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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE01

E01

Billable

Iodine-deficiency related thyroid disorders and allied conditions

Chapter 4:Endocrine, nutritional and metabolic diseases

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E01 is a billable code used to indicate a diagnosis of iodine-deficiency related thyroid disorders and allied conditions.

Key Diagnostic Point:

Iodine deficiency is a significant public health issue that can lead to various thyroid disorders, primarily hypothyroidism and goiter. The thyroid gland requires iodine to synthesize thyroid hormones, which are crucial for regulating metabolism, growth, and development. Inadequate iodine intake can result in insufficient production of thyroid hormones, leading to hypothyroidism characterized by symptoms such as fatigue, weight gain, and cold intolerance. In severe cases, iodine deficiency can cause goiter, an enlargement of the thyroid gland. Conversely, in some populations, excessive iodine intake can lead to hyperthyroidism, where the thyroid gland produces an excess of hormones, resulting in symptoms like weight loss, increased heart rate, and anxiety. Diagnosis typically involves thyroid function tests, including serum TSH (Thyroid Stimulating Hormone) and free T4 levels. The management of iodine deficiency-related thyroid disorders often includes iodine supplementation and monitoring of thyroid function to prevent complications associated with both hypothyroidism and hyperthyroidism.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between hypothyroidism and hyperthyroidism due to iodine deficiency.
  • Understanding the nuances of thyroid function tests and their interpretation.
  • Documenting the severity and duration of iodine deficiency.
  • Identifying associated conditions such as goiter or thyroiditis.

Audit Risk Factors

  • Inadequate documentation of iodine levels.
  • Failure to document thyroid function test results.
  • Misclassification of hypothyroidism vs. hyperthyroidism.
  • Lack of evidence for iodine supplementation.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of thyroid function tests, iodine levels, and patient symptoms.

Common Clinical Scenarios

Patients presenting with fatigue, weight changes, or goiter.

Billing Considerations

Ensure accurate coding based on lab results and clinical findings.

Primary Care

Documentation Requirements

Documenting patient history, dietary intake of iodine, and referral to specialists if necessary.

Common Clinical Scenarios

Routine screening for thyroid function in at-risk populations.

Billing Considerations

Consideration of family history and geographic iodine deficiency.

Coding Guidelines

Inclusion Criteria

Use E01 When
  • Follow the official ICD
  • CM coding guidelines for E01, ensuring accurate documentation of iodine deficiency and thyroid function tests
  • Include relevant clinical details to support the diagnosis

Exclusion Criteria

Do NOT use E01 When
No specific exclusions found.

Related CPT Codes

84443CPT Code

Thyroid stimulating hormone (TSH)

Clinical Scenario

Used to evaluate thyroid function in patients suspected of iodine deficiency.

Documentation Requirements

Document the reason for the test and any relevant clinical findings.

Specialty Considerations

Endocrinologists may require additional tests based on initial TSH results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of iodine deficiency-related disorders, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of iodine deficiency-related disorders, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    World Health Organization - Iodine Deficiency

Coding & Billing References

  • •
    World Health Organization - Iodine Deficiency

Frequently Asked Questions

What are the common symptoms of iodine deficiency?

Common symptoms include fatigue, weight gain, cold intolerance, and in severe cases, goiter.

How is iodine deficiency diagnosed?

Diagnosis is typically made through thyroid function tests, including TSH and free T4 levels, along with dietary assessments.