ICD-10 Coding for Right Thyroid Nodule(E04.1, E05.10, C73)
Complete ICD-10-CM coding and documentation guide for Right Thyroid Nodule. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Thyroid Nodule
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E04.1 | Nontoxic single thyroid nodule | Use when a single nontoxic nodule is identified in the right thyroid lobe. |
|
| E05.10 | Thyrotoxicosis with toxic single thyroid nodule without crisis | Use when a toxic nodule is present with thyrotoxicosis but no crisis. |
|
| C73 | Malignant neoplasm of thyroid gland | Use when a thyroid nodule is confirmed as malignant. |
|
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 right thyroid nodule
Essential facts and insights about Right Thyroid Nodule
Primary ICD-10-CM Codes for right thyroid nodule
Decision Criteria
clinical Criteria
- Presence of a single nontoxic nodule with normal thyroid function tests.
Applicable To
- Nontoxic right thyroid nodule
Excludes
- Toxic thyroid nodule (E05.-)
Clinical Validation Requirements
- Normal TSH levels
- Ultrasound showing single nodule
Code-Specific Risks
- Incorrectly coding as toxic without lab results
Coding Notes
- Ensure documentation specifies laterality as 'right'.
E05.10 - Thyrotoxicosis with toxic single thyroid nodule without crisis
Use when a toxic nodule is present with thyrotoxicosis but no crisis.
Applicable To
- Toxic right thyroid nodule without crisis
Excludes
- Thyrotoxicosis with crisis (E05.11)
Clinical Validation Requirements
- Suppressed TSH
- Elevated T4/T3 levels
- Radioactive iodine uptake scan showing increased uptake
Coding Notes
Ensure documentation includes thyroid function test results.
C73 - Malignant neoplasm of thyroid gland
Use when a thyroid nodule is confirmed as malignant.
Applicable To
- Malignant right thyroid nodule
Clinical Validation Requirements
- Biopsy confirming malignancy
- Positive genetic markers (e.g., BRAF mutation)
Coding Notes
Ensure biopsy results confirm malignancy before coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal thyroid function studies
R94.6Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Thyroid Nodule to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E04.1.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure all lab results are included in the patient's record., Use checklists to verify documentation completeness.
Impact
Reimbursement: May lead to denied claims due to unspecified coding., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.
Mitigation Strategy
Always document the side of the thyroid nodule (right/left).
Impact
Risk of coding errors due to unspecified laterality or incorrect nodule classification.
Mitigation Strategy
Implement regular audits and training on thyroid nodule documentation.
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 Right Thyroid Nodule, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Thyroid Nodule
Use these documentation templates to ensure complete and accurate documentation for Right Thyroid Nodule. These templates include all required elements for proper coding and billing.
Ultrasound report for right thyroid nodule
Specialty: RadiologyRequired Elements
- Location
- Size
- Composition
- Echogenicity
- Margins
- TI-RADS score
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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