Abnormal results of thyroid function studies
ICD-10 R94.6 is a billable code used to indicate a diagnosis of abnormal results of thyroid function studies.
R94.6 is used to classify abnormal results from thyroid function studies, which are critical in assessing thyroid gland performance and diagnosing thyroid disorders. Thyroid function tests typically include measurements of Thyroid Stimulating Hormone (TSH), Free T4, and Free T3 levels. Abnormal results may indicate conditions such as hypothyroidism, hyperthyroidism, thyroiditis, or thyroid neoplasms. Symptoms associated with abnormal thyroid function can vary widely, including fatigue, weight changes, temperature sensitivity, and mood disturbances. The interpretation of these tests must consider clinical context, as factors such as medications, pregnancy, and acute illness can influence results. Accurate coding requires a thorough understanding of the patient's clinical picture and the specific tests performed, as well as any relevant symptoms or signs that may accompany the abnormal findings.
Documentation should include the specific thyroid function tests performed, results, and any relevant clinical symptoms or history.
Patients presenting with fatigue, weight changes, or mood disturbances requiring thyroid function evaluation.
Consideration of patient history, including prior thyroid disorders and family history of thyroid disease.
Acute care documentation must include the reason for testing, results, and any immediate interventions taken based on abnormal findings.
Patients presenting with acute symptoms suggestive of thyroid dysfunction, such as severe fatigue or altered mental status.
Rapid assessment of thyroid function may be critical in acute settings, especially in cases of suspected thyroid storm or myxedema coma.
Used when evaluating thyroid function in patients with symptoms suggestive of thyroid disease.
Document the reason for the test and any relevant clinical findings.
Endocrinologists may require more detailed documentation regarding the patient's thyroid history.
Common symptoms include fatigue, weight changes, temperature sensitivity, mood disturbances, and changes in heart rate. These symptoms can vary significantly depending on whether the patient is experiencing hypothyroidism or hyperthyroidism.