ICD-10 Coding for Thyroid Stimulating Hormone(E03.9, E05.00)
Complete ICD-10-CM coding and documentation guide for Thyroid Stimulating Hormone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Thyroid Stimulating Hormone
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 confirmed by lab tests but the specific type is not documented. |
|
| E05.00 | Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm | Use for confirmed hyperthyroidism with diffuse goiter. |
|
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 elevated TSH
Essential facts and insights about Thyroid Stimulating Hormone
Primary ICD-10-CM Codes for thyroid stimulating hormone
Decision Criteria
clinical Criteria
- TSH >4.5 µIU/mL with symptoms
documentation Criteria
- Lack of specific etiology documentation
Applicable To
- Primary hypothyroidism
Excludes
- Postprocedural hypothyroidism (E89.0)
Clinical Validation Requirements
- TSH >4.5 µIU/mL
- Symptoms such as fatigue, weight gain
Code-Specific Risks
- Risk of audit if used without lab confirmation
Coding Notes
- Ensure lab results are documented to support the diagnosis.
E05.00 - Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
Use for confirmed hyperthyroidism with diffuse goiter.
Applicable To
- Graves' disease
Excludes
- Thyrotoxic crisis or storm (E05.01)
Clinical Validation Requirements
- TSH <0.3 µIU/mL
- Elevated free T4
Coding Notes
Ensure documentation includes lab results and clinical symptoms.
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 Thyroid Stimulating Hormone 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 misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always include lab results in documentation, Use templates to ensure completeness
Impact
Reimbursement: May lead to claim denials, Compliance: Increases audit risk, Data Quality: Affects accuracy of patient records
Mitigation Strategy
Ensure TSH and free T4 levels are documented.
Impact
High audit risk when using unspecified codes without supporting documentation.
Mitigation Strategy
Use specific codes whenever possible and ensure documentation supports the diagnosis.
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 Stimulating Hormone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Thyroid Stimulating Hormone
Use these documentation templates to ensure complete and accurate documentation for Thyroid Stimulating Hormone. These templates include all required elements for proper coding and billing.
Primary Hypothyroidism Diagnosis
Specialty: EndocrinologyRequired Elements
- Patient history
- Physical examination
- Lab results
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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