Find information on Thyroid Stimulating Hormone (TSH) screening, including clinical documentation requirements, medical coding (CPT codes), and healthcare guidelines. Learn about TSH test interpretation, normal TSH levels, and the role of TSH in diagnosing thyroid disorders like hypothyroidism and hyperthyroidism. This resource provides details on TSH lab tests, thyroid panel information, and the importance of accurate medical coding for TSH testing reimbursement.
Also known as
Other hypothyroidism
Covers various hypothyroidism forms, often involving TSH screening.
Thyrotoxicosis
TSH levels are crucial in diagnosing thyrotoxicosis (hyperthyroidism).
Other disorders of thyroid
Includes thyroid disorders where TSH screening plays a diagnostic role.
Encounter for thyroid testing
Specifically for encounters where thyroid function, including TSH, is tested.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the TSH screening for suspected thyroid disorder?
Yes
Is there a confirmed diagnosis?
No
Is it for medication monitoring?
When to use each related code
| Description |
|---|
| Thyroid Stimulating Hormone Screening |
| Hypothyroidism |
| Hyperthyroidism |
Coding TSH screening without specifying reason (e.g., pregnancy, medication monitoring) leads to claim denials and inaccurate quality data.
Using a TSH level code instead of the screening code (84443) results in underpayment and compliance issues. CDI review needed.
Lack of documented medical necessity for TSH screening can trigger audits and payment recoupment. Clear indication required in documentation.
Patient presents for evaluation of possible thyroid dysfunction. Symptoms include fatigue, weight changes, constipation, and cold intolerance. Differential diagnoses include hypothyroidism, hyperthyroidism, and subclinical thyroid disorders. A thyroid stimulating hormone (TSH) screening test was ordered to assess thyroid function and guide further evaluation. Family history is negative for thyroid disease. Physical examination reveals no palpable thyroid nodules or goiter. Vital signs are stable. Patient education provided on the importance of thyroid hormone regulation, the significance of TSH levels, and the potential need for follow-up testing such as free T4, free T3, and thyroid antibodies if indicated. Medical decision making (MDM) includes consideration of thyroid stimulating hormone test interpretation, thyroid panel, thyroid disease management, and the role of endocrinology consultation if warranted. This encounter addresses thyroid health, thyroid symptoms, and the clinical utility of TSH screening in diagnosing thyroid disorders. Plan includes reviewing TSH results, correlating with clinical presentation, and discussing further management options based on findings. Potential interventions include levothyroxine for hypothyroidism or referral to endocrinology for specialized care. ICD-10 code pending based on TSH results and subsequent diagnosis. CPT code for TSH screening: 84443.