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ICD-10 Coding for Thyroglossal Duct Cyst(Q89.2)

Complete ICD-10-CM coding and documentation guide for Thyroglossal Duct Cyst. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Thyroglossal CystThyroglossal Duct Remnant

Related ICD-10 Code Ranges

Complete code families applicable to Thyroglossal Duct Cyst

Q89.2Primary Range

Congenital malformations, deformations, and chromosomal abnormalities

This range includes congenital malformations such as thyroglossal duct cysts.

Key Information: ICD-10 code for thyroglossal duct cyst

Essential facts and insights about Thyroglossal Duct Cyst

The ICD-10 code for a thyroglossal duct cyst is Q89.2, covering congenital malformations.

Primary ICD-10-CM Code for thyroglossal duct cyst

Congenital malformations, deformations, and chromosomal abnormalities
Billable Code

Decision Criteria

clinical Criteria

  • Midline neck mass with movement upon tongue protrusion

Applicable To

  • Thyroglossal duct cyst

Excludes

  • Congenital goiter (E03.0)
  • Congenital hypothyroidism (E03.1)

Clinical Validation Requirements

  • Ultrasound showing midline cystic mass near the hyoid bone
  • Absence of thyroid function abnormalities

Code-Specific Risks

  • Confusion with branchial cleft cysts

Coding Notes

  • Ensure documentation specifies midline location and hyoid bone involvement.

Differential Codes

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

Branchial cleft cyst

42810
Branchial cleft cysts are typically lateral neck masses, unlike midline thyroglossal duct cysts.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Thyroglossal Duct Cyst to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Q89.2.

Impact

Clinical: Misdiagnosis of cyst type., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Educate clinical staff on documentation standards.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Verify midline location and hyoid bone involvement in documentation.

Impact

Misclassification of thyroglossal duct cysts as other types.

Mitigation Strategy

Regular training on anatomical differences and coding guidelines.

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 Thyroglossal Duct Cyst, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Thyroglossal Duct Cyst

Use these documentation templates to ensure complete and accurate documentation for Thyroglossal Duct Cyst. These templates include all required elements for proper coding and billing.

Initial excision of thyroglossal duct cyst

Specialty: Otolaryngology

Required Elements

  • Midline neck mass description
  • Hyoid bone involvement
  • Operative details of Sistrunk procedure

Examples: Poor vs. Good Documentation

Poor Documentation Example
Cyst removed from neck.
Good Documentation Example
Midline infrahyoid cyst excised with central hyoid bone segment and tract dissection to foramen cecum.
Explanation
The good example provides specific anatomical details and procedural steps.

Need help with ICD-10 coding for Thyroglossal Duct Cyst? Ask your questions below.

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