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

ICD-10 E05.31

Billable / Specific MCC

Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm

E05
Block
0
Synonyms
91
LCDs
8
Payer Policies
49
Linked CPTs

About ICD-10-CM E05.31

ICD-10-CM code E05.31 represents Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E05). The 2026 edition of ICD-10-CM E05.31 became effective on October 1, 2025.

Coding Tips for E05.31

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: MCC

E05.31 is designated MCC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-MCC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag MCC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inpatient DRG Impact, MCC

codes Thyrotoxicosis from ectopic thyroid tissue with thyrotoxic crisis or storm. As a Major Complication/Comorbidity (MCC), this can shift the DRG assignment to a higher-weighted category, substantial reimbursement impact.

Medicare LCD Coverage for E05.31

Local Coverage Determinations (LCDs) from CMS MACs that list E05.31 as a covered diagnosis.

91 LCDs

Showing top 10 of 91 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85651 →
CMS LCD: Billing and Coding: Sedimentation Rate, Erythrocyte
Article ID: 57657, Effective: 2024-10-01 00:00:00, 1430 covered, 1 non-covered
CPT 85652 →
CMS LCD: Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
Article ID: 57029, Effective: 2022-10-01 00:00:00, 80 covered, 1 non-covered
CPT 76536 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92082 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92083 →
CMS LCD: Billing and Coding: Visual Fields
Article ID: 57483, Effective: 2025-10-01 00:00:00, 1824 covered, 0 non-covered
CPT 92081 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93000 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93041 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93040 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E05.31.

8 policies

5 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
Policy ID: ART-57029
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Electrocardiograms
Policy ID: ART-57326
Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

CPT Codes Commonly Billed with E05.31

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

49 linkages
  • 83735 CMS LCD: Billing and Coding: Magnesium CMS LCD
  • 76536 CMS LCD: Billing and Coding: Ultrasound, Soft Tissues of Head and Neck CMS LCD
  • 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
  • 00731 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00635 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD
  • 00322 CMS LCD: Billing and Coding: Monitored Anesthesia Care CMS LCD

Convert E05.31 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E05.31 24241 00000

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

ICD-10 E05.31, Billing FAQ

Is ICD-10 code E05.31 billable? +

Yes, E05.31 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is E05.31 a CC or MCC for inpatient DRG? +

Yes, this code is designated as MCC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with E05.31? +

Procedures frequently paired with E05.31 include: 83735, 76536, 01782, 01999, 01829.

What ICD-9 codes does E05.31 map to? +

Per CMS GEMs, E05.31 maps to ICD-9 codes: 24241. 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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