Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm
ICD-10 E05.21 is a billable code used to indicate a diagnosis of thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm.
Thyrotoxicosis with toxic multinodular goiter with thyrotoxic crisis or storm is a severe and life-threatening condition characterized by an excessive release of thyroid hormones into the bloodstream, resulting in a hypermetabolic state. This condition typically arises in patients with multinodular goiter, where multiple nodules in the thyroid gland produce excess thyroid hormones autonomously. A thyrotoxic crisis, also known as thyroid storm, is an acute exacerbation of hyperthyroidism, presenting with symptoms such as fever, tachycardia, agitation, and altered mental status. The crisis can be precipitated by stressors such as infection, surgery, or trauma. Diagnosis is confirmed through clinical evaluation and laboratory tests showing elevated levels of free T4 and suppressed TSH. Management includes the use of antithyroid medications, beta-blockers, and supportive care. Prompt recognition and treatment are crucial to prevent complications and improve patient outcomes.
Detailed clinical notes on thyroid function tests, imaging studies, and treatment plans.
Patients presenting with symptoms of hyperthyroidism, management of thyroid storm, and follow-up of multinodular goiter.
Ensure comprehensive documentation of all thyroid function tests and any precipitating factors for the thyrotoxic crisis.
Immediate documentation of vital signs, clinical presentation, and interventions performed.
Patients presenting with acute symptoms of thyrotoxicosis, requiring rapid assessment and treatment.
Document all emergency interventions and the patient's response to treatment to support coding for acute conditions.
Used to confirm diagnosis of thyrotoxicosis.
Document the rationale for testing and results.
Endocrinologists should ensure comprehensive lab results are included.
Common symptoms include weight loss, rapid heartbeat, increased appetite, sweating, anxiety, and tremors. In severe cases, symptoms may escalate to fever, confusion, and agitation.
