Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm
ICD-10 E05.10 is a billable code used to indicate a diagnosis of thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm.
Thyrotoxicosis with a toxic single thyroid nodule is a condition characterized by excessive thyroid hormone production due to a hyperfunctioning nodule within the thyroid gland. This condition typically presents with symptoms of hyperthyroidism, such as weight loss, increased appetite, heat intolerance, palpitations, and anxiety. Unlike thyrotoxic crisis or storm, which is a life-threatening exacerbation of hyperthyroidism, E05.10 indicates a more stable state of thyrotoxicosis. The toxic nodule is often a benign adenoma that autonomously secretes thyroid hormones, leading to suppressed levels of thyroid-stimulating hormone (TSH) due to negative feedback. Diagnosis is confirmed through thyroid function tests, including serum TSH, free T4, and total T3 levels, along with imaging studies such as a thyroid scan to assess the nodule's activity. Management may involve antithyroid medications, radioactive iodine therapy, or surgical intervention depending on the nodule's characteristics and the patient's overall health.
Thorough documentation of thyroid function tests, imaging results, and treatment plans.
Patients presenting with symptoms of hyperthyroidism and confirmed toxic nodules.
Ensure clear differentiation between toxic nodules and other thyroid disorders.
Comprehensive patient history, symptom assessment, and referral notes to specialists.
Initial evaluation of hyperthyroid symptoms leading to referral for further management.
Documenting the patient's response to initial treatment and follow-up care.
Used to monitor thyroid hormone levels in patients with toxic nodules.
Document the rationale for testing and results.
Endocrinologists may require more detailed lab results for treatment planning.
Symptoms such as unexplained weight loss, increased heart rate, anxiety, and heat intolerance may indicate thyrotoxicosis with a toxic nodule, warranting the use of E05.10.
