ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E03.9

Billable / Specific

Hypothyroidism, unspecified

E03
Block
1
Synonyms
47
LCDs
2
Payer Policies
52
Linked CPTs

About ICD-10-CM E03.9

ICD-10-CM code E03.9 represents Hypothyroidism, unspecified. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E03). The 2026 edition of ICD-10-CM E03.9 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E03.9. Per CMS ICD-10-CM Tabular 2026.

  • Myxedema NOS

Medicare LCD Coverage for E03.9

Local Coverage Determinations (LCDs) from CMS MACs that list E03.9 as a covered diagnosis.

47 LCDs

Showing top 10 of 47 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01860 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 00400 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01782 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01680 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01916 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01730 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01992 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01939 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 00322 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01999 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E03.9.

2 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

1 Medicare

Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

CPT Codes Commonly Billed with E03.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

52 linkages
  • 99204 New patient office visit — multiple chronic conditions: HTN, T2DM, hyperlipidemia, asthma, anxiety, depression, obesity, IBS, COPD, thyroid, anemia, CAD, sleep apnea, psoriasis, RA Primary Care
  • 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
  • 99214 Established patient — moderate complexity: uncontrolled HTN, diabetes with complications, multiple chronic conditions, COPD, AFib, CKD, sleep apnea, chronic pain, depression Primary Care
  • 80053 Comprehensive metabolic panel — diabetes, HTN, CKD, hyperlipidemia, electrolyte disorders, anemia, thyroid, prediabetes, abnormal labs, routine exam, screening Laboratory
  • 84443 TSH — hypothyroidism, hyperthyroidism, thyroiditis, weight loss, weight gain, post-surgical hypothyroidism, fatigue, routine exam, screening Laboratory
  • 01782 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01999 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01829 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00400 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 01922 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD

Convert E03.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E03.9 2449 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 E03.9, Billing FAQ

Is ICD-10 code E03.9 billable? +

Yes, E03.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to E03.9? +

ICD-10 E03.9 includes: Myxedema NOS.

What CPT codes are commonly billed with E03.9? +

Procedures frequently paired with E03.9 include: 99204, 99213, 99214, 80053, 84443.

What ICD-9 codes does E03.9 map to? +

Per CMS GEMs, E03.9 maps to ICD-9 codes: 2449. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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