Hyperthyroidism and Goiter coding

mcdream

Networker
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Hi all,

Debating appropriate code assignment for:

-Hyperthyroidism and Multinodular Goiter E05.00 or E05.20?
Index: Goiter, with, hyperthyroidism- see Hyperthyroidism, with, goiter
Index: Hyperthyroidism, with, goiter (diffuse) E05.00 or indent to nodular (multinodular) E05.20?
Index: Goiter, multinodular (nontoxic) E04.2 or indent to toxic or with hyperthyroidism E05.20?

-Graves' disease and Multinodular Goiter E05.00 or E05.20?
Index: Graves' disease- see Hyperthyroidism, with, goiter > Index: Hyperthyroidism, with, goiter (diffuse) E05.00 or indent to nodular (multinodular) E05.20?

In both these scenarios provider documented "and" therefore conditions are not linked by documentation.
But provider documentation does not need to explicitly link Hyperthyroidism and Multinodular Goiter, per the "with" conventions guideline the word "with" should be interpreted to mean "associated with" or "due to" when it appears in the Alphabetic Index. The classification presumes a causal relationship between these two conditions linked by the term "with" in the Alphabetic Index.

TIA
 
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