E07.81
Sick-euthyroid syndrome
Clinical Classification Guidelines
Inclusion Terms
- Euthyroid sick-syndrome
Medical Intelligence & Overview
Euthyroid Sick Syndrome, also known as Non-Thyroidal Illness Syndrome, refers to abnormal thyroid function test results that occur in patients who are experiencing a severe illness or stress but do not have intrinsic thyroid gland disease. This condition is common among critically ill patients and typically reflects the body's response to illness rather than a primary thyroid disorder. Recognizing this syndrome is important for clinicians to avoid unnecessary treatments and to better understand the patient's overall health status.
Causes & Symptoms
Clinical Causes: Severe infections or systemic illnesses Critical illnesses such as heart failure, respiratory failure, or sepsis Major surgeries or trauma Chronic illnesses like liver or kidney disease Prolonged fasting or malnutrition Certain medications affecting thyroid function tests
Key Symptoms: No specific symptoms are directly attributable to the syndrome itself Symptoms are usually related to the underlying illness Possible signs of the primary disease, such as fever, fatigue, or shortness of breath Altered energy levels and general malaise in severe cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves interpreting thyroid function tests in the context of the patient's overall health. Typical findings may include:
Treatment Protocols: Since Euthyroid Sick Syndrome is a reflection of the body's response to illness rather than a primary thyroid disorder, treatment predominantly focuses on:
Clinical Advice & FAQs
Billing Guidance
Is E07.81 a billable ICD-10 code?
Yes, E07.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report E07.81?
Clinical documentation must specify the nature of Sick-euthyroid syndrome and any associated comorbidities for accurate reporting.
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