2024 ICD-10-CM Diagnosis Code E03 9: Hypothyroidism, Unspecified

hypothyroid icd 10

Given this change in antibody concentration, it should be understood that the absence of antibodies does not exclude the diagnosis of chronic lymphocytic (autoimmune) thyroiditis. It usually is a primary process in which the thyroid gland is unable to produce sufficient amounts of thyroid hormone. Undertreatment of hypothyroidism leads to disease progression, with visit the website gradual worsening of symptoms and further metabolic derangements. Ultimately, untreated hypothyroidism can result in profound coma or even death, and in infants it can cause irreversible intellectual disability. High titers of anti-TPO antibodies during pregnancy have been reported to have high sensitivity and specificity for postpartum autoimmune thyroid disease.

Routine supplementation of salt, flour, and other food staples with iodine has decreased the rates of iodine deficiency. Systemic effects are the result of either derangements in metabolic processes or more hints direct effects by myxedematous infiltration (ie, accumulation of glycosaminoglycans in the tissues). The hypothalamic-pituitary-thyroid axis governs thyroid hormone secretion (see the image below).

Going through the coding landscape for hypothyroidism under ICD-10 requires adherence to specific guidelines to ensure accurate and comprehensive documentation. We are a complete Revenue Cycle Management solution that streamlines reimbursements and delivers remarkable results. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Delayed puberty, anovulation, menstrual irregularities, and infertility are common. TSH screening should be a routine part of any investigation into menstrual irregularities or infertility.

Clinical hypothyroidism affects one in 300 people in the United States, with a higher prevalence among female and older patients. Symptoms range from minimal to life-threatening (myxedema coma); more common symptoms include cold intolerance, fatigue, weight gain, dry skin, constipation, and voice changes. The signs and symptoms that suggest thyroid dysfunction are nonspecific and nondiagnostic, especially early in disease presentation; therefore, a diagnosis is based on blood levels of thyroid-stimulating hormone and free thyroxine. Symptom relief and normalized thyroid-stimulating hormone levels are achieved with levothyroxine replacement therapy, started at 1.5 to 1.8 mcg per kg per day. Adding triiodothyronine is not recommended, even in patients with persistent symptoms and normal levels of thyroid-stimulating hormone.

hypothyroid icd 10

Community studies use slightly different criteria for determining hypothyroidism; therefore, female-to-male ratios vary. Generally, the prevalence of thyroid disease is reportedly 2-8 times higher in females. Hypothyroidism commonly manifests as a slowing in physical and mental activity but may be asymptomatic. Following these coding guidelines ensures that healthcare providers capture the nuances of each hypothyroidism case effectively, contributing to improved patient care and streamlined billing processes.

If the TSH level is abnormal, the clinician should assess patient adherence, evaluate drug-drug interactions, and adjust the levothyroxine dosage every six to eight weeks until the TSH level normalizes (Figure 22,3,5,7,10,20 25). When TSH is low (over-replacement), the daily dosage should be decreased by 12.5 to 25 mcg. When TSH is high (under-replacement), the daily dosage is increased by 12.5 to 25 mcg per day. additional reading Hypothyroidism is a common endocrine disorder resulting from deficiency of thyroid hormone. In the United States and other areas of adequate iodine intake, autoimmune thyroid disease (Hashimoto disease) is the most common cause of hypothyroidism; worldwide, iodine deficiency remains the foremost cause. Signs and symptoms are nonspecific and can vary in individual presentations (Table 2 and Table 31,3,10).

If the TSH level is within the normal reference range, other etiologies for the signs and symptoms that prompted testing should be sought (Table 41,2). If the FT4 level is normal, further thyroid or pituitary evaluation is unnecessary. Excess iodine, as in radiocontrast dyes, amiodarone, health tonics (herbal and dietary supplements), and seaweed, can transiently inhibit iodide organification and thyroid hormone synthesis (the Wolff-Chaikoff effect). Most healthy individuals have a physiologic escape from this effect after days. In patients with iodine overload, the sodium-iodide symporter shuts down, and this allows intracellular iodine levels to drop and hormone secretion to resume.

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top