Find information on Thyroid-Related Atrial Fibrillation diagnosis, including clinical documentation, medical coding, ICD-10 codes, and healthcare guidelines. Learn about the connection between thyroid disorders, hyperthyroidism, hypothyroidism, and atrial fibrillation. Explore resources for accurate medical coding and documentation best practices for thyroid-related AFib. This resource provides guidance for clinicians and healthcare professionals on properly documenting and coding this complex condition.
Also known as
Atrial fibrillation and flutter
Irregular and often rapid heart rate originating in the atria.
Disorders of thyroid gland
Conditions affecting thyroid hormone production and regulation.
Thyrotoxicosis
Excessive thyroid hormone levels in the body.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is atrial fibrillation documented?
Yes
Is thyroid dysfunction documented?
No
Do not code atrial fibrillation. Code the underlying thyroid condition if applicable.
When to use each related code
| Description |
|---|
| Thyroid-related Atrial Fibrillation |
| Hyperthyroidism-induced Cardiomyopathy |
| Thyrotoxic Periodic Paralysis |
Coding AFib without specifying paroxysmal, persistent, or permanent with thyroid disease may lead to inaccurate DRG assignment and reimbursement.
Insufficient documentation linking thyroid disorder and AFib can cause coding and billing errors, impacting compliance and revenue.
Lack of specific thyroid diagnosis (e.g., hyperthyroidism vs. hypothyroidism) can affect accurate code assignment and quality reporting.
Patient presents with complaints consistent with atrial fibrillation (AFib), including palpitations, shortness of breath, and occasional chest discomfort. Symptoms of hyperthyroidism, such as heat intolerance, weight loss, and anxiety, were also noted. Physical examination revealed an irregular, rapid heart rate, and a mildly enlarged thyroid gland. Electrocardiogram (ECG) confirmed atrial fibrillation with a rapid ventricular response. Thyroid function tests (TFTs) revealed elevated levels of free T4 and free T3, with suppressed TSH, indicative of hyperthyroidism. The diagnosis of thyroid-related atrial fibrillation is established based on the presence of both AFib and biochemical confirmation of hyperthyroidism. Differential diagnoses considered included primary atrial fibrillation and other causes of palpitations. Treatment plan includes rate control with beta-blockers, initiation of anticoagulation therapy to mitigate stroke risk, and management of the underlying hyperthyroidism with antithyroid medications such as methimazole or propylthiouracil. Patient education regarding the importance of medication adherence, regular monitoring of thyroid function, and potential complications of both AFib and hyperthyroidism was provided. Follow-up appointments are scheduled to monitor treatment response and adjust medication as needed. ICD-10 code I48.91 (Atrial fibrillation and flutter) and E05.9 (Thyrotoxicosis unspecified) are applicable. CPT codes for services rendered, including evaluation and management (E/M), ECG, and laboratory testing, will be documented separately.