2025 ICD-10-CM code E01
(Active) Effective Date: N/A Endocrine, nutritional and metabolic diseases - E00-E07 4 Feed
Iodine-deficiency related thyroid disorders and allied conditions.
Medical necessity for services related to iodine deficiency is established by documenting the signs, symptoms, and laboratory findings confirming the diagnosis. The medical record must demonstrate that the services provided, such as iodine supplementation or thyroid hormone replacement, are necessary for treating the iodine deficiency and its associated complications.The link between the iodine deficiency and any resulting conditions like hypothyroidism should be clearly established.
Clinicians diagnose iodine deficiency based on symptoms, physical examination (including checking for goiter), and blood tests to measure thyroid hormone (T3 and T4) and thyroid-stimulating hormone (TSH) levels. Additional tests such as ultrasound or thyroid scan might be necessary. Treatment primarily focuses on iodine supplementation, and in some instances, thyroid hormone replacement therapy. Regular monitoring is crucial for managing the condition effectively.
In simple words: Iodine deficiency means your body isn't getting enough iodine, which your thyroid gland needs to make hormones that control many important functions. Not getting enough iodine can lead to problems like an enlarged thyroid (goiter), fatigue, weight gain, and difficulty thinking clearly.
Iodine deficiency refers to a condition where the thyroid gland is unable to produce sufficient thyroid hormone due to inadequate iodine intake. This deficiency leads to a spectrum of disorders, impacting various bodily functions, including metabolism, growth, and development. In severe cases, it can result in hypothyroidism, goiter, and developmental issues in infants and children.
Example 1: A pregnant woman living in a mountainous region presents with fatigue, weight gain, and constipation. Blood tests reveal elevated TSH and low T4 levels, suggesting hypothyroidism due to iodine deficiency. Ultrasound confirms the absence of thyroid nodules., A child exhibits delayed growth and developmental milestones. Physical examination reveals an enlarged thyroid gland (goiter). Laboratory tests confirm iodine deficiency and hypothyroidism. , An adult living in a region with low iodine intake experiences fatigue, dry skin, and difficulty concentrating. Blood tests show low T3 and T4 levels and elevated TSH. The patient has a noticeable goiter.
Documentation should include signs and symptoms, dietary history, family history of thyroid disorders, physical examination findings (including the presence or absence of goiter), laboratory results (thyroid hormone and TSH levels), and imaging findings if any (ultrasound, thyroid scan). The type and dosage of iodine supplementation should also be documented, along with the patient's response to treatment.
** While iodine deficiency is less common in developed countries like the US due to iodized salt, it remains a significant health issue globally. Pregnant women, infants, and children are particularly vulnerable to the effects of iodine deficiency. Early detection and intervention are crucial to prevent irreversible developmental problems.
- Specialties:Endocrinology, Family Medicine, Pediatrics, Obstetrics/Gynecology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Public Health Clinic