Thyrotoxicosis [hyperthyroidism]
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E05 is a billable code used to indicate a diagnosis of thyrotoxicosis [hyperthyroidism].
Thyrotoxicosis, commonly referred to as hyperthyroidism, is a condition characterized by an excess of thyroid hormones in the bloodstream, leading to an accelerated metabolism and a range of systemic effects. The most common cause of thyrotoxicosis is Graves' disease, an autoimmune disorder that stimulates the thyroid gland to produce excessive amounts of thyroid hormones. Other causes include toxic multinodular goiter, thyroiditis, and excessive intake of iodine or thyroid hormone medications. Symptoms often include weight loss, increased appetite, heat intolerance, anxiety, tremors, and palpitations. Diagnosis typically involves clinical evaluation, thyroid function tests (TFTs) measuring levels of Thyroid Stimulating Hormone (TSH), Free T4, and Free T3. Management may involve antithyroid medications, radioactive iodine therapy, or surgical intervention, depending on the underlying cause and severity of the condition. Monitoring thyroid function tests is crucial in managing treatment and preventing complications such as thyroid storm, a life-threatening exacerbation of hyperthyroidism.
Detailed documentation of thyroid function tests, symptoms, and treatment plans.
Patients presenting with weight loss, anxiety, and palpitations; follow-up visits for medication management.
Ensure accurate coding of the underlying cause of hyperthyroidism and any associated conditions.
Comprehensive patient history, physical examination findings, and lab results.
Initial evaluation of hyperthyroid symptoms, referral to endocrinology.
Documenting the rationale for referrals and any preliminary treatments initiated.
Used to evaluate thyroid hormone levels in patients suspected of hyperthyroidism.
Document the rationale for testing and results.
Endocrinologists may require more detailed lab results for treatment planning.
Common causes include Graves' disease, toxic multinodular goiter, thyroiditis, and excessive iodine intake. Each cause may require different management strategies.