Iodine-deficiency related thyroid disorders and allied conditions
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E01 is a billable code used to indicate a diagnosis of iodine-deficiency related thyroid disorders and allied conditions.
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.
Thorough documentation of thyroid function tests, iodine levels, and patient symptoms.
Patients presenting with fatigue, weight changes, or goiter.
Ensure accurate coding based on lab results and clinical findings.
Documenting patient history, dietary intake of iodine, and referral to specialists if necessary.
Routine screening for thyroid function in at-risk populations.
Consideration of family history and geographic iodine deficiency.
Used to evaluate thyroid function in patients suspected of iodine deficiency.
Document the reason for the test and any relevant clinical findings.
Endocrinologists may require additional tests based on initial TSH results.
Common symptoms include fatigue, weight gain, cold intolerance, and in severe cases, goiter.
Diagnosis is typically made through thyroid function tests, including TSH and free T4 levels, along with dietary assessments.