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 |
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 |
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 |
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 |
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 |