icd 9 code for right thyroid follucular lesion

by Hellen Hoeger 9 min read

Thyroid nodules are classified to ICD-9-CM code 241.0, Nontoxic uninodular goiter. If a nodule is with hyperthyroidism or thyrotoxicosis, assign code 242.1x.Sep 2, 2008

Full Answer

What is the ICD 9 code for neoplasm of thyroid glands?

Benign neoplasm of thyroid glands Short description: Benign neoplasm thyroid. ICD-9-CM 226 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 226 should only be used for claims with a date of service on or before September 30, 2015. You are viewing the 2012 version of ICD-9-CM 226.

What is the CPT code for benign thyroid nodules?

If a nodule is with hyperthyroidism or thyrotoxicosis, assign code 242.1x. A fifth-digit subclassification is needed to identify the presence or absence of thyrotoxic crisis or storm. The following are common types of benign and malignant thyroid nodules: • Benign neoplasm of the thyroid glands (226).

What is the ICD 10 code for hypothyroidism?

2021 ICD-10-CM Diagnosis Code E07.9 Disorder of thyroid, unspecified 2016 2017 2018 2019 2020 2021 Billable/Specific Code E07.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What are the follicular cells of the thyroid gland?

Most of the cells in the thyroid gland are called follicular cells. The follicular cells connect together to form small round structures called follicles. Thyroid hormone is stored in a material called colloid which fills the center of follicles. What does benign follicular nodule mean? A nodule is an abnormal growth in the thyroid gland.

image

What is a thyroid follicular lesion?

A follicular adenoma is a benign encapsulated tumor of the thyroid gland. It is a firm or rubbery, homogeneous, round or oval tumor that is surrounded by a thin fibrous capsule. A follicular adenoma is a common neoplasm of the thyroid gland. In two autopsy series, the incidence of thyroid adenoma was 3 and 4.3% [1, 2].

What is the ICD-10 code for thyroid lesion?

E04. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E04.

What is the ICD-10 code for benign follicular thyroid nodule?

ICD-10 code D34 for Benign neoplasm of thyroid gland is a medical classification as listed by WHO under the range - Neoplasms .

What is benign follicular lesion?

Benign follicular adenomas. The word follicular means the cells look like a group of small circles under a microscope. If the follicular cells are contained within the nodule, the condition is called benign. If the cells have invaded the surrounding tissue, the diagnosis is cancer.

What is the ICD-10 code for follicular neoplasm of thyroid?

Malignant neoplasm of thyroid gland C73 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C73 became effective on October 1, 2021. This is the American ICD-10-CM version of C73 - other international versions of ICD-10 C73 may differ.

What is follicular neoplasm?

Follicular neoplasm: A tumor that can be benign such as a thyroid adenoma, or malignant such as a follicular thyroid cancer.

What is the ICD-10 code for right thyroid nodule?

E04. 1 - Nontoxic single thyroid nodule. ICD-10-CM.

How do you code thyroid nodules?

Thyroid nodules are classified to ICD-9-CM code 241.0, Nontoxic uninodular goiter. If a nodule is with hyperthyroidism or thyrotoxicosis, assign code 242.1x.

What is the ICD-10 code for thyroid cyst?

ICD-10 code E04. 1 for Nontoxic single thyroid nodule is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

What is a follicular lesion of undetermined significance?

Atypical thyroid biopsy (atypia of undetermined significance or follicular lesion of undetermined significance, AUS/FLUS): this happens when there are some abnormal/atypical cells in the biopsy sample but not enough to diagnose a cancer.

Is follicular neoplasm benign?

The diagnosis "follicular neoplasm" is indeterminate, and the majority of cases (70% in the current study) are benign. However, clinical features, including gender, nodule size, and age, can be a part of the decision analysis in selecting patients for surgery.

What are the follicular cells?

Thyroid follicular cells (also called thyroid epithelial cells or thyrocytes) are the major cell type in the thyroid gland, and are responsible for the production and secretion of the thyroid hormones thyroxine (T4) and triiodothyronine (T3).

Can a benign follicular nodule become cancerous?

Conclusion: Some benign thyroid nodules have malignant potential. Further molecular testing of these tumors can shed light on the pathogenesis of early malignant transformation.

Do benign thyroid nodules have to be removed?

Most noncancerous, or benign, thyroid nodules do not need treatment unless they are a cosmetic concern or cause symptoms including problems with swallowing, breathing, or speaking and neck discomfort.

Is a follicle a tumor?

Tumours arising from the hair follicle are part of a large and diverse group of neoplasms called skin adnexal tumours. Hair follicle tumours can be benign or malignant growths.

Are follicular cells cancerous?

Follicular thyroid carcinoma (FTC) is the second most common cancer of the thyroid, after papillary carcinoma. Follicular and papillary thyroid cancers are considered to be differentiated thyroid cancers; together they make up 95% of thyroid cancer cases.

What is the ICd 9 code for thyroid nodules?

Types of Thyroid Nodules. Thyroid nodules are classified to ICD-9-CM code 241.0, Nontoxic uninodular goiter. If a nodule is with hyperthyroidism or thyrotoxicosis, assign code 242.1x.

What is the code for a near total thyroidectomy?

A near-total thyroidectomy is classified to code 06.39, Partial thyroidectomy. If a total thyroidectomy is performed, assign code 06.4.

What is the subclassification of primary malignant neoplasms of lymph nodes?

If the lymph nodes around the thyroid gland are involved, then the fifth-digit subclassification of “1” will be assigned.

What is the treatment for thyroid cancer?

Other treatment methods include thyroid hormone therapy, radioactive iodine (radioiodine) —according to ICD-9-CM coding directives, if a patient is admitted for radioactive iodine therapy, the condition should be sequenced as the principal diagnosis—external beam radiation, and chemotherapy.

What is a thyroid nodule?

18 P. 26. Thyroid nodules are abnormal growths or lumps on the butterfly-shaped gland located at the base of the neck that produces metabolism-regulating hormones. The nodules may be solid or fluid filled and benign or malignant. Symptoms.

Can thyroid cancer be removed?

It can be removed completely via surgery with a good prognosis. This type of thyroid cancer commonly metastasizes to the lymph nodes. • Follicular cancer (193) also develops in the follicle cells and can be completely removed with a good prognosis.

Which lobe of the thyroid is rock hard?

At this point, it was quite apparent that the left lobe of the thyroid was rock hard, an entirely different feel from that of the right lobe.

What is papillary carcinoma of the left thyroid?

Papillary carcinoma of the left thyroid (Diagnosis to report if no further positive findings are found in the note.) Lymph nodes exhibiting metastasis (This is a working diagnosis. The lymph node exhibited signs of metastasis and was sent for pathologic testing.

What lobes of the thyroid were removed?

Using the harmonic scalpel, two-thirds of the left thyroid lobe and the isthmus were removed, sparing the parathyroids and staying clear of the recurrent laryngeal nerve. (Two-thirds of the patient's left thyroid lobe and isthmus were removed.)

What nerve was removed during thyroid dissection?

As the thyroid was mobilized, the recurrent laryngeal nerve was identified and avoided throughout the course of the dissection. There was a small lymph node attached to the side of the gland (The lymph node attached to the gland was removed.) which appeared to be metastatic disease.

What is postpartum thyroid?

Postpartum (after childbirth) thyroid disease . Postpartum thyroid disease. Thyroid disease in childbirth. Thyroid disease in pregnancy. Thyroid disorder. Thyroid mass. Clinical Information. Condition in which there is a deviation from or interruption of the normal structure or function of the thyroid gland, which is a highly vascular endocrine ...

How does the thyroid help your metabolism?

The thyroid helps set your metabolism - how your body gets energy from the foods you eat.millions of people in the United States Have thyroid diseases. Most of them are women. If you have a thyroid disease, your body uses energy more slowly or quickly than it should.

Where is the thyroid located?

The thyroid is a small U-shaped gland located in the front of the neck. It is made up of two halves, called lobes, which lie along the trachea and are joined together by a narrow band of thyroid tissue, known as the isthmus.

How are thyroid cells separated from normal thyroid cells?

The tumour cells are separated from the normal thyroid gland by a thin tissue barrier called a capsule. Most of the time it is not possible for a pathologist to tell the difference between these conditions when examining tissue removed by fine-needle aspiration (FNA). For that reason, the term benign follicular nodule is used in place ...

What is benign follicular nodule?

Quick facts: Benign follicular nodule is a term pathologists use to describe a group of non-cancerous conditions in the thyroid gland. The conditions in this group include nodular thyroid hyperplasia, adenomatoid nodule, nodules in Graves’ disease, and follicular adenoma. This diagnosis is usually made after a procedure called a fine-needle ...

What is the function of the thyroid gland?

The function of the thyroid gland is to take iodine, found in many foods, and convert it into thyroid hormone. Once made, the thyroid hormone is released into the bloodstream and transported throughout the body where they control the body’s metabolism (e.g. the conversion of oxygen and calories to energy). Most of the cells in the thyroid gland are ...

What is the color of follicular cells?

Some of the follicular cells will be larger and bright pink.

Where is thyroid hormone stored?

The follicular cells connect together to form small round structures called follicles. Thyroid hormone is stored in a material called colloid which fills the center of follicles.

Is adenomatoid nodule a tumour?

An adenomatoid nodule is not a tumour. Most adenomatoid nodules develop in the background of nodular thyroid hyperplasia. Nodules in Graves’ disease – Graves’ is an autoimmune disease associated with increased production of thyroid hormone (hyperthyroidism). Patients with Graves’ disease often have an enlarged thyroid gland.

image

Overview

Image
Thyroid nodules are abnormal growths or lumps on the butterfly-shaped gland located at the base of the neck that produces metabolism-regulating hormones. The nodules may be solid or fluid filled and benign or malignant.
See more on fortherecordmag.com

Signs and symptoms

  • There may be no signs or symptoms with early-stage malignant thyroid nodules. However, a patient may experience a lump just below the Adams apple, hoarseness, difficulty swallowing or breathing, swollen lymph nodes in the neck, pain in the throat or neck, or hyperthyroidism or hypothyroidism symptoms if the cancer grows. These symptoms may also be caused by benign …
See more on fortherecordmag.com

Classification

  • Thyroid nodules are classified to ICD-9-CM code 241.0, Nontoxic uninodular goiter. If a nodule is with hyperthyroidism or thyrotoxicosis, assign code 242.1x. A fifth-digit subclassification is needed to identify the presence or absence of thyrotoxic crisis or storm. The following are common types of benign and malignant thyroid nodules: Thyroid lym...
See more on fortherecordmag.com

Clinical significance

  • Papillary cancer (193) is the most common form of thyroid malignancy, typically developing in the follicle cells of one thyroid lobe. It can be removed completely via surgery with a good prognosis. This type of thyroid cancer commonly metastasizes to the lymph nodes.
See more on fortherecordmag.com

Types

  • There are three types of medullary cancer: sporadic, familial, and multiple endocrine neoplasia, type II (MEN II), an inherited form with possible tumors in other endocrine glands, such as adrenal or parathyroid. There are two subtypes, MEN Type IIA (258.02) and MEN Type IIB (258.03). According to coding directives, use additional codes to identify malignancies (such as thyroid ca…
See more on fortherecordmag.com

Prognosis

  • Anaplastic cancer (193) is very aggressive with a poor prognosis. It can spread quickly to the lymph nodes and trachea and sometimes to other organs or bones.
See more on fortherecordmag.com

Diagnosis

  • With benign and malignant thyroid neoplasms, coding directives instruct coders to use an additional code to identify any functional activity such as corticoadrenal insufficiency (255.41), hyperthyroidism (242.80 to 242.81), or hypopituitarism (253.2). If a functional activity or condition is documented, it should be coded separately. Sequencing of the thyroid neoplasm with the func…
See more on fortherecordmag.com

Treatment

  • Treatment The most definitive treatment method for thyroid nodules includes surgery. A near-total thyroidectomy may be the procedure of choice, which leaves a small rim of the thyroid tissue around the parathyroid gland to reduce the risk of parathyroid damage. A near-total thyroidectomy is classified to code 06.39, Partial thyroidectomy. If a total thyroidectomy is performed, assign c…
See more on fortherecordmag.com

Use

  • Coding and sequencing for thyroid nodules are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care. Also, use specific AHA Coding Clinic for ICD-9-CM and American Medical Association CPT Assistant references to ensure complete and accurate coding.
See more on fortherecordmag.com

Preparation

  • This information was prepared by Audrey Howard, RHIA, of 3M Consulting Services. 3M Consulting Services is a business of 3M Health Information Systems, a supplier of coding and classification systems to nearly 5,000 healthcare providers. The company and its representatives do not assume any responsibility for reimbursement decisions or claims denials made by provid…
See more on fortherecordmag.com