Hypothyroid
Thyroid Function Tests (in the last 15 months)
442..%
Hypothyroidism diagnosis codes
- C03.. Congenital hypothyroidism
- C030. Pendred's syndrome
- C031. Goitrous cretin
- C03y. Other specified congenital hypothyroidism
- C03y0 Congenital hypothyroidism with diffuse goitre
- C03y1 Congenital hypothyroidism without goitre
- C03z. Congenital hypothyroidism NOS
- C04.. Acquired hypothyroidism
- C040. Postsurgical hypothyroidism
- C041. Other postablative hypothyroidism
- C0410 Irradiation hypothyroidism
- C041z Postablative hypothyroidism NOS
- C042. Iodine hypothyroidism
- C043. Other iatrogenic hypothyroidism
- C0430 Hypothyroidism resulting from para-aminosalicylic acid
- C0431 Hypothyroidism resulting from phenylbutazone
- C0432 Hypothyroidism resulting from resorcinol
- C043z Iatrogenic hypothyroidism NOS
- C044. Postinfectious hypothyroidism
- C045. Acquired atrophy of thyroid
- C046. Autoimmune myxoedema
- C04y. Other acquired hypothyroidism
- C04z. Hypothyroidism NOS
- C04z0 Premature puberty due to hypothyroidism
- C04z1 Myxoedema coma
Hypothyroidism treatment codes (latest in the last 6 months)
f9…%
Hypothyroidism exception reporting codes
- 9h7.. Exception reporting: thyroid quality indicators
- 9h71. Excepted from thyroid quality indicators: Patient unsuitable
- 9h72. Excepted from thyroid quality indicators: Informed dissent
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Thyroid 2.1 Rationale
There is no clear evidence on the appropriate frequency of TSH/T4 measurement.
However, the consensus group on thyroid disease recommended an annual check
of TSH/T4 levels in all patients treated with thyroxine. In addition, they recommend
an annual check in patients previously treated with radio-iodine or partial
thyroidectomy (‘Consensus statement for good practice and audit measures in
the management of hypothyroidism and hyperthyroidism.’ BMJ
1996; 313: 539-544).
The practice should report the percentage of patients on its hypothyroid register
who have had a TSH or T4 undertaken in the last 15 months.
In verifying that this information has been correctly recorded, a number of
approaches could be taken by a PCO:
i. inspection of the output from a computer search that has been used to provide
information on this indicator
ii. inspection of a sample of records of patients with hypothyroidism to look
at the proportion with recorded TSH/T4
iii. inspection of a sample of records of patients with hypothyroidism for whom
a record of TSH/T4 is claimed, to see if there is evidence of this in the medical
records.
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Prepared By Jean Keenan