ICD-10 Coding for Thyroid Eye Disease(E05.00, H06.2*)
Complete ICD-10-CM coding and documentation guide for Thyroid Eye Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Eye 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 |
|---|---|---|---|
| E05.00 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm | Use when TED is associated with hyperthyroidism due to Graves' disease. |
|
| H06.2* | Thyrotoxic exophthalmos | Use as a secondary code with E05.00 to indicate exophthalmos in TED. |
|
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 thyroid eye disease
Essential facts and insights about Thyroid Eye Disease
Primary ICD-10-CM Codes for thyroid eye disease
Decision Criteria
clinical Criteria
- Presence of hyperthyroidism with TED symptoms
Applicable To
- Graves' disease without crisis
Excludes
- Thyrotoxic crisis or storm (E05.01)
Clinical Validation Requirements
- TSH receptor antibodies positive
- Elevated free T4 levels
Code-Specific Risks
- Incorrectly coding without confirming hyperthyroid status
Coding Notes
- Ensure thyroid function tests are documented to support the diagnosis.
H06.2* - Thyrotoxic exophthalmos
Use as a secondary code with E05.00 to indicate exophthalmos in TED.
Applicable To
- Exophthalmos due to thyrotoxicosis
Excludes
- Exophthalmos due to other causes (H05.2)
Clinical Validation Requirements
- Proptosis measurement ≥3mm
- Lid retraction
Coding Notes
Ensure documentation of eye examination findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Thyrotoxic exophthalmos
H06.2*Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thyroid Eye Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.00.
Impact
Clinical: Inadequate assessment of thyroid status., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Include TSH and T4 levels in notes, Use standardized templates
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E05.00 + H06.2* for thyrotoxic TED.
Impact
Incomplete CAS documentation can lead to audit issues.
Mitigation Strategy
Use standardized CAS templates and ensure complete 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 Thyroid Eye Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Eye Disease
Use these documentation templates to ensure complete and accurate documentation for Thyroid Eye Disease. These templates include all required elements for proper coding and billing.
Endocrinology follow-up for TED
Specialty: EndocrinologyRequired Elements
- Thyroid status
- CAS score
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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