ICD-10 Coding for Thyroid Disorder(E03.9, E89.0, E06.3)
Complete ICD-10-CM coding and documentation guide for Thyroid Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Disorder
E00-E07Primary Range
Disorders of thyroid gland
This range includes all disorders related to thyroid function, including hypothyroidism, hyperthyroidism, and thyroiditis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E03.9 | Hypothyroidism, unspecified | Use when hypothyroidism is diagnosed but the specific cause is not documented. |
|
| E89.0 | Postprocedural hypothyroidism | Use when hypothyroidism is a direct result of a surgical procedure on the thyroid. |
|
| E06.3 | Autoimmune thyroiditis | Use when autoimmune thyroiditis is confirmed by lab tests. |
|
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 unspecified hypothyroidism
Essential facts and insights about Thyroid Disorder
Primary ICD-10-CM Codes for thyroid disorder
Decision Criteria
clinical Criteria
- TSH levels above normal range with low FT4
Applicable To
- Unspecified hypothyroidism
Clinical Validation Requirements
- TSH >5.0 μIU/mL
- FT4 <0.9 ng/dL
Code-Specific Risks
- Risk of undercoding if specific cause is known but not documented.
Coding Notes
- Ensure documentation specifies if the hypothyroidism is postprocedural to avoid using E03.9 incorrectly.
E89.0 - Postprocedural hypothyroidism
Use when hypothyroidism is a direct result of a surgical procedure on the thyroid.
Applicable To
- Hypothyroidism following thyroid surgery
Excludes
- Hypothyroidism due to other causes (E03.-)
Clinical Validation Requirements
- History of thyroid surgery
- Elevated TSH post-surgery
Coding Notes
Document the surgical procedure clearly to justify the use of E89.0.
E06.3 - Autoimmune thyroiditis
Use when autoimmune thyroiditis is confirmed by lab tests.
Applicable To
- Hashimoto's thyroiditis
Excludes
- Other forms of thyroiditis (E06.0-E06.2)
Clinical Validation Requirements
- Positive TPO antibodies
- Elevated TSH
Coding Notes
Ensure lab tests confirming autoimmune thyroiditis are documented.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Thyroid Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E03.9.
Impact
Clinical: Leads to non-specific treatment plans., Regulatory: Potential for audit issues., Financial: May result in claim denials.
Mitigation Strategy
Always specify the type of thyroid disorder.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E89.0 for hypothyroidism following thyroid surgery.
Impact
Risk of using unspecified codes without proper documentation.
Mitigation Strategy
Ensure detailed documentation of thyroid disorder type.
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 Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Disorder
Use these documentation templates to ensure complete and accurate documentation for Thyroid Disorder. These templates include all required elements for proper coding and billing.
Hypothyroidism Management
Specialty: EndocrinologyRequired Elements
- Patient history
- Lab results
- Assessment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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