ICD-10 Coding for Hyperthyroidism Unspecified(E05.90)
Complete ICD-10-CM coding and documentation guide for Hyperthyroidism Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperthyroidism Unspecified
E00-E07Primary Range
Disorders of thyroid gland
This range includes all thyroid-related disorders, with E05.90 specifically covering unspecified hyperthyroidism.
Key Information: ICD-10 code for hyperthyroidism unspecified
Essential facts and insights about Hyperthyroidism Unspecified
Primary ICD-10-CM Code for hyperthyroidism unspecified
Decision Criteria
clinical Criteria
- Low TSH and elevated free T4 without crisis symptoms
coding Criteria
- No specific etiology like Graves' identified
documentation Criteria
- Absence of crisis or storm explicitly documented
Applicable To
- Hyperthyroidism without crisis
- Thyrotoxicosis without crisis
Clinical Validation Requirements
- Low TSH levels
- Elevated free T4 levels
- Absence of thyrotoxic crisis symptoms
Code-Specific Risks
- Misclassification if crisis symptoms are present
- Incorrect use if specific etiology like Graves' is identified
Coding Notes
- Ensure documentation specifies the absence of crisis and no specific etiology.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nontoxic single thyroid nodule
E04.1Differential 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 Hyperthyroidism Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.90.
Impact
Clinical: Misleading clinical picture, Regulatory: Potential audit issues, Financial: Incorrect billing and reimbursement
Mitigation Strategy
Standardize documentation templates, Educate providers on coding requirements
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use E05.00 for Graves' disease when confirmed by antibodies.
Impact
Using E05.90 when a specific etiology is known.
Mitigation Strategy
Regular training and audits.
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 Hyperthyroidism Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperthyroidism Unspecified
Use these documentation templates to ensure complete and accurate documentation for Hyperthyroidism Unspecified. These templates include all required elements for proper coding and billing.
Outpatient evaluation for hyperthyroidism
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- TSH and free T4 levels
- Absence of crisis symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hyperthyroidism Unspecified? Ask your questions below.