2025 ICD-10-CM code E03
Other hypothyroidism. This code excludes iodine-deficiency related hypothyroidism (E00-E02) and postprocedural hypothyroidism (E89.0).
Medical necessity for treatment is established by documenting the presence of hypothyroidism symptoms and abnormal thyroid function test results, impacting the patient's quality of life and requiring intervention.
Diagnosis involves evaluating patient history, symptoms, physical exam findings, and laboratory tests (thyroid function tests: TSH, T3, T4, and thyroglobulin). Imaging studies like thyroid ultrasound may also be used.
In simple words: Other hypothyroidism means your thyroid isn't making enough thyroid hormone. This can cause symptoms like tiredness, weight gain, feeling cold, and constipation. It's different from hypothyroidism caused by iodine deficiency or after a medical procedure.
Other hypothyroidism refers to a condition where an underactive thyroid gland does not produce enough thyroid hormone. It encompasses various forms of hypothyroidism not classified under iodine-deficiency or postprocedural categories.It's characterized by a deficiency in thyroid hormone production, leading to a wide range of symptoms affecting metabolism, growth, and development.
Example 1: A 50-year-old female presents with fatigue, weight gain, constipation, and dry skin. Lab results reveal elevated TSH and low T4 levels, but she has no history of iodine deficiency or recent procedures. The physician diagnoses her with other hypothyroidism (E03)., A 30-year-old male experiences unexplained weight gain, depression, and difficulty concentrating. After ruling out other causes, thyroid function tests indicate hypothyroidism not attributed to iodine deficiency or prior procedures, leading to a diagnosis of other hypothyroidism (E03)., A patient with a history of autoimmune disease develops hypothyroidism after a viral infection. The provider determines that it's caused by thyroiditis due to infection rather than an iodine deficiency, classifying it as other hypothyroidism (E03).
Documentation should include signs and symptoms, lab results (TSH, T3, T4), imaging findings, and any relevant medical history, including prior thyroid issues, medications, or family history.
** This code is distinct from other forms of hypothyroidism and requires specific documentation to support its use. It's important to differentiate between primary, secondary, and tertiary hypothyroidism for accurate coding and treatment planning.
- Payment Status: Active
- Specialties:Endocrinology, Internal Medicine, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital