ICD-10 Coding for Partial Thyroidectomy(E04.1)
Complete ICD-10-CM coding and documentation guide for Partial Thyroidectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Partial Thyroidectomy
E04-E07Primary Range
Disorders of thyroid gland
This range includes conditions related to thyroid disorders, which are relevant for coding partial thyroidectomy procedures.
Key Information: ICD-10 code for partial thyroidectomy
Essential facts and insights about Partial Thyroidectomy
Primary ICD-10-CM Code for partial thyroidectomy
Decision Criteria
clinical Criteria
- Nodule confirmed as non-toxic via imaging and lab tests.
Applicable To
- Solitary thyroid nodule
Excludes
- Toxic single thyroid nodule (E05.1)
Clinical Validation Requirements
- Ultrasound confirmation of single nodule
- FNA biopsy results
Code-Specific Risks
- Misclassification if nodule is toxic
Coding Notes
- Ensure documentation specifies nodule characteristics and non-toxic status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of malignant neoplasm of thyroid
Z85.850Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Toxic single thyroid nodule
E05.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Partial Thyroidectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E04.1.
Impact
Clinical: Ambiguity in surgical site, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Standardize documentation templates, Include laterality as a mandatory field
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Verify operative report for extent of tissue removal.
Impact
Inadequate documentation of the extent of lobectomy can lead to audit issues.
Mitigation Strategy
Use standardized templates that require detailed surgical descriptions.
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 Partial Thyroidectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Partial Thyroidectomy
Use these documentation templates to ensure complete and accurate documentation for Partial Thyroidectomy. These templates include all required elements for proper coding and billing.
Partial thyroid lobectomy for benign nodule
Specialty: Endocrine SurgeryRequired Elements
- Pre-op diagnosis
- Procedure details
- Findings
- Specimens
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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