Medicare Coverage of Routine Screening for Thyroid Dysfunction (2003)

Chapter: Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing

Previous Chapter: Appendix B: Screening for Thyroid Disease: Systematic Evidence Review
Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.

APPENDIX C
Diagnoses Currently Covered by Medicare for Serum TSH Testing

ICD-9-CM Code

Persistent (P), Thyroid (T), or Short-term (S)?

Diagnosis

017.50–017.56

T

Tuberculosis of the thyroid gland

183

P

Malignant neoplasm of ovary

193

T

Malignant neoplasm of thyroid gland

194.8

P

Malignant neoplasm of other endocrine glands and related structures, other

198.89

P

Secondary malignant neoplasm of the thyroid

220

S

Benign neoplasm of ovary

226

T

Benign neoplasm of thyroid gland

227.3

P

Benign neoplasm of pituitary gland and craniopharyngeal duct

234.8

P

Carcinoma in situ of other and unspecified sites

237.4

P

Neoplasm of uncertain behavior of other and unspecified endocrine glands

239.7

T

Neoplasm of unspecified nature, thyroid gland

240.0–240.9

T

Goiter specified and unspecified

241.0–241.9

T

Nontoxic nodular goiter

242.00–242.91

T

Thyrotoxicosis with or without goiter

243

T

Congenital hypothyroidism

244.0–244.9

T

Acquired hypothyroidism

245.0–245.9

T

Thyroiditis

246.0–246.9

T

Other disorders of thyroid

250.00–250.93

P

Diabetes mellitus

252.1

P

Hypoparathyroidism

Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.

ICD-9-CM

Persistent (P), Thyroid (T), or Code Short-term (S)?

Diagnosis

253.1

P

Other and unspecified anterior pituitary hyper function

253.2

P

Panhypopituitarism

253.3–253.4

P

Pituitary dwarfism

253.4

P

Other anterior pituitary disorders

253.7

P

Iatrogenic pituitary disorders

255.2

P

Adrenogenital disorders

255.4

P

Corticoadrenal insufficiency

256.3

P

Ovarian failure

257.2

P

Testicular hypofunction

258.0–258.9

P

Polyglandular dysfunction

262

S

Malnutrition, severe

263.0–263.9

S

Malnutrition, other and unspecified

266

S

Ariboflavinosis

272

P

Pure hypercholesterolemia

272.2

P

Mixed hyperlipidemia

272.4

P

Other and unspecified hyperlipidemia

275.40–275.49

S

Calcium disorders

276

S

Hyposmolality and/or hypernatremia

276.1

S

Hyposmolality and/or hyponatremia

278.3

S

Hypercarotinemia

279.4

P

Autoimmune disorder, not classified elsewhere

281

P

Pernicious anemia

281.9

S

Unspecified deficiency anemia

283

S

Autoimmune hemolytic anemia

285.9

S

Anemia, unspecified

290

P

Senile dementia, uncomplicated

290.10–290.13

P

Presenile dementia

290.20–290.21

P

Senile dementia with delusional or depressive features

290.3

P

Senile dementia with delirium

293.0–293.1

S

Delirium

293.81–293.89

S

Transient organic mental disorders

294.8

S

Other specified organic brain syndromes

296.00–296.99

P

Affective psychoses

297

S

Paranoid state, simple

297.1

S

Paranoia

297.9

S

Unspecified paranoid state

298.3

S

Acute paranoid reaction

300.00–300.09

S

Anxiety states

307.9

S

Agitation—other and unspecified special symptoms or syndromes, not elsewhere classified

310.1

P

Organic personality syndrome

311

S

Depressive disorder, not elsewhere classified

331.0–331.2

P

Alzheimer’s, Pick’s disease, Senile degeneration of brain

Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.

ICD-9-CM

Persistent (P), Thyroid (T), or Code Short-term (S)?

Diagnosis

333.1

P

Essential and other specified forms of tremor

333.99

P

Other extrapyramidal diseases and abnormal movement disorders

354

S

Carpal tunnel syndrome

356.9

S

Idiopathic peripheral neuropathy, unspecified polyneuropathy

358.1

S

Myasthenic syndromes in diseases classified elsewhere

359.5

S

Myopathy in endocrine diseases classified elsewhere

359.9

S

Myopathy, unspecified

368.2

S

Diplopia

372.71

S

Conjunctival hyperemia

372.73

S

Conjunctival edema

374.41

S

Lid retraction or lag

374.82

S

Eyelid edema

376.21

T

Thyrotoxic exophthalmos

376.22

P

Exophthalmic ophthalmoplegia

376.30–376.31

P

Exophthalmic conditions, unspecified and constant

376.33–376.34

S

Orbital edema or congestion, intermittent exophthalmos

378.50–378.55

P

Paralytic strabismus

401.0–401.9

P

Essential hypertension

403.00–403.91

P

Hypertensive renal disease

404.00–404.93

P

Hypertensive heart and renal disease

423.9

S

Unspecified disease of pericardium

425.7

S

Nutritional and metabolic cardiomyopathy

427

S

Paroxysmal supraventricular tachycardia

427.2

S

Paroxysmal tachycardia, unspecified

427.31

S

Atrial fibrillation

427.89

S

Other specified cardiac dysrhythmia

427.9

S

Cardiac dysrhythmia, unspecified

428

P

Congestive heart failure

428.1

P

Left heart failure

429.3

P

Cardiomegaly

511.9

S

Unspecified pleural effusion

518.81

S

Acute respiratory failure

529.8

S

Other specified conditions of the tongue

560.1

S

Paralytic ileus

564

S

Constipation

564.7

P

Megacolon, other than Hirschsprung’s

568.82

P

Peritoneal effusion (chronic)

625.3

S

Dysmenorrhea

626.0–626.2

S

Disorders of menstruation

626.4

S

Irregular menstrual cycle

Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.

ICD-9-CM

Persistent (P), Thyroid (T), or Code Short-term (S)?

Diagnosis

648.10–648.14

S

Other current conditions in the mother, classifiable elsewhere, but complicating pregnancy, childbirth, or the puerperium, thyroid dysfunction

676.20–676.24

S

Engorgement of breast associated with childbirth and disorders of lactation

698.9

S

Unspecified pruritic disorder

701.1

S

Keratoderma, acquired (dry skin)

703.8

S

Other specified diseases of nail (brittle nails)

704.00–704.09

S

Alopecia

709.01

P

Vitiligo

710.0–710.9

P

Diffuse disease of connective tissue

728.2

S

Muscle wasting

728.9

S

Unspecified disorder of muscle, ligament, and fascia

729.1

S

Myalgia and myositis, unspecified

729.82

S

Musculoskeletal cramp

730.30–730.39

S

Periostitis without osteomyelitis

733.09

S

Osteoporosis, drug induced

750.15

P

Macroglossia, congenital

759.2

S

Anomaly of other endocrine glands

780.01

S

Coma

780.02

S

Transient alteration of awareness

780.09

S

Alteration of consciousness, other

780.50–780.52

S

Insomnia

780.6

S

Fever

780.71–780.79

S

Malaise and fatigue

780.8

S

Hyperhidrosis

780.9

S

Other general symptoms (hyperthermia)

781

S

Abnormal involuntary movements

781.3

S

Lack of coordination, ataxia

782

S

Disturbance of skin sensation

782.3

S

Localized edema

782.8

S

Changes in skin texture

782.9

S

Other symptoms involving skin and integumentary tissues

783.1

S

Abnormal weight gain

783.2

S

Abnormal loss of weight

783.6

S

Polyphagia

784.1

S

Throat pain

784.49

S

Voice disturbance

784.5

S

Other speech disturbance

785

S

Tachycardia, unspecified

785.1

S

Palpitations

785.9

S

Other symptoms involving cardiovascular system

786.09

S

Other symptoms involving respiratory system

Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.

ICD-9-CM

Persistent (P), Thyroid (T), or Code Short-term (S)?

Diagnosis

786.1

S

Stridor

787.2

S

Dysphagia

787.91–787.99

S

Other symptoms involving digestive system

789.5

S

Ascites

793.9

S

Nonspecific abnormal findings on radiological and other examination, other (neck)

794.5

T

Thyroid, abnormal scan or uptake

796.1

S

Other nonspecific abnormal findings, abnormal reflex

799.2

S

Nervousness

990

S

Effects of radiation, unspecified

V10.87

T

Personal history of malignant neoplasm of the thyroid

V10.88

P

Personal history of malignant neoplasm of other endocrine gland

V12.2

P

Personal history of endocrine, metabolic, and immunity disorders

V58.69

P

Long-term (current) use of other medications

V67.0-V67.9

S

Follow-up examination

Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.
Page 114
Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.
Page 115
Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.
Page 116
Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.
Page 117
Suggested Citation: "Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing." Institute of Medicine. 2003. Medicare Coverage of Routine Screening for Thyroid Dysfunction. Washington, DC: The National Academies Press. doi: 10.17226/10682.
Page 118
Next Chapter: Appendix D: Committee Biographies
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