ICD-10 Coding for Subclinical Hyperthyroidism(E05.90)
Complete ICD-10-CM coding and documentation guide for Subclinical Hyperthyroidism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Subclinical Hyperthyroidism
E05.9-E05.90Primary Range
Thyrotoxicosis without thyrotoxic crisis or storm
This range includes codes for unspecified thyrotoxicosis and subclinical hyperthyroidism.
Thyrotoxicosis with specific causes like Graves' disease and toxic nodular goiter
These codes are used when the specific cause of thyrotoxicosis is documented.
Key Information: ICD-10 code for subclinical hyperthyroidism
Essential facts and insights about Subclinical Hyperthyroidism
Primary ICD-10-CM Code for subclinical hyperthyroidism
Decision Criteria
clinical Criteria
- TSH <0.4 mIU/L with normal FT4/FT3
coding Criteria
- No specific cause documented
documentation Criteria
- Lack of specific etiology in the medical record
Applicable To
- Subclinical hyperthyroidism
Excludes
- Thyrotoxicosis with thyrotoxic crisis or storm (E05.01)
Clinical Validation Requirements
- TSH <0.4 mIU/L with normal FT4/FT3
- Persistent TSH suppression confirmed by serial testing
Code-Specific Risks
- Incorrectly using this code when a specific cause is documented.
Coding Notes
- Ensure documentation specifies 'subclinical hyperthyroidism' and includes TSH and thyroid hormone levels.
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 Subclinical Hyperthyroidism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E05.90.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Ensure specific lab values are documented, Use precise terminology in clinical notes
Impact
Reimbursement: Incorrect coding may lead to improper DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines can result in audits and penalties., Data Quality: Impacts the accuracy of health data and quality reporting.
Mitigation Strategy
Use the specific code for the documented cause, such as E05.00 for Graves' disease.
Impact
Risk of audits due to incorrect use of unspecified codes when specific causes are documented.
Mitigation Strategy
Ensure thorough documentation of the etiology and use specific codes when applicable.
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 Subclinical Hyperthyroidism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Subclinical Hyperthyroidism
Use these documentation templates to ensure complete and accurate documentation for Subclinical Hyperthyroidism. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- TSH level
- Free T4 and T3 levels
- Clinical symptoms
- Etiology if known
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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