellectual disabilities

F70-F79
Use to specify intellectual disabilities associated with congenital iodine deficiency.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other hypothyroidism

E03
E03 is used for hypothyroidism not related to iodine deficiency.

Other nontoxic goiter

E04
E04 is used when goiter is not due to iodine deficiency.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Iodine Deficiency Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E00.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Always confirm and document iodine deficiency., Use appropriate codes for iodine-related conditions.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure lab results confirm iodine deficiency before using E02.

Impact

Failure to sequence etiology before manifestation.

Mitigation Strategy

Educate coders on proper sequencing rules.

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 Iodine Deficiency Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Iodine Deficiency Disorder

Use these documentation templates to ensure complete and accurate documentation for Iodine Deficiency Disorder. These templates include all required elements for proper coding and billing.

Subclinical iodine-deficiency hypothyroidism

Specialty: Endocrinology

Required Elements

  • TSH levels
  • Free T4 levels
  • Urinary iodine concentration

Example Documentation

Patient presents with fatigue. TSH 6.2 mIU/L, free T4 1.1 ng/dL, UIC 45 µg/L. Diagnosis: Subclinical iodine-deficiency hypothyroidism (E02).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Fatigue, borderline thyroid levels.
Good Documentation Example
Fatigue, TSH 6.2 mIU/L, free T4 1.1 ng/dL, UIC 45 µg/L. Diagnosis: Subclinical iodine-deficiency hypothyroidism (E02).
Explanation
The good example includes specific lab results confirming iodine deficiency.

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