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ICD-10 Code E07.1 | Dyshormogenetic goiter Symptoms, Diagnosis, Billing

Dyshormogenetic goiter is a condition characterized by an abnormal enlargement of the thyroid gland due to a deficiency in hormone production. This condition can lead to hypothyroidism and requires accurate diagnosis and documentation for effective treatment. The ICD-10 Code E07.1 facilitates precise medical billing, clinical decision-making, and public health reporting, ensuring that healthcare providers can track and manage this condition effectively.

What is ICD-10 Code E07.1 for Dyshormogenetic goiter?

ICD-10 Code E07.1 represents Dyshormogenetic goiter, which is caused by a genetic defect in thyroid hormone synthesis. This condition is crucial for accurate clinical documentation and billing, as it indicates the need for specialized treatment and monitoring. The code should be used when documenting cases of goiter associated with hormonal imbalances or deficiencies.

ICD-10 Code E07.1 – Clinical Definition and Explanation of Dyshormogenetic goiter

Dyshormogenetic goiter arises from genetic mutations affecting thyroid hormone production, leading to thyroid gland enlargement. This condition can progress to significant metabolic disturbances and requires medical intervention to prevent complications. Early diagnosis is essential for effective management.

Key Clinical Features:

  • Enlarged thyroid gland (goiter) observed on physical examination.
  • Symptoms of hypothyroidism, such as fatigue, weight gain, and cold intolerance.
  • Family history of thyroid disorders indicating a genetic predisposition.
  • Laboratory findings showing low levels of thyroid hormones (T3 and T4) with elevated TSH.

ICD-10 Code E07.1 for Dyshormogenetic goiter – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code E07.1 is utilized to document the diagnosis of Dyshormogenetic goiter, guiding 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 E07.1 for Dyshormogenetic goiter Mean in SOAP Notes?

ICD-10 Code E07.1 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of Dyshormogenetic goiter. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code E07.1 – Dyshormogenetic goiter

Dyshormogenetic goiter may require hospitalization for severe cases, particularly if complications arise. Treatment focuses on restoring thyroid hormone levels and managing symptoms.

Antibiotic Therapy:

  • Not applicable as Dyshormogenetic goiter is not infectious.

Supportive Care:

  • Thyroid hormone replacement therapy (levothyroxine) to normalize hormone levels.
  • Regular monitoring of thyroid function tests.
  • Patient education on managing symptoms and recognizing complications.

Infection Control:

  • Not applicable as Dyshormogenetic goiter is not infectious.

How to Document Symptoms of Dyshormogenetic goiter (ICD-10 E07.1) in SOAP Notes

Subjective:

  • Patient reports fatigue and weight gain over the past few months.
  • Complaints of cold intolerance and dry skin.
  • Family history of thyroid disorders noted.
  • Patient expresses concern about visible neck swelling.

Objective:

  • Physical examination reveals an enlarged thyroid gland.
  • Vital signs: BP 120/80 mmHg, HR 72 bpm, Temp 98.6°F.
  • Laboratory results: TSH elevated, T3 and T4 levels low.
  • Neck ultrasound shows diffuse enlargement of the thyroid gland.
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SOAP Note Guidelines for Diagnosing Dyshormogenetic goiter (ICD-10 Code E07.1)

Assessment:

  • Diagnosis: Dyshormogenetic goiter, moderate severity.
  • ICD-10 Code: E07.1.
  • Contributing factors: Genetic predisposition and hormonal imbalance.
  • Monitor for potential complications such as myxedema.

Plan:

  • Initiate levothyroxine therapy to restore thyroid hormone levels.
  • Educate patient on medication adherence and symptom monitoring.
  • Schedule follow-up in 6 weeks for thyroid function re-evaluation.
  • Consider referral to an endocrinologist for specialized care.

Treatment & Plan Section for ICD-10 Code E07.1 – Dyshormogenetic goiter

  • First-line treatment includes levothyroxine for hormone replacement.
  • Encourage lifestyle modifications such as a balanced diet and regular exercise.
  • Monitor thyroid function tests regularly to adjust medication dosage.
  • Provide education on recognizing symptoms of hypothyroidism and when to seek care.

Using ICD-10 Code E07.1 for Dyshormogenetic goiter in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and clinical findings in SOAP notes.
  • Use E07.1 in appropriate clinical settings, including outpatient and inpatient care.
  • Align treatment plans with clinical guidelines to support justified billing.
  • Document any relevant comorbidities or complications to enhance coding accuracy.

ICD-10 Code E07.1 in Medical Billing and Insurance for Dyshormogenetic goiter

ICD-10 Code E07.1 is essential for accurate billing in hospital, ER, or outpatient settings for Dyshormogenetic goiter.

Billing Notes:

  • Document all relevant clinical findings and patient history to support the diagnosis.
  • Use E07.1 in conjunction with other codes for comorbidities as needed.
  • Ensure that the treatment plan aligns with the diagnosis for proper reimbursement.
  • Include detailed notes on patient education and follow-up plans.

Common CPT Pairings:

CPT CodeDescription
99213Established patient office visit, low complexity.
84443Thyroid stimulating hormone (TSH) test.
84436Thyroxine (T4) test.
78451Thyroid ultrasound.

Frequently Asked Questions

Common Questions About Using ICD-10 Code E07.1 for Dyshormogenetic goiter

What are the common symptoms of Dyshormogenetic goiter?

Common symptoms include fatigue, weight gain, cold intolerance, and visible swelling in the neck due to thyroid enlargement.

How is Dyshormogenetic goiter diagnosed?

Diagnosis is made through clinical evaluation, laboratory tests showing low thyroid hormone levels, and imaging studies such as ultrasound.

What is the treatment for Dyshormogenetic goiter?

Treatment typically involves thyroid hormone replacement therapy with levothyroxine to normalize hormone levels and manage symptoms.

Is Dyshormogenetic goiter hereditary?

Yes, Dyshormogenetic goiter can have a genetic component, and a family history of thyroid disorders may increase the risk.

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