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Home/Diagnosis/ICD-10 Coding for Congenital Hypothyroidism

ICD-10 Coding for Congenital Hypothyroidism

E03.1
E03.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for congenital hypothyroidism includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CH
Neonatal Hypothyroidism
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Key Information: ICD-10 Coding for Congenital Hypothyroidism

Essential facts and insights about ICD-10 Coding for Congenital Hypothyroidism

Use ICD-10 code E03.1 for congenital hypothyroidism without goiter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Congenital hypothyroidism without goiter

Billable Code
E03.1
Billable

Diagnostic Criteria

  • • TSH >40 mIU/L
  • • Free T4 <10 IU/L
  • • Thyroid ultrasound showing ectopic or absent gland

Applicable To

  • • Congenital hypothyroidism without thyroid enlargement

Important Notes

  • • Ensure lab results and imaging are documented to support diagnosis.

Congenital hypothyroidism with diffuse goiter

Billable Code
E03.0
Billable

Diagnostic Criteria

  • • Palpable thyroid enlargement
  • • Elevated thyroglobulin levels

Applicable To

  • • Congenital hypothyroidism with thyroid enlargement

Important Notes

  • • Document thyroid enlargement and lab results clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z83.3

Family history of endocrine/metabolic disorders

Use when there is a documented family history of thyroid disorders.

Z00.110

Encounter for routine child health exam with abnormal findings

Use for follow-up visits after initial screening.

Frequently Asked Questions

What is the ICD-10 code for congenital hypothyroidism?

The ICD-10 code for congenital hypothyroidism without goiter is E03.1, and with goiter is E03.0.

How is congenital hypothyroidism diagnosed?

Congenital hypothyroidism is diagnosed through elevated TSH levels (>40 mIU/L) and low free T4, confirmed by thyroid imaging.

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