Thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm
ICD-10 E05.30 is a billable code used to indicate a diagnosis of thyrotoxicosis from ectopic thyroid tissue without thyrotoxic crisis or storm.
Thyrotoxicosis from ectopic thyroid tissue refers to a condition where excess thyroid hormones are produced due to thyroid tissue located outside its normal anatomical location, typically in the neck or mediastinum. This condition can lead to symptoms of hyperthyroidism, such as weight loss, increased heart rate, anxiety, and heat intolerance. Unlike thyrotoxic crisis or storm, which is a severe and life-threatening exacerbation of hyperthyroidism, E05.30 indicates a more stable state of thyrotoxicosis. Diagnosis often involves thyroid function tests, including serum TSH, free T4, and total T3 levels, which typically show suppressed TSH and elevated thyroid hormones. Ectopic thyroid tissue can arise from developmental anomalies during embryogenesis, leading to the presence of functional thyroid tissue in atypical locations. Management may include monitoring, antithyroid medications, or surgical intervention depending on the severity of symptoms and the presence of complications.
Thorough documentation of thyroid function tests, imaging studies, and clinical symptoms.
Patients presenting with unexplained hyperthyroid symptoms and abnormal thyroid function tests.
Ensure that the presence of ectopic thyroid tissue is documented and that the absence of crisis is clearly stated.
Detailed operative reports if surgical intervention is performed, including indications and findings.
Surgical evaluation of patients with suspected ectopic thyroid tissue causing compressive symptoms.
Document the surgical findings and any histopathological results to support the diagnosis.
Used to evaluate thyroid hormone levels in patients suspected of having thyrotoxicosis.
Document the rationale for testing and the results.
Endocrinologists should ensure comprehensive lab results are included in the patient's record.
Common symptoms include weight loss, increased heart rate, anxiety, heat intolerance, and tremors.
Diagnosis is made through thyroid function tests showing elevated T4 and suppressed TSH, along with imaging studies confirming ectopic thyroid tissue.
