tci Part B Insider - 2010 Issue 16

YOUR PART B QUESTIONS ANSWERED: Consider All Aspects for Hypothyroidism Dx

Question: An established patient who recently had surgery and radiation therapy to treat her thyroid cancer reports to the doctor complaining of weakness, depression, and a lack of tolerance for cold weather. The physician performs a level-four E/M and diagnoses the patient with hypothyroidism caused by the recent treatments. Should I use 244.9 as an ICD-9 code for the hypothyroidism? Answer: Your diagnosis coding should be more precise for this patient, as 244.9 (Unspecified hypothyroidism) does not reflect the postsurgical/postradiation state of the patient's condition. When the patient has recently had thyroid surgery or radiation therapy that...

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