Drug-induced thyroiditis is an inflammatory condition of the thyroid gland resulting from the administration of certain medications. This condition can lead to hypothyroidism or hyperthyroidism, depending on the drug involved. Accurate coding with ICD-10 Code E06.4 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat affected patients.
What is ICD-10 Code E06.4 for Drug-induced thyroiditis?
ICD-10 Code E06.4 represents Drug-induced thyroiditis, a condition characterized by thyroid inflammation due to specific medications. This code should be used when documenting cases where drug exposure is linked to thyroid dysfunction, aiding in accurate clinical documentation and billing processes.
ICD-10 Code E06.4 – Clinical Definition and Explanation of Drug-induced thyroiditis
Drug-induced thyroiditis occurs when certain medications provoke an inflammatory response in the thyroid gland, potentially leading to significant hormonal imbalances. Prompt recognition and treatment are crucial to prevent complications such as thyroid storm or persistent hypothyroidism.
Key Clinical Features:
- Recent history of medication use known to cause thyroiditis.
- Symptoms may include fatigue, weight changes, and mood disturbances.
- Laboratory findings may show altered thyroid hormone levels.
- Thyroid ultrasound may reveal gland enlargement or nodularity.
ICD-10 Code E06.4 for Drug-induced thyroiditis – SOAP Notes & Clinical Use
In SOAP notes, ICD-10 Code E06.4 is utilized to document the presence of drug-induced thyroiditis, aiding in the assessment of symptoms, clinical findings, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management.
What Does ICD-10 Code E06.4 for Drug-induced thyroiditis Mean in SOAP Notes?
ICD-10 Code E06.4 connects subjective patient reports and objective clinical findings to a formal diagnosis of drug-induced thyroiditis. This linkage is vital for continuity of care, supporting accurate billing, and meeting EHR documentation standards.
Treatment Options for ICD-10 Code E06.4 – Drug-induced thyroiditis
Management of drug-induced thyroiditis may require hospitalization, especially in severe cases. Treatment focuses on addressing the underlying cause and alleviating symptoms.
Antibiotic Therapy:
- Not applicable as drug-induced thyroiditis is not infectious.
Supportive Care:
- Monitor thyroid function tests regularly.
- Provide symptomatic treatment for fatigue and mood changes.
- Educate patients on potential medication adjustments.
Infection Control:
- Not applicable as drug-induced thyroiditis is not contagious.
How to Document Symptoms of Drug-induced thyroiditis (ICD-10 E06.4) in SOAP Notes
Subjective:
- Patient reports fatigue and weight gain over the past month.
- History of recent medication changes, including amiodarone.
- Complaints of mood swings and difficulty concentrating.
Objective:
- Thyroid function tests show elevated TSH and low free T4.
- Thyroid ultrasound reveals mild enlargement of the gland.
- Vital signs stable; no signs of acute distress.
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SOAP Note Guidelines for Diagnosing Drug-induced thyroiditis (ICD-10 Code E06.4)
Assessment:
- Diagnosis: Drug-induced thyroiditis, moderate severity.
- ICD-10 Code: E06.4.
- Recent medication use identified as a contributing factor.
Plan:
- Discontinue the offending medication.
- Initiate levothyroxine therapy if hypothyroidism is confirmed.
- Schedule follow-up in 6 weeks to reassess thyroid function.
Treatment & Plan Section for ICD-10 Code E06.4 – Drug-induced thyroiditis
- Consider pharmacologic treatment with levothyroxine for hypothyroid symptoms.
- Educate patients on recognizing symptoms of thyroid dysfunction.
- Implement regular monitoring of thyroid hormone levels.
- Encourage lifestyle modifications to support overall health.
Using ICD-10 Code E06.4 for Drug-induced thyroiditis in Billing & SOAP Note Compliance
- Ensure accurate documentation of medication history in Subjective (S) and Objective (O) sections.
- Use E06.4 in conjunction with relevant symptoms and treatment plans.
- Align treatment plans with clinical guidelines to support justified billing.
- Include only relevant CPT codes that correspond with the diagnosis.
Related ICD-10 Codes Often Used with Drug-induced thyroiditis
- E03.9 – Hypothyroidism, unspecified
- E06.3 – Autoimmune thyroiditis
- E07.9 – Disorders of thyroid, unspecified
ICD-10 Code E06.4 in Medical Billing and Insurance for Drug-induced thyroiditis
ICD-10 Code E06.4 is critical in medical billing, particularly in hospital, ER, or infectious disease care settings.
Billing Notes:
- Document all relevant patient history and medication use to support claims.
- Use E06.4 in appropriate clinical settings to ensure accurate billing.
- Include key chart elements such as lab results and treatment plans.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99213 | Established patient office visit, low complexity. |
| 84443 | Thyroid stimulating hormone (TSH) test. |
| 84436 | Thyroxine (T4) test. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code E06.4 for Drug-induced thyroiditis
What medications can cause drug-induced thyroiditis?
Common medications associated with drug-induced thyroiditis include amiodarone, lithium, and interferons. These drugs can alter thyroid function and provoke inflammation.
How is drug-induced thyroiditis diagnosed?
Diagnosis typically involves a thorough patient history, including recent medication use, along with laboratory tests to assess thyroid hormone levels and imaging studies if necessary.
What are the treatment options for drug-induced thyroiditis?
Treatment primarily involves discontinuing the offending medication and managing thyroid hormone levels, which may include hormone replacement therapy if hypothyroidism develops.
Is drug-induced thyroiditis reversible?
In many cases, drug-induced thyroiditis is reversible upon discontinuation of the causative medication, but some patients may require ongoing management for thyroid dysfunction.
