Wiki code hyper or hypothyroid??

[Radcoder86]

I have a provider that keeps coding hyperthyroidism on patients who are on hypothyroid medication but because their dose is off, they've become abnormally suppressed. Should I actually be coding hyperthyroidism, or just hypo since that is what we were originally treating and we're still keeping them on hypothyroid medication?

 

[mitchellde]

If they were taking the medication according to direction then it is an abnormal lab as an adverse reaction. If they were taking the medication incorrectly then it is a poisoning. An isolated elevated lab is not the same as having the condition.

 

[Radcoder86]

Okay, thank you!