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E03 ICD-10-CM Code: Other hypothyroidism

ICD-10-CM Code View

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Disorders of thyroid gland (E00-E07)

E03

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other hypothyroidism

Other hypothyroidism

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
E0Disorders of thyroid gland (E00-E07)
E03Other hypothyroidism

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E03 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E03 in this effective period.

Related Child Codes

Official
E03.0Congenital hypothyroidism with diffuse goiter
E03.1Congenital hypothyroidism without goiter
E03.2Hypothyroidism due to medicaments and other exogenous substances
E03.3Postinfectious hypothyroidism
E03.4Atrophy of thyroid (acquired)

Includes

Official

ICD-10-CM does not list Includes notes for E03 in this effective period.

Excludes 1

Official
  • iodine-deficiency related hypothyroidism (E00-E02)
  • postprocedural hypothyroidism (E89.0)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E03 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E03 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E03 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

E03 is the ICD-10-CM diagnosis code for other hypothyroidism. E03 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering disorders of thyroid gland (e00-e07).

Header codes like E03 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E03's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E03 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • iodine-deficiency related hypothyroidism (E00-E02)
  • postprocedural hypothyroidism (E89.0)

Child Codes

Code Hierarchy

E03Other hypothyroidism
E03Other hypothyroidism

More on E03

Referenced in blog posts

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