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PAPERBACK list:$33.75 Web:$30.38 add to cart Rights & Permissions Free PDF Access Free Resources Sign in to download PDF book and chapters PDF EXECUTIVE SUMMARY Display this book on your site! Related Titles Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients) From Cancer Patient to Cancer Survivor: Lost in Transition Other Related Titles Medicare Coverage of Routine Screening for Thyroid Dysfunction (2003) Board on Health Care Services (HCS) Institute of Medicine (IOM) Web Search Builder Use this book's key terms to search within this book, across our collection, or across the Web. Skim This Chapter Skim this chapter and use this chapter's key terms to search within this book. Reference Finder Paste in your own text to find books that relate to your topic. Page 114   E-mail  Facebook  Digg  Stumble  Twitter More The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy. 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 Page 114 Front Matter (R1-R14) Summary (1-6) 1. Introduction (7-13) 2. Pathophysiology and Diagnosis of Thyroid Disease (14-20) 3. Prevalence and Consequences of Thyroid Dysfunction (21-31) 4. Screening for Thyroid Dysfunction (32-43) 5. The Cost of Coverage (44-68) 6. Conclusions and Recommendations (69-72) Appendix A: Workshop on Screening for Thyroid Dysfunction (73-74) Appendix B: Screening for Thyroid Disease: Systematic Evidence Review (75-113) Appendix C: Diagnoses Currently Covered by Medicare for Serum TSH Testing (114-118) Appendix D: Committee Biographies (119-121)

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OCR for page 114
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

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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

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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

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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

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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

Representative terms from entire chapter:

symptoms involving