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Medicare Coverage of Routine Screening for Thyroid Dysfunction (2003)

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

« Previous: 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
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When the Medicare program was established in 1965, it was viewed as a form of financial protection for the elderly against catastrophic medical expenses, primarily those related to hospitalization for unexpected illnesses. The first expansions to the program increased the eligible population from the retired to the disabled and to persons receiving chronic renal dialysis. It was not until 1980 that an expansion of services beyond those required "for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member" was included in Medicare. These services, known as preventive services, are intended either to prevent disease (by vaccination) or to detect disease (by diagnostic test) before the symptoms of illness appear. A Committee was formed "to conduct a study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries under Title XVIII of the Social Security Act for some or all Medicare beneficiaries."

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