ICD-10 Coding for Thyroid Mass(E04.1, E05.10, E07.9)
Complete ICD-10-CM coding and documentation guide for Thyroid Mass. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Mass
E04-E07Primary Range
Disorders of thyroid gland
This range includes codes for various thyroid disorders, including nodules and masses.
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 thyroid nodule is present with normal thyroid function tests. |
|
| E05.10 | Thyrotoxicosis with toxic single thyroid nodule | Use when a single thyroid nodule is associated with hyperthyroid symptoms and abnormal thyroid function tests. |
|
| E07.9 | Disorder of thyroid, unspecified | Use when thyroid disorder is present but not further specified. |
|
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 mass
Essential facts and insights about Thyroid Mass
Primary ICD-10-CM Codes for thyroid mass
Decision Criteria
clinical Criteria
- Normal TSH and single nodule on imaging
Applicable To
- Solitary thyroid nodule
Excludes
- Toxic single thyroid nodule (E05.10)
Clinical Validation Requirements
- Normal TSH levels
- Single nodule confirmed by imaging
Code-Specific Risks
- Misclassification if thyroid function is abnormal
Coding Notes
- Ensure documentation specifies nodule as nontoxic and single.
E05.10 - Thyrotoxicosis with toxic single thyroid nodule
Use when a single thyroid nodule is associated with hyperthyroid symptoms and abnormal thyroid function tests.
Applicable To
- Toxic thyroid nodule
Excludes
- Nontoxic single thyroid nodule (E04.1)
Clinical Validation Requirements
- Suppressed TSH levels
- Elevated T4 levels
- Symptoms of hyperthyroidism
Coding Notes
Document hyperthyroid symptoms and confirmatory lab results.
E07.9 - Disorder of thyroid, unspecified
Use when thyroid disorder is present but not further specified.
Applicable To
- Thyroid disorder NOS
Excludes
- Specific thyroid disorders with known etiology
Clinical Validation Requirements
- Lack of specific diagnosis or insufficient documentation
Coding Notes
Avoid using this code if specific thyroid disorder can be identified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thyroid Mass to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E04.1.
Impact
Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure thyroid function tests are documented, Clarify nodule characteristics in reports
Impact
Reimbursement: Potential denial if thyroid function is abnormal, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Verify thyroid function tests are normal before coding.
Impact
Inadequate documentation of nodule characteristics and thyroid function.
Mitigation Strategy
Implement structured templates for thyroid evaluations.
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 Mass, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Mass
Use these documentation templates to ensure complete and accurate documentation for Thyroid Mass. These templates include all required elements for proper coding and billing.
Thyroid Nodule Evaluation
Specialty: EndocrinologyRequired Elements
- Nodule size and location
- Thyroid function test results
- Symptoms of hyperthyroidism
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Thyroid Mass? Ask your questions below.