2025 ICD-10-CM code E03.8
Other specified hypothyroidism.This code is used when the provider identifies a type of hypothyroidism not captured by other codes.
Medical necessity for services related to E03.8 should be supported by documentation of the diagnosis, its impact on the patient's functional status, and the rationale for the chosen treatment approach.This should align with established guidelines for managing hypothyroidism.
Clinicians should evaluate patient history, symptoms (weakness, fatigue, depression, memory loss, weight gain, skin dryness, hoarseness, constipation, cold intolerance), and conduct physical examinations. Laboratory tests (thyroid hormone concentration in urine, thyroid function test for TSH, T3, T4, and thyroglobulin) and imaging studies (thyroid ultrasound) are essential for diagnosis. Treatment, often involving levothyroxine therapy, depends on serum TSH levels and may focus on symptom relief.
In simple words: This refers to a specific type of underactive thyroid where your body doesn't produce enough thyroid hormone. It's used when other, more specific diagnoses don't quite fit the situation.
Other specified hypothyroidism encompasses various forms of hypothyroidism not explicitly classified under other codes within the E03 category. It signifies an underactive thyroid gland that doesn't produce adequate thyroid hormones.
Example 1: A patient presents with fatigue, weight gain, and constipation. Lab results reveal low T3 and T4 levels, elevated TSH, and positive anti-thyroid antibodies, but the specific cause is not autoimmune or drug-induced, fitting the criteria for other specified hypothyroidism., A patient experiences hypothyroidism following a viral infection.While this could be post-infectious hypothyroidism (E03.3), if the clinical picture doesn't entirely align with the typical post-infectious course, E03.8 might be more appropriate., A patient with a history of thyroid surgery experiences persistent hypothyroid symptoms despite medication adjustments. Imaging reveals an unusual pattern of thyroid tissue regrowth, not fitting established classifications, making E03.8 suitable.
Documentation should include the type and cause of hypothyroidism, presence or absence of goiter, and detailed clinical findings like symptoms, lab results (TSH, T3, T4, thyroid antibodies), imaging findings, and response to treatment.
- Payment Status: Billable/Specific Code
- Specialties:Endocrinology, Internal Medicine, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital