ICD-10 Coding for Thyroid Disease(E03.9, E06.3, E89.0)
Complete ICD-10-CM coding and documentation guide for Thyroid Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Disease
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E03.9 | Hypothyroidism, unspecified | Use when hypothyroidism is diagnosed but the specific cause is not documented. |
|
| E06.3 | Autoimmune thyroiditis | Use when autoimmune thyroiditis is confirmed by lab or histological findings. |
|
| E89.0 | Postprocedural hypothyroidism | Use when hypothyroidism occurs after a thyroid procedure. |
|
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 unspecified hypothyroidism
Essential facts and insights about Thyroid Disease
Primary ICD-10-CM Codes for thyroid disease
Decision Criteria
clinical Criteria
- Presence of elevated TSH and clinical symptoms of hypothyroidism.
Applicable To
- Unspecified hypothyroidism
Clinical Validation Requirements
- TSH > 4.5 mIU/L
- Symptoms of hypothyroidism
Code-Specific Risks
- Risk of under-documentation if specific cause is known but not recorded.
Coding Notes
- Ensure to query for specific etiology if known.
E06.3 - Autoimmune thyroiditis
Use when autoimmune thyroiditis is confirmed by lab or histological findings.
Applicable To
- Hashimoto's thyroiditis
Excludes
- Acute thyroiditis (E06.0)
Clinical Validation Requirements
- Elevated TPO antibodies
- Lymphocytic infiltration on biopsy
Coding Notes
Ensure documentation of antibody levels or biopsy results.
E89.0 - Postprocedural hypothyroidism
Use when hypothyroidism occurs after a thyroid procedure.
Applicable To
- Hypothyroidism following thyroidectomy
Clinical Validation Requirements
- History of thyroidectomy or other thyroid procedure
- Elevated TSH post-procedure
Coding Notes
Sequence E89.0 first when coding postprocedural hypothyroidism.
Differential 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 Thyroid Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E03.9.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Always confirm type with lab or biopsy results.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E89.0 for postprocedural cases.
Impact
Lack of documented symptoms leading to audits.
Mitigation Strategy
Document specific symptoms or history justifying the test.
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 Thyroid Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Disease
Use these documentation templates to ensure complete and accurate documentation for Thyroid Disease. These templates include all required elements for proper coding and billing.
Thyroid Disease Management
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- Lab results
- Imaging findings
- Medication adherence
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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