ICD Code E05.00

ICD code E05.00 is a medical classification used to denote thyrotoxicosis with diffuse goiter without the presence of a thyrotoxic crisis or storm. This condition involves an overactive thyroid gland that results in an excessive production of thyroid hormones, leading to a diffuse enlargement of the thyroid gland, known as a goiter. However, it does not include the severe, life-threatening symptoms associated with a thyrotoxic crisis or storm. This code is used by healthcare providers for accurate diagnosis, treatment planning, and billing purposes.

1. Presence of Diffuse Goiter: The patient must exhibit an enlarged thyroid gland that is uniformly enlarged, indicating a diffuse goiter. This enlargement should be confirmed through physical examination or imaging studies.

2. Symptoms of Thyrotoxicosis: The patient should present with symptoms indicative of thyrotoxicosis, such as unexplained weight loss, increased appetite, heat intolerance, sweating, palpitations, nervousness, or tremors.

3. Laboratory Confirmation: Abnormal thyroid function tests should confirm the presence of thyrotoxicosis. Typically, this includes elevated levels of free thyroxine (T4) and/or triiodothyronine (T3) with suppressed thyroid-stimulating hormone (TSH) levels.

4. Exclusion of Thyrotoxic Crisis or Storm: The patient should not exhibit signs of a thyrotoxic crisis or storm, which is a severe, life-threatening exacerbation of thyrotoxicosis. Symptoms of a crisis include high fever, severe tachycardia, delirium, or heart failure.

5. Absence of Other Thyroid Disorders: Other thyroid conditions, such as nodular goiter or thyroiditis, should be ruled out as the cause of the symptoms and laboratory findings.

6. Clinical Evaluation: A thorough clinical evaluation should be conducted to ensure that the symptoms and laboratory findings align with thyrotoxicosis with diffuse goiter, without the presence of a thyrotoxic crisis or storm.

For the ICD code E05.00, the relevant CPT codes that may be applicable for treatment include:

1. 80091 - Thyroid panel with TSH

2. 84436 - Thyroxine; total

3. 84439 - Thyroxine; free

4. 84443 - Thyroid stimulating hormone (TSH)

5. 84479 - Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)

6. 84480 - Triiodothyronine (T3); total

7. 84481 - Triiodothyronine (T3); free

8. 78012 - Thyroid uptake, single or multiple determinations

9. 78013 - Thyroid imaging (including vascular flow), with or without uptake

10. 78014 - Thyroid imaging (including vascular flow), with or without uptake; with suppression

These CPT codes are typically used for diagnostic testing and imaging related to thyroid function and can be relevant in the management and treatment of conditions associated with the ICD code E05.00. Always ensure that the selected CPT codes align with the specific services provided and are supported by the patient's medical record documentation.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code E05.00. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.