ICD-10 Coding for Thyrotoxicosis(E05.00, E05.01)
Complete ICD-10-CM coding and documentation guide for Thyrotoxicosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyrotoxicosis
E05.0-E05.9Primary Range
Thyrotoxicosis
This range covers various forms of thyrotoxicosis, including those with and without crisis, and is essential for accurate diagnosis and coding.
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 | Use when the patient has thyrotoxicosis with diffuse goiter but no crisis symptoms. |
|
| E05.01 | Thyrotoxicosis with diffuse goiter with thyrotoxic crisis | Use when the patient presents with thyrotoxic crisis symptoms. |
|
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 thyrotoxicosis
Essential facts and insights about Thyrotoxicosis
Primary ICD-10-CM Codes for thyrotoxicosis
Decision Criteria
clinical Criteria
- Diffuse goiter without crisis symptoms
Applicable To
- Graves' disease without crisis
Excludes
- Thyrotoxicosis with crisis (E05.01)
Clinical Validation Requirements
- Elevated FT4/FT3
- Diffuse enlargement on ultrasound
- No signs of thyrotoxic storm
Code-Specific Risks
- Misclassification if crisis symptoms are present
Coding Notes
- Ensure documentation clearly differentiates between crisis and non-crisis states.
E05.01 - Thyrotoxicosis with diffuse goiter with thyrotoxic crisis
Use when the patient presents with thyrotoxic crisis symptoms.
Applicable To
- Thyrotoxic storm
Excludes
- Thyrotoxicosis without crisis (E05.00)
Clinical Validation Requirements
- Tachycardia >140
- Hyperthermia >40°C
- Altered mental status
Coding Notes
Document all crisis indicators clearly to support this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Thyrotoxicosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.00.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Could result in audit failures., Financial: Potential for claim denials.
Mitigation Strategy
Ensure all crisis symptoms are documented., Use checklists for crisis indicators.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Inaccurate coding can result in compliance issues., Data Quality: Affects the accuracy of clinical data and reporting.
Mitigation Strategy
Ensure documentation specifies the type of goiter and presence of crisis symptoms.
Impact
Inaccurate coding of thyrotoxic crisis can lead to audits.
Mitigation Strategy
Use detailed checklists to ensure all crisis symptoms are documented.
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 Thyrotoxicosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyrotoxicosis
Use these documentation templates to ensure complete and accurate documentation for Thyrotoxicosis. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Assessment of thyrotoxicosis type
- Lab results
- Goiter characterization
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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