Malignancy of the thyroid gland is assigned to code 193. The company and its representatives do not assume any responsibility for reimbursement decisions or claims denials made by providers or payers as the result of the misuse of this coding information. Toxic goiters are classified to category 242 and were discussed under the hyperthyroidism section. Thyroid Nodules Thyroid nodules are abnormal growths or lumps in the thyroid gland. February 14, 2011 Coding for Thyroid Diseases For The Record Vol. It may be life threatening if not treated emergently. The signs and symptoms are the same as hyperthyroidism with three additional characteristic symptoms: goiter, bulging eyes exophthalmos , and raised areas of skin over the shins.
Hypothyroidism is diagnosed primarily based on the amount of thyroid hormone measured in the blood. The signs and symptoms may vary widely depending on the severity of hormone deficiency. Benign neoplasm of the thyroid gland is classified to code 226. Non-Billable Code Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. The following are some common diseases that may occur if the thyroid is not functioning properly. P76-P78 Digestive system disorders of newborn.
Treatment for hyperthyroidism may include one or more of the following: radioactive iodine, antithyroid medications such as propylthiouracil and methimazole Tapazole , beta-blockers to reduce rapid heart rate and prevent palpitations, and surgery such as thyroidectomy. Common signs and symptoms of hypothyroidism include fatigue; weakness; weight gain; coarse, dry hair; dry, rough, pale skin; hair loss; intolerance to the cold; muscle cramps; constipation; depression; irritability; memory loss; abnormal menstrual cycles; and decreased libido. . Very severe, advanced hypothyroidism, which can be life threatening, is called myxedema. In the United States, the most common cause of hypothyroidism is hashimoto's thyroiditis, an autoimmune disorder. Common signs and symptoms of hyperthyroidism include heart palpitations, increased heart rate, intolerance to heat, nervousness, insomnia, breathlessness, increased bowel movements, light or absent menstrual periods, fatigue, trembling hands, weight loss, muscle weakness, hair loss, and warm, moist skin.
The nodules may be solid or fluid filled and benign or malignant. A thyroid storm is a sudden, extreme overactivity of the thyroid gland. Symptoms include weight gain, constipation, dry skin, and sensitivity to the cold. If hypothyroidism goes untreated, it may lead to an enlarged thyroid goiter. Thyroid Goiter A nontoxic goiter is an enlargement of the thyroid that is not associated with the overproduction of thyroid hormone or malignancy.
If the thyroid nodule occurs with hyperthyroidism or thyrotoxicosis, assign code 242. Instead, it is classified to code E89. More information about 3M Health Information Systems is available at www. Benign nodules are the most common and may cause no symptoms. To code a diagnosis of this type, you must use one of the eight child codes of E03 that describes the diagnosis 'other hypothyroidism' in more detail. Signs and symptoms of hypothyroidism include low metabolic rate, tendency to weight gain, somnolence and sometimes myxedema.
Signs and symptoms of hypothyroidism include low metabolic rate, tendency to weight gain, somnolence and sometimes myxedema. Nontoxic nodular goiter is classified to category 241. Hypothyroidism Hypothyroidism occurs if the thyroid does not produce enough hormones. For claims with a date of service on or after October 1, 2015, use an equivalent or codes. E00-E07 Disorders of thyroid gland E40-E46 Malnutrition ….
Hypothyroidism is treated with the synthetic thyroid hormone levothyroxine Levothroid, Synthroid , which restores adequate hormone levels. Liver function tests, thyroid function and. Coding and sequencing for thyroid diseases are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care. Start at the , check the or use the search engine at the top of this page to lookup any code. Thyroid Testing … description and then lists examples following words like ''for example'' or … www.
Use a child code to capture more detail. A: List the diagnosis on the line simple depression or anxiety. Referring … Who is Included? It is an autoimmune disorder in which the immune system attacks the thyroid gland and causes it to overproduce thyroxine, a thyroid hormone. It may produce a fever, extreme weakness, mood swings, confusion, altered consciousness, coma, and enlarged liver with jaundice. Endocrine: Hormones, pituitary gland, thyroid, adrenal glands,. A fifth-digit subclassification is needed to identify presence or absence of thyrotoxic crisis or storm. .